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<p>Cardiac wall motions classification on 2-dimensional (2D) echocardiographic images is an important issue for quantitative diagnosiing of heart disease. Unfortunately, the bad quality of echocardiogram cause computationally classification on cardiac wall motions is still become a big homework for many researchers to provide the best result. Echocardiogram is produced by soundwaves which absolutely make its images have speckle noise in different intensity. Therefore, this research improves a set of methodology to classify cardiac wall motion semi-automatically. Raw echocardiogram will be enhanced and segmented to take the boundary of endocardium of left ventricular in PSAX cardiac images. New improvement of Semi-automatically methodology is approach on detecting the contour of endocardium and will be inputed as good features in Lucas-Kanade Optical Flow in all sequential echocargraphic images. On classifying cardiac wall motions, this research proposes two important features including length of displacement and flow direction. New proprosed flow determination algorithm and Euclidean distance is used to calculate those features. All the features will be trained by Neural Network (NN) and validated by Leave One Out (LOO) to get accurate result. NN method, which is validated by LOO, has the best result of 81.82% correctness than the other compared methods.</p>

<span>Echocardiography is a method of examination using high-frequency sound waves to capture images of the heart organ structure. Echocardiography video is used by a doctor to analyze heart wall cavity movements and identify heart disease. Several points of view including the long axis, the two and four cavities in the left ventricle can be used in the examination of heart function. Cardiac assessment is still performed conventionally, which requires a level of thoroughness. This research proposes a method for tracking the movement of the heart wall. In this method, the good feature was defined only in the first frame. Furthermore, the whole frame will be processed by the optical flow method. Good feature definition consists of image enhancement, segmentation and tracking processes using the optical flow. Furthermore, the calculation of contour similarity from the proposed method by forming contour manually using 24 point initialization to draw the heart cavity. The proposed method shows the calculation results with a sensitivity of 90% and an accuracy of 87.451%.</span>

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