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Ivantsits M, Tautz L, Huellebrand M, Walczak L, Akansel S, Khasyanova I, Kempfert J, Sündermann S, Falk V, Hennemuth A. MV-GNN: Generation of continuous geometric representations of mitral valve motion from 3D+t echocardiography. Comput Biol Med 2024; 182:109154. [PMID: 39321581 DOI: 10.1016/j.compbiomed.2024.109154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Revised: 08/17/2024] [Accepted: 09/11/2024] [Indexed: 09/27/2024]
Abstract
We present a geometric deep-learning method for reconstructing a temporally continuous mitral valve surface mesh from 3D transesophageal echocardiography sequences. Our approach features a supervised end-to-end deep learning architecture that combines a convolutional neural network-based voxel encoder and decoder with a graph neural network-based multi-resolution mesh decoder, all trained on sparse landmark annotations. Key elements of our methodology include a tube-shaped prototype mesh with labeled vertices, a specialized loss function to preserve the known inlet and outlet, and a rigid alignment system for anatomical landmarks. A custom term in the loss function prevents self-intersecting geometries within the valve mesh, promoting point correspondence and facilitating a continuous representation of valve anatomy over time. An ablation study evaluates the impact of different loss term configurations on model performance, highlighting the effectiveness of each individual loss term. Our Mitral Valve Graph Neural Network (MV-GNN) outperforms existing deep-learning methods on most distance metrics for the annulus and leaflets. The continuous valve motion representations generated by our approach (3D+t) exhibit distance measures comparable to our 3D solution, demonstrating its potential for analyzing mitral valve dynamics and enhancing personalized simulations for hemodynamic assessment and therapy planning.
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Affiliation(s)
- Matthias Ivantsits
- Institute for Imaging Science and Computational Modelling in Cardiovascular Medicine, Charité - Universitätsmedizin Berlin, 13353 Berlin, Germany; Deutsches Herzzentrum der Charité, 13353 Berlin, Germany.
| | - Lennart Tautz
- Fraunhofer MEVIS, Max-von-Laue-Str. 2, 28359 Bremen, Germany
| | - Markus Huellebrand
- Institute for Imaging Science and Computational Modelling in Cardiovascular Medicine, Charité - Universitätsmedizin Berlin, 13353 Berlin, Germany; Deutsches Herzzentrum der Charité, 13353 Berlin, Germany; Fraunhofer MEVIS, Max-von-Laue-Str. 2, 28359 Bremen, Germany
| | - Lars Walczak
- Institute for Imaging Science and Computational Modelling in Cardiovascular Medicine, Charité - Universitätsmedizin Berlin, 13353 Berlin, Germany; Deutsches Herzzentrum der Charité, 13353 Berlin, Germany; Fraunhofer MEVIS, Max-von-Laue-Str. 2, 28359 Bremen, Germany
| | - Serdar Akansel
- Deutsches Herzzentrum der Charité, 13353 Berlin, Germany
| | | | - Jörg Kempfert
- Deutsches Herzzentrum der Charité, 13353 Berlin, Germany; DZHK (German Centre for Cardiovascular Research), Berlin, Germany
| | - Simon Sündermann
- Deutsches Herzzentrum der Charité, 13353 Berlin, Germany; DZHK (German Centre for Cardiovascular Research), Berlin, Germany
| | - Volkmar Falk
- Deutsches Herzzentrum der Charité, 13353 Berlin, Germany; DZHK (German Centre for Cardiovascular Research), Berlin, Germany
| | - Anja Hennemuth
- Institute for Imaging Science and Computational Modelling in Cardiovascular Medicine, Charité - Universitätsmedizin Berlin, 13353 Berlin, Germany; Deutsches Herzzentrum der Charité, 13353 Berlin, Germany; Fraunhofer MEVIS, Max-von-Laue-Str. 2, 28359 Bremen, Germany; DZHK (German Centre for Cardiovascular Research), Berlin, Germany
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G S, Gopalakrishnan U, Parthinarupothi RK, Madathil T. Deep learning supported echocardiogram analysis: A comprehensive review. Artif Intell Med 2024; 151:102866. [PMID: 38593684 DOI: 10.1016/j.artmed.2024.102866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2023] [Revised: 03/20/2024] [Accepted: 03/30/2024] [Indexed: 04/11/2024]
Abstract
An echocardiogram is a sophisticated ultrasound imaging technique employed to diagnose heart conditions. The transthoracic echocardiogram, one of the most prevalent types, is instrumental in evaluating significant cardiac diseases. However, interpreting its results heavily relies on the clinician's expertise. In this context, artificial intelligence has emerged as a vital tool for helping clinicians. This study critically analyzes key state-of-the-art research that uses deep learning techniques to automate transthoracic echocardiogram analysis and support clinical judgments. We have systematically organized and categorized articles that proffer solutions for view classification, enhancement of image quality and dataset, segmentation and identification of cardiac structures, detection of cardiac function abnormalities, and quantification of cardiac functions. We compared the performance of various deep learning approaches within each category, identifying the most promising methods. Additionally, we highlight limitations in current research and explore promising avenues for future exploration. These include addressing generalizability issues, incorporating novel AI approaches, and tackling the analysis of rare cardiac diseases.
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Affiliation(s)
- Sanjeevi G
- Center for Wireless Networks & Applications (WNA), Amrita Vishwa Vidyapeetham, Amritapuri, India
| | - Uma Gopalakrishnan
- Center for Wireless Networks & Applications (WNA), Amrita Vishwa Vidyapeetham, Amritapuri, India.
| | | | - Thushara Madathil
- Department of Cardiac Anesthesiology, Amrita Institute of Medical Sciences and Research Center, Kochi, India
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Al-hammuri K, Gebali F, Thirumarai Chelvan I, Kanan A. Tongue Contour Tracking and Segmentation in Lingual Ultrasound for Speech Recognition: A Review. Diagnostics (Basel) 2022; 12:diagnostics12112811. [PMID: 36428870 PMCID: PMC9689563 DOI: 10.3390/diagnostics12112811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 11/07/2022] [Accepted: 11/13/2022] [Indexed: 11/18/2022] Open
Abstract
Lingual ultrasound imaging is essential in linguistic research and speech recognition. It has been used widely in different applications as visual feedback to enhance language learning for non-native speakers, study speech-related disorders and remediation, articulation research and analysis, swallowing study, tongue 3D modelling, and silent speech interface. This article provides a comparative analysis and review based on quantitative and qualitative criteria of the two main streams of tongue contour segmentation from ultrasound images. The first stream utilizes traditional computer vision and image processing algorithms for tongue segmentation. The second stream uses machine and deep learning algorithms for tongue segmentation. The results show that tongue tracking using machine learning-based techniques is superior to traditional techniques, considering the performance and algorithm generalization ability. Meanwhile, traditional techniques are helpful for implementing interactive image segmentation to extract valuable features during training and postprocessing. We recommend using a hybrid approach to combine machine learning and traditional techniques to implement a real-time tongue segmentation tool.
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Affiliation(s)
- Khalid Al-hammuri
- Department of Electrical and Computer Engineering, University of Victoria, Victoria, BC V8W 2Y2, Canada
- Correspondence:
| | - Fayez Gebali
- Department of Electrical and Computer Engineering, University of Victoria, Victoria, BC V8W 2Y2, Canada
| | | | - Awos Kanan
- Department of Computer Engineering, Princess Sumaya University for Technology, Amman 11941, Jordan
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