Abstract
Quantitative assessment of mitral valve (MV) morphology is important for diagnosing MV pathology and for planning of reparative procedures. Although this is typically done using 3D transesophageal echocardiography (TEE), recent advances in the spatiotemporal resolution of 3D transthoracic echocardiography (TTE) have enabled the use of this more patient friendly modality. However, manual data analysis is time consuming and operator dependent. In this study, a fully automatic method for MV segmentation and tracking in 3D TTE is proposed and validated. The proposed framework takes advantage of a previously proposed left ventricle (LV) segmentation framework to localize the MV and performs segmentation based on the B-spline Explicit Active Surfaces (BEAS) framework. The orientation of the MV is obtained and the MV surface is cropped to the mitral annulus (MA) and divided into posterior and anterior leaflets. The segmented MV at end diastole (ED) is propagated to end systole (ES) using localized anatomical affine optical flow (lAAOF). Because the orientation and leaflet division is known, relevant clinical parameters can then be extracted from the mesh at any time point. The proposed framework shows excellent segmentation results with a mean absolute distance (MAD) and Hausdorff distance (HD) of 1.19 +/- 0.25 mm and 5.79 +/- 1.25 mm at ED and 1.39 +/- 0.32 mm and 6.70 +/- 1.97 mm at ES against manual analysis. In conclusion, an automatic method for MV segmentation is proposed which could provide valuable clinical information in a more patient-friendly manner.

Abstract
Background: The GPi (globus pallidus internus) is an important target nucleus for Deep Brain Stimulation (DBS) in medically refractory movement disorders, in particular dystonia and Parkinson's disease. Beneficial clinical outcome critically depends on precise electrode localization. Recent evidence indicates that not only neurons, but also axonal fibre tracts contribute to promoting the clinical effect. Thus, stereotactic planning should, in the future, also take the individual course of fibre tracts into account. Objective: The aim of this project is to explore the GPi connectivity profile and provide a connectivity based parcellation of the GPi. Methods: Diffusion MRI sequences were performed in sixteen healthy, right-handed subjects. Connectivity-based parcellation of the GPi was performed applying two independent methods: 1) a hypothesis-driven, seed-to-target approach based on anatomic priors set as connectivity targets and 2) a purely data-driven approach based on k-means clustering of the GPi. Results: Applying the hypothesis-driven approach, we obtained five major parcellation clusters, displaying connectivity to the prefrontal cortex, the brainstem, the GPe (globus pallidus externus), the putamen and the thalamus. Parcellation clusters obtained by both methods were similar in their connectivity profile. With the data-driven approach, we obtained three major parcellation clusters. Inter individual variability was comparable with results obtained in thalamic parcellation. Conclusion: The three parcellation clusters obtained by the purely data-driven method might reflect GPi subdivision into a sensorimotor, associative and limbic portion. Clinical and physiological studies indicate greatest clinical DBS benefit for electrodes placed in the postero-ventro-lateral GPi, the region displaying connectivity to the thalamus in our study and generally attributed to the sensorimotor system. Clinical studies relating DBS electrode positions to our GPi connectivity map would be needed to complement our findings.

Abstract
Fast cardiac imaging requires a reduction of the number of transmit events. This is typically achieved through multiline-transmission and/or multiline-acquisition techniques but restricting the field-of-view to the anatomically relevant domain, e.g. the myocardium, can increase frame rate further. In the present work, an anatomical scan sequence was implemented and tested experimentally by performing real-time segmentation of the myocardium on conventional B-mode and feeding this information back to the scanner in order to define a fast myocardial scan sequence. Ultrasound imaging was performed using HD-PULSE, an experimental fully programmable 256 channel ultrasound system equipped with a 3.5MHz phased array. A univentricular polyvinyl alcohol phantom was connected to a pump to simulate the cardiac cycle to perform in vitro validation of this approach. Three volunteers were also imaged from an apical 4-chamber view to analyse the feasibility of this method in vivo. It is shown that this method is feasible to be applied in real-time and in vivo giving a minimum frame rate gain of 1.5. Although the anatomical image preferably excludes the apical cap of the ventricle, this region is often unanalyzable due to near field clutter anyway. The advantage of this method is that spatial resolution is maintained when compared to conventional ultrasound in contrast to other fast imaging approaches. © 2017 IEEE.

Abstract
Cardiac volume/function assessment remains a critical step in daily cardiology, and 3-D ultrasound plays an increasingly important role. Fully automatic left ventricular segmentation is, however, a challenging task due to the artifacts and low contrast-to-noise ratio of ultrasound imaging. In this paper, a fast and fully automatic framework for the full-cycle endocardial left ventricle segmentation is proposed. This approach couples the advantages of the B-spline explicit active surfaces framework, a purely image information approach, to those of statistical shape models to give prior information about the expected shape for an accurate segmentation. The segmentation is propagated throughout the heart cycle using a localized anatomical affine optical flow. It is shown that this approach not only outperforms other state-of-the-art methods in terms of distance metrics with a mean average distances of 1.81 +/- 0.59 and 1.98 +/- 0.66 mm at end-diastole and end-systole, respectively, but is computationally efficient (in average 11 s per 4-D image) and fully automatic.

Abstract
In this manuscript a novel method is presented for left ventricle (LV) tracking in three-dimensional ultrasound data using a hybrid approach combining segmentation and tracking-based clues. This is accomplished by coupling an affine motion model to an existing LV segmentation framework and introducing an energy term that penalizes the deviation to the affine motion estimated using a global Lucas–Kanade algorithm. The hybrid nature of the proposed solution can be seen as using the estimated affine motion to enhance the temporal coherence of the segmented surfaces, by enforcing the tracking of consistent patterns, while the underlying segmentation algorithm allows to locally refine the estimated global motion. The proposed method was tested on a dataset composed of 24 4D ultrasound sequences from both healthy volunteers and diseased patients. The proposed hybrid tracking platform offers a competitive solution for fast assessment of relevant LV volumetric indices, by combining the robustness of affine motion tracking with the low computational burden of the underlying segmentation algorithm. © 2017 Elsevier Ltd

Abstract
Fast volumetric cardiac imaging requires reducing the number of transmit events within a single volume. One way of achieving this is by limiting the field of view (FOV) of the recording to the myocardium when investigating cardiac mechanics. Although fully automatic solutions towards myocardial segmentation exist, translating that information in a fast ultrasound scan sequence is not trivial. In particular, multi-line transmit (MLT) scan sequences were investigated given their proven capability to increase frame rate (FR) while preserving image quality. The aim of this study was therefore to develop a methodology to automatically identify the anatomically relevant conically shaped FOV, and to translate this to the best associated MLT sequence. This approach was tested on 27 datasets leading to a conical scan with a mean opening angle of 19.7° ± 8.5°, while the mean "thickness" of the cone was 19° ± 3.4°, resulting in a frame rate gain of about 2. Then, to subsequently scan this conical volume, several MLT setups were tested in silico. The method of choice was a 10MLT sequence as it resulted in the highest frame rate gain while maintaining an acceptable cross-talk level. When combining this MLT scan sequence with at least four parallel receive beams, a total frame rate gain with a factor of approximately 80 could be obtained. As such, anatomical scan sequences can increase frame rate significantly while maintaining information of the relevant structures for functional myocardial imaging. © 2017 by the authors.