Deep Learning Approach for the Automated Characterization of Cardiac Mechanics

Cardiac mechanics reflects the precise interplay between myocardial structure and contraction essential for sustaining the blood pumping function of the heart. Ejection fraction is the usual index of function, yet mechanical impairment and even heart failure may occur without changes in this measure...

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Autor principal: Morales, Manuel Antonio
Outros Autores: Catana, Ciprian
Formato: Tese
Publicado em: Massachusetts Institute of Technology 2022
Acesso em linha:https://hdl.handle.net/1721.1/139277
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author Morales, Manuel Antonio
author2 Catana, Ciprian
author_facet Catana, Ciprian
Morales, Manuel Antonio
author_sort Morales, Manuel Antonio
collection MIT
description Cardiac mechanics reflects the precise interplay between myocardial structure and contraction essential for sustaining the blood pumping function of the heart. Ejection fraction is the usual index of function, yet mechanical impairment and even heart failure may occur without changes in this measure. Strain analysis provides more meaningful measures through non-invasive evaluation of myocardial deformation from cardiac magnetic resonance imaging data, and can therefore identify dysfunction before reduction in ejection fraction. Diagnosis based on strain measures requires highly accurate and repeatable cardiac tissue detection, labelling, and tracking. These are very challenging and time-consuming tasks requiring extensive technical and clinical expertise, and have many sources of error that limit the wider clinical adoption of strain analysis. In this thesis, a novel deep learning workflow termed DeepStrain was developed and validated to provide automated strain analysis from standard magnetic resonance data. DeepStrain integrates three convolutional neural networks designed specifically for accurate and precise myocardial tissue detection, labelling, and tracking. These networks were trained using data from healthy subjects and cardiac patients. In healthy subjects, accuracy was evaluated using the gold standard strain analysis technique, and repeatability was assessed using data from subjects imaged multiple times. Finally, DeepStrain was tested in a prospective cross-sectional study in asymptomatic young adults with a mixture of cardiovascular disease risks factors, i.e., overweight, hypertension, and type 2 diabetes mellitus. In summary, DeepStrain automatically provides very precise measures of strain two orders of magnitude faster than current technology, enabling more accurate and comprehensive characterization of cardiac mechanics.
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spelling mit-1721.1/1392772022-01-15T03:26:19Z Deep Learning Approach for the Automated Characterization of Cardiac Mechanics Morales, Manuel Antonio Catana, Ciprian Harvard-MIT Program in Health Sciences and Technology Cardiac mechanics reflects the precise interplay between myocardial structure and contraction essential for sustaining the blood pumping function of the heart. Ejection fraction is the usual index of function, yet mechanical impairment and even heart failure may occur without changes in this measure. Strain analysis provides more meaningful measures through non-invasive evaluation of myocardial deformation from cardiac magnetic resonance imaging data, and can therefore identify dysfunction before reduction in ejection fraction. Diagnosis based on strain measures requires highly accurate and repeatable cardiac tissue detection, labelling, and tracking. These are very challenging and time-consuming tasks requiring extensive technical and clinical expertise, and have many sources of error that limit the wider clinical adoption of strain analysis. In this thesis, a novel deep learning workflow termed DeepStrain was developed and validated to provide automated strain analysis from standard magnetic resonance data. DeepStrain integrates three convolutional neural networks designed specifically for accurate and precise myocardial tissue detection, labelling, and tracking. These networks were trained using data from healthy subjects and cardiac patients. In healthy subjects, accuracy was evaluated using the gold standard strain analysis technique, and repeatability was assessed using data from subjects imaged multiple times. Finally, DeepStrain was tested in a prospective cross-sectional study in asymptomatic young adults with a mixture of cardiovascular disease risks factors, i.e., overweight, hypertension, and type 2 diabetes mellitus. In summary, DeepStrain automatically provides very precise measures of strain two orders of magnitude faster than current technology, enabling more accurate and comprehensive characterization of cardiac mechanics. Ph.D. 2022-01-14T15:01:03Z 2022-01-14T15:01:03Z 2021-06 2021-06-15T14:01:10.493Z Thesis https://hdl.handle.net/1721.1/139277 0000-0003-4025-7399 In Copyright - Educational Use Permitted Copyright MIT http://rightsstatements.org/page/InC-EDU/1.0/ application/pdf Massachusetts Institute of Technology
spellingShingle Morales, Manuel Antonio
Deep Learning Approach for the Automated Characterization of Cardiac Mechanics
title Deep Learning Approach for the Automated Characterization of Cardiac Mechanics
title_full Deep Learning Approach for the Automated Characterization of Cardiac Mechanics
title_fullStr Deep Learning Approach for the Automated Characterization of Cardiac Mechanics
title_full_unstemmed Deep Learning Approach for the Automated Characterization of Cardiac Mechanics
title_short Deep Learning Approach for the Automated Characterization of Cardiac Mechanics
title_sort deep learning approach for the automated characterization of cardiac mechanics
url https://hdl.handle.net/1721.1/139277
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