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Automatic segmentation of left atrial cavity and scar in late gadolinium enhanced magnetic resonance imaging has important clinical significance for the diagnosis of atrial fibrillation. Owing to the inferior image quality, thin walls, surrounding enhancement regions, and complex morphology of left atrial scars, the automatic quantitative analysis of them is extremely challenging. Either manual segmentation of the left atrial cavity or the atrial scar is very time-consuming and subjective errors may occur. In this work, a deep neural network named ResCEAUNet has been developed and validated for automatic segmentation of left atrial scars. We adopt nnUNet as the baseline. To enhance segmentation accuracy, we introduce two key improvements to our model: the lightweight Convolutional Block Attention Module (CBAM) and the edge attention module. The edge attention module significantly improves the model’s ability to delineate intricate boundaries of the atrial wall and scar tissue, particularly beneficial for thin structures like the left atrium. Simultaneously, CBAM sharpens the model’s focus on relevant features, enabling more precise localization and identification of scar tissue without substantially increasing computational complexity. These synergistic enhancements result in a robust and efficient segmentation model, demonstrating its effectiveness by achieving a Dice score of 0.6181 on the LAScarqs++ 2024 validation dataset. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2025.
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ISSN: 0302-9743
Year: 2025
Volume: 15548 LNCS
Page: 149-157
Language: English
0 . 4 0 2
JCR@2005
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