DeepStrain: A Deep Learning Workflow for the Automated Characterization of Cardiac Mechanics

<jats:p>Myocardial strain analysis from cinematic magnetic resonance imaging (cine-MRI) data provides a more thorough characterization of cardiac mechanics than volumetric parameters such as left-ventricular ejection fraction, but sources of variation including segmentation and motion estimati...

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Main Authors: Morales, Manuel A, van den Boomen, Maaike, Nguyen, Christopher, Kalpathy-Cramer, Jayashree, Rosen, Bruce R, Stultz, Collin M, Izquierdo-Garcia, David, Catana, Ciprian
Other Authors: Harvard University--MIT Division of Health Sciences and Technology
Format: Article
Language:English
Published: Frontiers Media SA 2022
Online Access:https://hdl.handle.net/1721.1/143900
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author Morales, Manuel A
van den Boomen, Maaike
Nguyen, Christopher
Kalpathy-Cramer, Jayashree
Rosen, Bruce R
Stultz, Collin M
Izquierdo-Garcia, David
Catana, Ciprian
author2 Harvard University--MIT Division of Health Sciences and Technology
author_facet Harvard University--MIT Division of Health Sciences and Technology
Morales, Manuel A
van den Boomen, Maaike
Nguyen, Christopher
Kalpathy-Cramer, Jayashree
Rosen, Bruce R
Stultz, Collin M
Izquierdo-Garcia, David
Catana, Ciprian
author_sort Morales, Manuel A
collection MIT
description <jats:p>Myocardial strain analysis from cinematic magnetic resonance imaging (cine-MRI) data provides a more thorough characterization of cardiac mechanics than volumetric parameters such as left-ventricular ejection fraction, but sources of variation including segmentation and motion estimation have limited its wider clinical use. We designed and validated a fast, fully-automatic deep learning (DL) workflow to generate both volumetric parameters and strain measures from cine-MRI data consisting of segmentation and motion estimation convolutional neural networks. The final motion network design, loss function, and associated hyperparameters are the result of a thorough <jats:italic>ad hoc</jats:italic> implementation that we carefully planned specific for strain quantification, tested, and compared to other potential alternatives. The optimal configuration was trained using healthy and cardiovascular disease (CVD) subjects (<jats:italic>n</jats:italic> = 150). DL-based volumetric parameters were correlated (&amp;gt;0.98) and without significant bias relative to parameters derived from manual segmentations in 50 healthy and CVD test subjects. Compared to landmarks manually-tracked on tagging-MRI images from 15 healthy subjects, landmark deformation using DL-based motion estimates from paired cine-MRI data resulted in an end-point-error of 2.9 ± 1.5 mm. Measures of end-systolic global strain from these cine-MRI data showed no significant biases relative to a tagging-MRI reference method. On 10 healthy subjects, intraclass correlation coefficient for intra-scanner repeatability was good to excellent (&amp;gt;0.75) for all global measures and most polar map segments. In conclusion, we developed and evaluated the first end-to-end learning-based workflow for automated strain analysis from cine-MRI data to quantitatively characterize cardiac mechanics of healthy and CVD subjects.</jats:p>
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spelling mit-1721.1/1439002023-04-18T15:15:49Z DeepStrain: A Deep Learning Workflow for the Automated Characterization of Cardiac Mechanics Morales, Manuel A van den Boomen, Maaike Nguyen, Christopher Kalpathy-Cramer, Jayashree Rosen, Bruce R Stultz, Collin M Izquierdo-Garcia, David Catana, Ciprian Harvard University--MIT Division of Health Sciences and Technology Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science <jats:p>Myocardial strain analysis from cinematic magnetic resonance imaging (cine-MRI) data provides a more thorough characterization of cardiac mechanics than volumetric parameters such as left-ventricular ejection fraction, but sources of variation including segmentation and motion estimation have limited its wider clinical use. We designed and validated a fast, fully-automatic deep learning (DL) workflow to generate both volumetric parameters and strain measures from cine-MRI data consisting of segmentation and motion estimation convolutional neural networks. The final motion network design, loss function, and associated hyperparameters are the result of a thorough <jats:italic>ad hoc</jats:italic> implementation that we carefully planned specific for strain quantification, tested, and compared to other potential alternatives. The optimal configuration was trained using healthy and cardiovascular disease (CVD) subjects (<jats:italic>n</jats:italic> = 150). DL-based volumetric parameters were correlated (&amp;gt;0.98) and without significant bias relative to parameters derived from manual segmentations in 50 healthy and CVD test subjects. Compared to landmarks manually-tracked on tagging-MRI images from 15 healthy subjects, landmark deformation using DL-based motion estimates from paired cine-MRI data resulted in an end-point-error of 2.9 ± 1.5 mm. Measures of end-systolic global strain from these cine-MRI data showed no significant biases relative to a tagging-MRI reference method. On 10 healthy subjects, intraclass correlation coefficient for intra-scanner repeatability was good to excellent (&amp;gt;0.75) for all global measures and most polar map segments. In conclusion, we developed and evaluated the first end-to-end learning-based workflow for automated strain analysis from cine-MRI data to quantitatively characterize cardiac mechanics of healthy and CVD subjects.</jats:p> 2022-07-20T17:04:00Z 2022-07-20T17:04:00Z 2021 2022-07-20T17:00:10Z Article http://purl.org/eprint/type/JournalArticle https://hdl.handle.net/1721.1/143900 Morales, Manuel A, van den Boomen, Maaike, Nguyen, Christopher, Kalpathy-Cramer, Jayashree, Rosen, Bruce R et al. 2021. "DeepStrain: A Deep Learning Workflow for the Automated Characterization of Cardiac Mechanics." Frontiers in Cardiovascular Medicine, 8. en 10.3389/FCVM.2021.730316 Frontiers in Cardiovascular Medicine Creative Commons Attribution 4.0 International license https://creativecommons.org/licenses/by/4.0/ application/pdf Frontiers Media SA Frontiers
spellingShingle Morales, Manuel A
van den Boomen, Maaike
Nguyen, Christopher
Kalpathy-Cramer, Jayashree
Rosen, Bruce R
Stultz, Collin M
Izquierdo-Garcia, David
Catana, Ciprian
DeepStrain: A Deep Learning Workflow for the Automated Characterization of Cardiac Mechanics
title DeepStrain: A Deep Learning Workflow for the Automated Characterization of Cardiac Mechanics
title_full DeepStrain: A Deep Learning Workflow for the Automated Characterization of Cardiac Mechanics
title_fullStr DeepStrain: A Deep Learning Workflow for the Automated Characterization of Cardiac Mechanics
title_full_unstemmed DeepStrain: A Deep Learning Workflow for the Automated Characterization of Cardiac Mechanics
title_short DeepStrain: A Deep Learning Workflow for the Automated Characterization of Cardiac Mechanics
title_sort deepstrain a deep learning workflow for the automated characterization of cardiac mechanics
url https://hdl.handle.net/1721.1/143900
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