# Error correcting 2D-3D cascaded network for myocardial infarct scar segmentation on late gadolinium enhancement cardiac magnetic resonance images

arXiv: https://arxiv.org/abs/2306.14725 · HTML: https://mlsanity.com/paper/2306.14725/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 12 of its 41 references that are in the map.
- First posted on arXiv 26 Jun 2023.

## Builds on (most cited first, 12 of 12)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Rethinking the Inception Architecture for Computer Vision](https://mlsanity.com/paper/1512.00567/) (2015)
- [V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentation](https://mlsanity.com/paper/1606.04797/) (2016)
- [Random Erasing Data Augmentation](https://mlsanity.com/paper/1708.04896/) (2017)
- [Deeply-Supervised Nets](https://mlsanity.com/paper/1409.5185/) (2014)
- [Multivariate mixture model for myocardium segmentation combining multi-source images](https://mlsanity.com/paper/1612.08820/) (2016)
- [MyoPS: A Benchmark of Myocardial Pathology Segmentation Combining Three-Sequence Cardiac Magnetic Resonance Images](https://mlsanity.com/paper/2201.03186/) (2022)
- [Deep Learning methods for automatic evaluation of delayed enhancement-MRI. The results of the EMIDEC challenge](https://mlsanity.com/paper/2108.04016/) (2021)
- [Cardiac Segmentation from LGE MRI Using Deep Neural Network Incorporating Shape and Spatial Priors](https://mlsanity.com/paper/1906.07347/) (2019)
- [Cascaded Convolutional Neural Network for Automatic Myocardial Infarction Segmentation from Delayed-Enhancement Cardiac MRI](https://mlsanity.com/paper/2012.14128/) (2020)
- [Optimized Automated Cardiac MR Scar Quantification with GAN-Based Data Augmentation](https://mlsanity.com/paper/2109.12940/) (2021)
- [Anatomy Prior Based U-net for Pathology Segmentation with Attention](https://mlsanity.com/paper/2011.08769/) (2020)

## Built on by (most cited first, 1 of 1)

- [Deep Learning Pipeline for Fully Automated Myocardial Infarct Segmentation from Clinical Cardiac MR Scans](https://mlsanity.com/paper/2502.03272/) (2025)

## Abstract (arXiv)

Late gadolinium enhancement (LGE) cardiac magnetic resonance (CMR) imaging is considered the in vivo reference standard for assessing infarct size (IS) and microvascular obstruction (MVO) in ST-elevation myocardial infarction (STEMI) patients. However, the exact quantification of those markers of myocardial infarct severity remains challenging and very time-consuming. As LGE distribution patterns can be quite complex and hard to delineate from the blood pool or epicardial fat, automatic segmentation of LGE CMR images is challenging. In this work, we propose a cascaded framework of two-dimensional and three-dimensional convolutional neural networks (CNNs) which enables to calculate the extent of myocardial infarction in a fully automated way. By artificially generating segmentation errors which are characteristic for 2D CNNs during training of the cascaded framework we are enforcing the detection and correction of 2D segmentation errors and hence improve the segmentation accuracy of the entire method. The proposed method was trained and evaluated on two publicly available datasets. We perform comparative experiments where we show that our framework outperforms state-of-the-art reference methods in segmentation of myocardial infarction. Furthermore, in extensive ablation studies we show the advantages that come with the proposed error correcting cascaded method. The code of this project is publicly available at https://github.com/matthi99/EcorC.git