Abstract
Delimitation and classification of each heart sound is a rather difficult task. Elevated heart rates, as found in pediatrics and in some adults as well, influence some of the most reliable features used by existing methods. Furthermore, in real life scenarios, cardiologists will not have the time to acquire the signal's length required by some of the existing algorithms, which make us think that different approaches ought to be pursued. This paper presents the work on heart sound segmentation using structural and energy based features. It is an attempt to not rely on features considered crucial to most existing approaches. Yet, it achieves a high sensitivity and specificity comparable to some literature.

Abstract
Echocardiography is an important tool to detect early evidence of mitral valve degradation associated with rheumatic heart disease. The segmentation and tracking of the Anterior Mitral Leaflet helps to quantify the morphologic valve anomalies, such as the leaflet thickening, shape and the mobility changes. The tracking of this leaflet throughout the cardiac cycle is still an open challenge in the research community. The widely used active contours segmentation framework fails when faced with large leaflet displacement. In this work, we propose the integration of optical flow in an open-ended active contour framework to address this difficulty. This additional information promotes solutions with contours next to high leaflet displacements, resulting in superior performance. The algorithm was tested on 9 fully annotated real clinical videos, acquired from the parasternal long axis view. The algorithm is compared with our previous work. Results show a clear improvement in situations where the leaflet exhibits large displacement or irregular shapes, with an average error of 4.5 pixels and a standard deviation of 2 pixels.

Abstract
The analysis of heart sounds is a challenging task, due to the quick temporal onset between successive events and the fact that an important fraction of the information carried by phonocardiogram (PCG) signals lies in the inaudible part of the human spectrum. For these reasons, computer-aided analysis of the PCG can dramatically improve the quantity of information recovered from such signals. In this paper, a hidden semi-Markov model (HSMM) is used to automatically segment PCG signals. In the proposed models, the emission probability distributions are approximated via Gaussian mixture model (GMM) priors. The choice of GMM emission probability distributions allow to apply re-estimation routines to automatically adjust the HSMM emission probability distributions to each subject. Building on the proposed method for fine tuning emission distributions, a novel subject-driven unsupervised heart sound segmentation algorithm is proposed and validated over the publicly available PhysioNet dataset. Perhaps surprisingly, the proposed unsupervised method achieved results in line with state-of-the-art supervised approaches, when applied to long heart sounds.

Abstract
This work presents a method for the automatic segmentation of metacarpus and phalange bones in ultrasound images of the second metacarpophalangeal joint (MCPJ) using Active Contours. The MCPJ is known to be the one of the first structures to be affected by rheumatic diseases like rheumatoid arthritis. The early detection and follow-up of this disease is important to prevent irreversible damage of the joints, which occurs continuously and faster if no treatment is used. To our knowledge, there is no automatic system to quantify the extension of the lesions resulting from rheumatic activity. The objective of this work is to identify the metacarpus and the phalange bones using local active contours. To our knowledge, there is no well established method for this problem and this technique has not been used yet in these structures. Results proved that the automatic segmentation is possible with an error of 3 pixels for a confidence of 80%.

Abstract
Segmentation is a vital step for pattern recognition systems used in in-body imaging scenarios. In this paper we compare the performance of three popular segmentation algorithms (mean shift, normalized cuts, level-sets) when applied to two distinct in-body imaging scenarios: chromoendoscopy and narrow-band imaging. Observation shows that the model-based algorithm did not perform well, when compared to its segmentation by clustering alternatives. Normalized cuts obtained the best performance although future work hints that texture similarity should be further explored in order to increase segmentation performance in this type of scenarios.

Abstract
The mitral valve plays a vital role in our circulatory system. To study its functionality, it is important to measure clinically relevant parameters, such as its thickness, mobility and shape. Since manual segmentation is impractical, time consuming and requires expert knowledge, an automatic segmentation tool can have a significant clinical impact, providing objective measures to clinicians for understanding the morphology and behaviour of the mitral valve. In this work, a real time tracking method has been proposed for ultrasound videos obtained with the Parasternal Long Axis view. The algorithm is semi-automatic, assumes manual Anterior Mitral Leaflet segmentation in the first frame and then it uses mathematical morphology algorithms to obtain tracking results, further refined by localized active contours during the whole cardiac cycle. Finally, the medial axis is extracted for a quantitative analysis. Results show that the algorithm can segment 1137 frames extracted from 9 fully annotated sequences of the real clinical video data in only 0.89 sec/frame, with an average error of 5 pixels. Furthermore, the algorithms exhibited robust tracking performance in the most difficult situations, which are large frame-to-frame displacements.