Toward enabling cardiac digital twins of myocardial infarction using deep computational models for inverse inference

Cardiac digital twins (CDTs) have the potential to offer individualized evaluation of cardiac function in a non-invasive manner, making them a promising approach for personalized diagnosis and treatment planning of myocardial infarction (MI). The inference of accurate myocardial tissue properties is...

Full description

Bibliographic Details
Main Authors: Li, L, Camps, J, Wang, Z, Beetz, M, Banerjee, A, Rodriguez, B, Grau, V
Format: Journal article
Language:English
Published: IEEE 2024
_version_ 1811141338911997952
author Li, L
Camps, J
Wang, Z
Beetz, M
Banerjee, A
Rodriguez, B
Grau, V
author_facet Li, L
Camps, J
Wang, Z
Beetz, M
Banerjee, A
Rodriguez, B
Grau, V
author_sort Li, L
collection OXFORD
description Cardiac digital twins (CDTs) have the potential to offer individualized evaluation of cardiac function in a non-invasive manner, making them a promising approach for personalized diagnosis and treatment planning of myocardial infarction (MI). The inference of accurate myocardial tissue properties is crucial in creating a reliable CDT of MI. In this work, we investigate the feasibility of inferring myocardial tissue properties from the electrocardiogram (ECG) within a CDT platform. The platform integrates multi-modal data, such as cardiac MRI and ECG, to enhance the accuracy and reliability of the inferred tissue properties. We perform a sensitivity analysis based on computer simulations, systematically exploring the effects of infarct location, size, degree of transmurality, and electrical activity alteration on the simulated QRS complex of ECG, to establish the limits of the approach. We subsequently present a novel deep computational model, comprising a dual-branch variational autoencoder and an inference model, to infer infarct location and distribution from the simulated QRS. The proposed model achieves mean Dice scores of 0.457±0.317 and 0.302±0.273 for the inference of left ventricle scars and border zone, respectively. The sensitivity analysis enhances our understanding of the complex relationship between infarct characteristics and electrophysiological features. The in silico experimental results show that the model can effectively capture the relationship for the inverse inference, with promising potential for clinical application in the future. The code is available at https://github.com/lileitech/MI_inverse_inference .
first_indexed 2024-09-25T04:36:18Z
format Journal article
id oxford-uuid:8e47e6b9-e664-40f6-9317-0c99460152fc
institution University of Oxford
language English
last_indexed 2024-09-25T04:36:18Z
publishDate 2024
publisher IEEE
record_format dspace
spelling oxford-uuid:8e47e6b9-e664-40f6-9317-0c99460152fc2024-09-24T11:28:59ZToward enabling cardiac digital twins of myocardial infarction using deep computational models for inverse inferenceJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8e47e6b9-e664-40f6-9317-0c99460152fcEnglishSymplectic ElementsIEEE2024Li, LCamps, JWang, ZBeetz, MBanerjee, ARodriguez, BGrau, VCardiac digital twins (CDTs) have the potential to offer individualized evaluation of cardiac function in a non-invasive manner, making them a promising approach for personalized diagnosis and treatment planning of myocardial infarction (MI). The inference of accurate myocardial tissue properties is crucial in creating a reliable CDT of MI. In this work, we investigate the feasibility of inferring myocardial tissue properties from the electrocardiogram (ECG) within a CDT platform. The platform integrates multi-modal data, such as cardiac MRI and ECG, to enhance the accuracy and reliability of the inferred tissue properties. We perform a sensitivity analysis based on computer simulations, systematically exploring the effects of infarct location, size, degree of transmurality, and electrical activity alteration on the simulated QRS complex of ECG, to establish the limits of the approach. We subsequently present a novel deep computational model, comprising a dual-branch variational autoencoder and an inference model, to infer infarct location and distribution from the simulated QRS. The proposed model achieves mean Dice scores of 0.457±0.317 and 0.302±0.273 for the inference of left ventricle scars and border zone, respectively. The sensitivity analysis enhances our understanding of the complex relationship between infarct characteristics and electrophysiological features. The in silico experimental results show that the model can effectively capture the relationship for the inverse inference, with promising potential for clinical application in the future. The code is available at https://github.com/lileitech/MI_inverse_inference .
spellingShingle Li, L
Camps, J
Wang, Z
Beetz, M
Banerjee, A
Rodriguez, B
Grau, V
Toward enabling cardiac digital twins of myocardial infarction using deep computational models for inverse inference
title Toward enabling cardiac digital twins of myocardial infarction using deep computational models for inverse inference
title_full Toward enabling cardiac digital twins of myocardial infarction using deep computational models for inverse inference
title_fullStr Toward enabling cardiac digital twins of myocardial infarction using deep computational models for inverse inference
title_full_unstemmed Toward enabling cardiac digital twins of myocardial infarction using deep computational models for inverse inference
title_short Toward enabling cardiac digital twins of myocardial infarction using deep computational models for inverse inference
title_sort toward enabling cardiac digital twins of myocardial infarction using deep computational models for inverse inference
work_keys_str_mv AT lil towardenablingcardiacdigitaltwinsofmyocardialinfarctionusingdeepcomputationalmodelsforinverseinference
AT campsj towardenablingcardiacdigitaltwinsofmyocardialinfarctionusingdeepcomputationalmodelsforinverseinference
AT wangz towardenablingcardiacdigitaltwinsofmyocardialinfarctionusingdeepcomputationalmodelsforinverseinference
AT beetzm towardenablingcardiacdigitaltwinsofmyocardialinfarctionusingdeepcomputationalmodelsforinverseinference
AT banerjeea towardenablingcardiacdigitaltwinsofmyocardialinfarctionusingdeepcomputationalmodelsforinverseinference
AT rodriguezb towardenablingcardiacdigitaltwinsofmyocardialinfarctionusingdeepcomputationalmodelsforinverseinference
AT grauv towardenablingcardiacdigitaltwinsofmyocardialinfarctionusingdeepcomputationalmodelsforinverseinference