Fully automated AI-based cardiac motion parameter extraction — application to mitral and tricuspid valves on long-axis cine MR images

Sep 2023·
Yoon S.S.
,
Fischer C.
,
Amsel D.
Maria Monzon
Maria Monzon
,
Toupin S.
,
Pezel T.
,
Garot J.
· 0 min read
Abstract

Purpose: In cardiac MRI, valve motion parameters can be useful for the diagnosis of cardiac dysfunction. In this study, a fully automated AI-based valve tracking system was developed and evaluated on 2- or 4-chamber view cine series on a large cardiac MR dataset. Automatically derived motion parameters include atrioventricular plane displacement (AVPD), velocities (AVPV), mitral or tricuspid annular plane systolic excursion (MAPSE, TAPSE), or longitudinal shortening (LS).

Method: Two sequential neural networks with an intermediate processing step are applied to localize the target and track the landmarks throughout the cardiac cycle. Initially, a localisation network is used to perform heatmap regression of the target landmarks, such as mitral, tricuspid valve annulus as well as apex points. Then, a registration network is applied to track these landmarks using deformation fields. Based on these outputs, motion parameters were derived.

Results: The accuracy of the system resulted in deviations of 1.44 ± 1.32 mm, 1.51 ± 1.46 cm/s, 2.21 ± 1.81 mm, 2.40 ± 1.97 mm, 2.50 ± 2.06 mm for AVPD, AVPV, MAPSE, TAPSE and LS, respectively. Application on a large patient database (N = 5289) revealed a mean MAPSE and LS of 9.5 ± 3.0 mm and 15.9 ± 3.9 % on 2-chamber and 4-chamber views, respectively. A mean TAPSE and LS of 13.4 ± 4.7 mm and 21.4 ± 6.9 % was measured.

Conclusion: The results demonstrate the versatility of the proposed system for automatic extraction of various valve-related motion parameters.

Type
Publication
European Journal of Radiology, 166
publications
Medical-Imaging Cardiac MRI Deep-Learning
Maria Monzon
Authors
Maria Monzon (she/her)
Computer Vision & Medical AI Researcher
PhD candidate at ETH Zurich developing robust and trustworthy deep learning for medical image analysis — spine and cardiac MRI, multimodal biomedical data, and uncertainty quantification. Previously a computer-vision researcher at BASF, where I deployed models to production in regulated, GLP-certified environments. I care about efficient code and reproducible research.