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arXiv 2606.01808cs.CV

基于电影MRI的个性化三维心肌梗死几何重建用于心脏数字孪生

Personalized 3D Myocardial Infarct Geometry Reconstruction from Cine MRI for Cardiac Digital Twins

Department of Biomedical Engineering, National University of Singapore(新加坡国立大学生物医学工程系);Department of Medicine, National University of Singapore(新加坡国立大学医学系);Department of Cardiology, National University Heart Centre Singapore(新加坡国立心脏中心心内科部)

Yilin Lyu, Mark YY Chan, Ching-Hui Sia, Lei Li

AI总结:

提出一种显式几何-运动嵌入模型,从多视角电影MRI中全自动重建个性化、可仿真的三维心肌梗死几何结构,采用双分支自适应融合和AHA-17引导的多尺度监督,实现无对比剂梗死表征。

摘要:

准确的三维心肌梗死(MI)几何表征对于构建心脏数字孪生(CDT)以精确模拟梗死相关电生理至关重要。晚期钆增强磁共振成像(LGE MRI)是定位MI的临床参考,但其对造影剂的依赖限制了在肾功能受损患者中的使用,并限制了纵向随访。作为替代,无对比剂电影MRI可可视化异常心室壁运动,这高度指示梗死区域。在本研究中,我们提出了一种新颖的显式几何-运动嵌入模型,直接从多视角电影MRI中全自动重建个性化、可仿真的三维MI几何结构。具体地,我们构建了一个4D(3D+t)双心室网格,以显式提取和解耦几何感知和运动感知特征。我们进一步设计了一个双分支模块用于自适应几何-运动融合,以捕获时空依赖性来映射梗死区域。此外,我们引入了一种利用AHA-17节段引导的交叉注意力机制的多尺度监督来指导预测,确保生物物理一致的重建。在225例电影MRI上的实验结果表明,所提出的三维MI重建实现了高性能,平均Dice得分为0.678±0.011。在下游的计算机电生理模拟评估中,结果与LGE衍生的真实情况高度一致,突显了所提出模型在无对比剂瘢痕表征和无缝集成到CDT建模中的巨大潜力。代码将在稿件被接受发表后公开。

英文摘要:

Accurate 3D geometric characterization of myocardial infarction (MI) is essential for building cardiac digital twins (CDTs) to precisely simulate infarct-related electrophysiology. Late gadolinium enhancement magnetic resonance imaging (LGE MRI) is the clinical reference for locating MI, yet its reliance on contrast agents restricts use in renally impaired patients and limits longitudinal follow-ups. As an alternative, contrast-free cine MRI visualizes abnormal ventricular wall motion, which is highly indicative of the infarcted area. In this study, we propose a novel explicit geometry-motion embedded model to fully automatically reconstruct personalized, simulation-ready 3D MI geometries directly from multi-view cine MRIs. Specifically, we construct a 4D (3D + t) biventricular mesh to explicitly extract and decouple geometry-aware and motion-aware features. We further design a dual-branch module for adaptive geometry-motion fusion to capture spatiotemporal dependencies for mapping infarcted region. Furthermore, we introduce multi-scale supervision utilizing an AHA-17 segment-guided cross-attention mechanism to steer the prediction, ensuring biophysically consistent reconstruction. Experimental results on 225 cine MRIs demonstrated that the proposed 3D MI reconstruction achieved high performance with an average Dice score of 0.678 $\pm$ 0.011. In the downstream in-silico electrophysiological simulation evaluations, the results were highly consistent with the LGE-derived ground truth, highlighting the great potential of the proposed model for contrast-free scar characterization and seamless integration into CDT modeling. The code will be released publicly upon acceptance of the manuscript for publication.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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