Unsupervised Multi-modal Style Transfer for Cardiac MR Segmentation
Chen Chen, Cheng Ouyang, Giacomo Tarroni, Jo Schlemper, Huaqi Qiu,, Wenjia Bai, Daniel Rueckert

TL;DR
This paper introduces an unsupervised method for cardiac MRI segmentation that transfers knowledge from annotated bSSFP images to unlabeled LGE images using style transfer and cascaded segmentation networks, achieving high accuracy.
Contribution
The work presents a novel unsupervised framework combining style transfer and cascaded segmentation for cardiac MRI, eliminating the need for labeled LGE data.
Findings
Achieved Dice scores of 0.92 for LV, 0.83 for myocardium, and 0.88 for RV.
Generated realistic synthetic LGE images from bSSFP images.
Demonstrated effective unsupervised segmentation performance.
Abstract
In this work, we present a fully automatic method to segment cardiac structures from late-gadolinium enhanced (LGE) images without using labelled LGE data for training, but instead by transferring the anatomical knowledge and features learned on annotated balanced steady-state free precession (bSSFP) images, which are easier to acquire. Our framework mainly consists of two neural networks: a multi-modal image translation network for style transfer and a cascaded segmentation network for image segmentation. The multi-modal image translation network generates realistic and diverse synthetic LGE images conditioned on a single annotated bSSFP image, forming a synthetic LGE training set. This set is then utilized to fine-tune the segmentation network pre-trained on labelled bSSFP images, achieving the goal of unsupervised LGE image segmentation. In particular, the proposed cascaded…
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