Automatic Quantification of Volumes and Biventricular Function in Cardiac Resonance. Validation of a New Artificial Intelligence Approach
CONICET（阿根廷国家科学与技术研究理事会）；The Bariloche Atomic Center（巴里洛切原子中心）；Instituto Balseiro（巴尔塞罗研究所）；Universidad Nacional de Cuyo（库约国立大学）；Sanatorio San Carlos（圣卡洛斯疗养院）；National Atomic Energy Commission (Comisión Nacional de Energía Atómica, CNEA)（国家原子能委员会（CNEA））
Ariel H. Curiale, MatÍas E. Calandrelli, Lucca Dellazoppa, Mariano Trevisan, Jorge Luis BociÁn, Juan Pablo Bonifacio, GermÁn Mato
Background: Artificial intelligence techniques have shown great potential in cardiology, especially in quantifying cardiac biventricular function, volume, mass, and ejection fraction (EF). However, its use in clinical practice is not straightforward due to its poor reproducibility with cases from daily practice, among other reasons. Objectives: To validate a new artificial intelligence tool in order to quantify the cardiac biventricular function (volume, mass, and EF). To analyze its robustness in the clinical area, and the computational times compared with conventional methods. Methods: A total of 189 patients were analyzed: 89 from a regional center and 100 from a public center. The method proposes two convolutional networks that include anatomical information of the heart to reduce classification errors. Results: A high concordance (Pearson coefficient) was observed between manual quantification and the proposed quantification of cardiac function (0.98, 0.92, 0.96 and 0.8 for volumes and biventricular EF) in about 5 seconds per study. Conclusions: This method quantifies biventricular function and volumes in seconds with an accuracy equivalent to that of a specialist.
The University of Sheffield（谢菲尔德大学）；Universitat Pompeu Fabra（庞培法布拉大学）；University of Oxford（牛津大学）；Queen Mary University of London（伦敦玛丽女王大学）
The exploitation of large-scale population data has the potential to improve healthcare by discovering and understanding patterns and trends within this data. To enable high throughput analysis of cardiac imaging data automatically, a pipeline should comprise quality monitoring of the input images, segmentation of the cardiac structures, assessment of the segmentation quality, and parsing of cardiac functional indexes. We present a fully automatic, high throughput image parsing workflow for the analysis of cardiac MR images, and test its performance on the UK Biobank (UKB) cardiac dataset. The…
Full-field surrogate modeling of cardiac function encoding geometric variability
Institute for Computational and Mathematical Engineering, Stanford University（计算与数学工程研究所，斯坦福大学）；Cardiovascular Institute, Stanford University（心血管研究所，斯坦福大学）；Pediatric Cardiology, Stanford University（儿科心脏病学，斯坦福大学）；Department of BioMechanical Engineering, Delft University of Technology（生物机械工程系，代尔夫特理工大学）；IBiTech-bioMMeda, Ghent University（IBiTech-bioMMeda，根特大学）；Pasteur Labs, Brooklyn, NY 11205, USA（Pasteur实验室，布鲁克林，纽约11205，美国）；Department of Bioengineering, Stanford University（生物工程系，斯坦福大学）
Friedrich-Alexander-University Erlangen-Nuremberg（埃尔朗根-纽伦堡弗里德里希-亚历山大大学）；University of Leeds（利兹大学）
Quantitative assessment of cardiac left ventricle (LV) morphology is essential to assess cardiac function and improve the diagnosis of different cardiovascular diseases. In current clinical practice, LV quantification depends on the measurement of myocardial shape indices, which is usually achieved by manual contouring of the endo- and epicardial. However, this process subjected to inter and intra-observer variability, and it is a time-consuming and tedious task. In this paper, we propose a spatio-temporal multi-task learning approach to obtain a complete set of measurements quantifying cardia…
Cardiac left ventricle (LV) quantification provides a tool for diagnosing cardiac diseases. Automatic calculation of all relevant LV indices from cardiac MR images is an intricate task due to large variations among patients and deformation during the cardiac cycle. Typical methods are based on segmentation of the myocardium or direct regression from MR images. To consider cardiac motion and deformation, recurrent neural networks and spatio-temporal convolutional neural networks (CNNs) have been proposed. We study an approach combining state-of-the-art models and emphasizing transfer learning t…
Uncertainty Quantification for Cardiac Shape Reconstruction with Deep Signed Distance Functions via MCMC methods
Department of Mathematics and Scientific Computing, University of Graz, Austria（格拉茨大学数学与科学计算系，奥地利）；PRIN-PNRR project no. P2022N5ZNP（PRIN-PNRR项目编号P2022N5ZNP）；INdAM-GNCS
National University of Singapore（新加坡国立大学）；National University Heart Centre（国立大学心脏中心）；National University Hospital（国立大学医院）
