Citation

BibTex format

@article{Sedlacik:2026:10.1007/s10554-026-03687-9,
author = {Sedlacik, J and McGurk, KA and Tokarczuk, PF and Statton, B and Berry, A and Marenzana, M and O'Regan, DP},
doi = {10.1007/s10554-026-03687-9},
journal = {Int J Cardiovasc Imaging},
title = {Quantitative ventricular trabeculation assessment in cardiac MRI: optimised blood-pool segmentation, box-counting fractal analysis and non-fractal measurements.},
url = {http://dx.doi.org/10.1007/s10554-026-03687-9},
year = {2026}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - Quantitative assessment of the ventricular trabeculation by fractal dimension (FD) involves complex processing steps which may impact the results. We optimised the automated processing workflow for a reliable assessment of the left and right ventricles at end-diastole and end-systole which is suitable for the automated analysis of large-scale cohorts. Ventricular trabeculae and blood were segmented using a level-set method optimised to exclude pixels outside the heart on short-axis cardiac MRI. FD was derived by box-counting the trabeculae/blood boundary while investigating the impact of box size, sampling and rotation. Alternative non-fractal measures - the convexity related boundary length ratio (BLR) and the trabeculated mass ratio (TMR) - were also investigated.FD values with and without optimisation showed a strong linear correlation (R2 = 0.81) and narrow agreement limit (1.96·SD = 0.063) only for the end-diastolic left ventricle. Linear correlation and agreement was good between the optimised FD and BLR values for both ventricles and cardiac phases (R2 = 0.70-0.92, 1.96·SD = 0.037-0.064) but not for TMR (R2 = 0-0.37, 1.96·SD = 0.16-1.4). FD, BLR and TMR differed significantly (p < 0.001) between end-diastole and end-systole with lower FD (-0.07 ± 0.06) but higher BLR (0.31 ± 0.25) and TMR (0.26 ± 0.13) values at end-systole.The previously used fractal analysis is suboptimal except for assessing the end-diastole left ventricle. The optimised fractal analysis is suitable for the left and right ventricle at end-diastole and end-systole. The easy to compute non-fractal BLR gives equivalent information like FD. The volume-based TMR, on the other hand, captures different features of the trabeculation.
AU - Sedlacik,J
AU - McGurk,KA
AU - Tokarczuk,PF
AU - Statton,B
AU - Berry,A
AU - Marenzana,M
AU - O'Regan,DP
DO - 10.1007/s10554-026-03687-9
PY - 2026///
TI - Quantitative ventricular trabeculation assessment in cardiac MRI: optimised blood-pool segmentation, box-counting fractal analysis and non-fractal measurements.
T2 - Int J Cardiovasc Imaging
UR - http://dx.doi.org/10.1007/s10554-026-03687-9
UR - https://www.ncbi.nlm.nih.gov/pubmed/42138799
ER -

Contact


For enquiries about the MRI Physics Collective, please contact:

Mary Finnegan
Senior MR Physicist at the Imperial College Healthcare NHS Trust

Pete Lally
Assistant Professor in Magnetic Resonance (MR) Physics at Imperial College

Jan Sedlacik
MR Physicist at the Robert Steiner MR Unit, Hammersmith Hospital Campus