Myocardial strain estimation from CT: Towards computer-aided diagnosis on infarction identification

Ken C.L. Wong, Michael Tee, Marcus Chen, David A. Bluemke, Ronald M. Summers, Jianhua Yao

Research output: Chapter in Book/Report/Conference proceedingConference contribution

2 Scopus citations


Regional myocardial strains have the potential for early quantification and detection of cardiac dysfunctions. Although image modalities such as tagged and strain-encoded MRI can provide motion information of the myocardium, they are uncommon in clinical routine. In contrary, cardiac CT images are usually available, but they only provide motion information at salient features such as the cardiac boundaries. To estimate myocardial strains from a CT image sequence, we adopted a cardiac biomechanical model with hyperelastic material properties to relate the motion on the cardiac boundaries to the myocardial deformation. The frame-to-frame displacements of the cardiac boundaries are obtained using B-spline deformable image registration based on mutual information, which are enforced as boundary conditions to the biomechanical model. The system equation is solved by the finite element method to provide the dense displacement field of the myocardium, and the regional values of the three principal strains and the six strains in cylindrical coordinates are computed in terms of the American Heart Association nomenclature. To study the potential of the estimated regional strains on identifying myocardial infarction, experiments were performed on cardiac CT image sequences of ten canines with artificially induced myocardial infarctions. The leave-one-subject-out cross validations show that, by using the optimal strain magnitude thresholds computed from ROC curves, the radial strain and the first principal strain have the best performance.

Original languageEnglish (US)
Title of host publicationMedical Imaging 2015
Subtitle of host publicationComputer-Aided Diagnosis
EditorsLubomir M. Hadjiiski, Georgia D. Tourassi
ISBN (Electronic)9781628415049
StatePublished - Jan 1 2015
EventSPIE Medical Imaging Symposium 2015: Computer-Aided Diagnosis - Orlando, United States
Duration: Feb 22 2015Feb 25 2015

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
ISSN (Print)1605-7422


OtherSPIE Medical Imaging Symposium 2015: Computer-Aided Diagnosis
Country/TerritoryUnited States


  • Cardiac computed tomography
  • Cardiac deformation recovery
  • Computer-aided diagnosis
  • Finite element methods
  • Hyperelastic biomechanical model
  • Myocardial infarction
  • Myocardial strain estimation

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Biomaterials
  • Atomic and Molecular Physics, and Optics
  • Radiology Nuclear Medicine and imaging


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