Late gadolinium enhanced (LGE) cardiac magnetic resonance (CMR) can directly visualize nonviable myocardium with hyperenhanced intensities with respect to normal myocardium. For heart attack patients, it is crucial to facilitate the decision of appropriate therapy by analyzing and quantifying their LGE CMR images. To achieve accurate quantification, LGE CMR images need to be processed in two steps: segmentation of the myocardium followed by classification of infarcts within the segmented myocardium. However, automatic segmentation is difficult usually due to the intensity heterogeneity of the …
Universidade Federal Fluminense (UFF)（弗鲁米嫩塞联邦大学）；Universidade Federal do Rio de Janeiro (UFRJ)（里约热内卢联邦大学）；Universidade Federal do Espírito Santo (UFES)（圣埃斯皮里图联邦大学）
The deposits of fat on the surroundings of the heart are correlated to several health risk factors such as atherosclerosis, carotid stiffness, coronary artery calcification, atrial fibrillation and many others. These deposits vary unrelated to obesity, which reinforces its direct segmentation for further quantification. However, manual segmentation of these fats has not been widely deployed in clinical practice due to the required human workload and consequential high cost of physicians and technicians. In this work, we propose a unified method for an autonomous segmentation and quantification…
In real-time (RT) cardiac cine imaging, a stack of 2D slices is collected sequentially under free-breathing conditions. A complete heartbeat from each slice is then used for cardiac function quantification. The inter-slice respiratory mismatch can compromise accurate quantification of cardiac function. Methods based on principal components analysis (PCA) have been proposed to extract the respiratory signal from RT cardiac cine, but these methods cannot resolve the inter-slice sign ambiguity of the respiratory signal. In this work, we propose a fully automatic sign correction procedure based on…
Eindhoven University of Technology（埃因霍温理工大学）；Philips Healthcare（飞利浦医疗保健）；King’s College London（伦敦国王学院）
Background: The clinical utility of late gadolinium enhancement (LGE) cardiac MRI is limited by the lack of standardization, and time-consuming postprocessing. In this work, we tested the hypothesis that a cascaded deep learning pipeline trained with augmentation by synthetically generated data would improve model accuracy and robustness for automated scar quantification. Methods: A cascaded pipeline consisting of three consecutive neural networks is proposed, starting with a bounding box regression network to identify a region of interest around the left ventricular (LV) myocardium. Two furth…
Background: Increased pericardial adipose tissue (PAT) is associated with many types of cardiovascular disease (CVD). Although cardiac magnetic resonance images (CMRI) are often acquired in patients with CVD, there are currently no tools to automatically identify and quantify PAT from CMRI. The aim of this study was to create a neural network to segment PAT from T2-weighted CMRI and explore the correlations between PAT volumes (PATV) and CVD outcomes and mortality. Methods: We trained and tested a deep learning model, PAT-CNN, to segment PAT on T2-weighted cardiac MR images. Using the segmenta…
ScarNet: A Novel Foundation Model for Automated Myocardial Scar Quantification from LGE in Cardiac MRI
Northwestern University（西北大学）；Feinberg School of Medicine（费林伯格医学院）；University of Miami Miller School of Medicine（迈阿密大学米勒医学院）；Cedars-Sinai Medical Center（西达赛奈医疗中心）
Institute of Computing, Universidade Federal Fluminense (UFF)（弗鲁米嫩塞联邦大学计算研究所）；School of Medicine, Universidade Federal do Rio de Janeiro (UFRJ)（里约热内卢联邦大学医学院）
The quantification of fat depots on the surroundings of the heart is an accurate procedure for evaluating health risk factors correlated with several diseases. However, this type of evaluation is not widely employed in clinical practice due to the required human workload. This work proposes a novel technique for the automatic segmentation of cardiac fat pads. The technique is based on applying classification algorithms to the segmentation of cardiac CT images. Furthermore, we extensively evaluate the performance of several algorithms on this task and discuss which provided better predictive mo…
An AI tool for automated analysis of large-scale unstructured clinical cine CMR databases
King’s College London（伦敦国王学院）；Guy’s and St Thomas’ NHS Foundation Trust（盖伊和圣托马斯NHS基金会信托）；Duke University（杜克大学）；Barts Health NHS Trust（巴特健康NHS基金会信托）；Alan Turing Institute（阿兰·图灵研究所）；University Medical Center Utrecht（乌得勒支大学医学中心）
BAAI Cardiac Agent: An intelligent multimodal agent for automated reasoning and diagnosis of cardiovascular diseases from cardiac magnetic resonance imaging
Beijing Academy of Artificial Intelligence（北京智源人工智能研究院）；Department of Radiology, Beijing Anzhen Hospital, Beijing Institute of Heart, Lung & Vascular Diseases, Capital Medical University（首都医科大学附属北京安贞医院放射科，北京市心肺血管疾病研究所）；Department of MR, the First Affiliated Hospital, Henan Medical University（河南医科大学第一附属医院磁共振科）；Department of Cardiology, Clinical Center for Coronary Heart Disease, Beijing Institute of Heart, Lung and Blood Vessel Disease, Beijing Anzhen Hospital, Capital Medical University（首都医科大学附属北京安贞医院心内科，冠心病临床中心，北京市心肺血管疾病研究所）；Department of Cardiac Surgery, Beijing Anzhen Hospital, Institute of Heart, Lung and Vascular Diseases, Capital Medical University（首都医科大学附属北京安贞医院心脏外科，心肺血管疾病研究所）
Purpose: To develop a fully automatic method for extraction and directionality determination of respiratory signal in free-breathing, real-time (RT) cardiac MRI. Methods: The respiratory signal is extracted by a principal component analysis method from RT cine images. Then, a two-step procedure is used to determine the directionality (sign) of the respiratory signal. First, the signal polarity of all slices is made consistent with a reference slice. Second, a global sign correction is performed by maximizing the correlation of the respiratory signal with the zeroth-moment center curve. The pro…
Zebrafish is a powerful and widely-used model system for a host of biological investigations including cardiovascular studies and genetic screening. Zebrafish are readily assessable during developmental stages; however, the current methods for quantification and monitoring of cardiac functions mostly involve tedious manual work and inconsistent estimations. In this paper, we developed and validated a Zebrafish Automatic Cardiovascular Assessment Framework (ZACAF) based on a U-net deep learning model for automated assessment of cardiovascular indices, such as ejection fraction (EF) and fraction…
Spatial-temporal V-Net for automatic segmentation and quantification of right ventricles in gated myocardial perfusion SPECT images
Michigan Technological University（密歇根理工大学）；Hai’an People’s Hospital（海安市人民医院）；Rush Medical College（拉什医学院）；Cook County Health（库克县医疗系统）；The First Affiliated Hospital of Nanjing Medical University（南京医科大学第一附属医院）；Xi’an University of Posts and Telecommunications（西安邮电大学）
University of Amsterdam（阿姆斯特丹大学）；University Medical Center Utrecht（乌得勒支大学医学中心）
Deep learning-based whole-heart segmentation in coronary CT angiography (CCTA) allows the extraction of quantitative imaging measures for cardiovascular risk prediction. Automatic extraction of these measures in patients undergoing only non-contrast-enhanced CT (NCCT) scanning would be valuable. In this work, we leverage information provided by a dual-layer detector CT scanner to obtain a reference standard in virtual non-contrast (VNC) CT images mimicking NCCT images, and train a 3D convolutional neural network (CNN) for the segmentation of VNC as well as NCCT images. Contrast-enhanced acquis…
King's College London（伦敦国王学院）；Duke University（杜克大学）；Technical University Munich（慕尼黑工业大学）；Helmholtz Center Munich（慕尼黑亥姆霍兹中心）；Guy's and St Thomas' NHS Foundation Trust（盖伊和圣托马斯国民保健服务基金会信托）
Flow analysis carried out using phase contrast cardiac magnetic resonance imaging (PC-CMR) enables the quantification of important parameters that are used in the assessment of cardiovascular function. An essential part of this analysis is the identification of the correct CMR views and quality control (QC) to detect artefacts that could affect the flow quantification. We propose a novel deep learning based framework for the fully-automated analysis of flow from full CMR scans that first carries out these view selection and QC steps using two sequential convolutional neural networks, followed …
The MYOSAIQ Challenge: Myocardial Segmentation with Automated Infarct Quantification
INSA-Lyon, Universite Claude Bernard Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR 5220, U1294（里昂国立应用科学学院、里昂第一大学克洛德·贝尔纳大学、圣艾蒂安大学、法国国家科学研究中心、法国国家健康与医学研究院、CREATIS联合研究机构）；Institut Universitaire de France (IUF)（法兰西大学研究院）；University of Sherbrooke（谢布鲁克大学）；Huazhong University of Science and Technology（华中科技大学）；Sunnybrook Research Institute, University of Toronto（多伦多大学桑尼布鲁克研究所）；Imperial College London（伦敦帝国理工学院）；University College London（伦敦大学学院）；Fudan University（复旦大学）；Medical University of Graz（格拉茨医科大学）；Graz University of Technology（格拉茨技术大学）；Universidad de Zaragoza（萨拉戈萨大学）；Instituto de Investigación Sanitaria de Aragón (IIS Aragón)（阿拉贡卫生研究所）；Centre Hospitalier Annecy Genevois（阿讷西日内瓦中心医院）；Hôpital Universitaire Cardiologique Louis Pradel（路易·普拉德尔大学心脏病医院）
