未经证实:应变分析为心肌收缩提供了更全面的时空特征,有助于早期发现心功能不全。使用深度学习(DL)自动测量超声心动图视频中的心肌应变最近引起了人们的关注。然而,包括分割和运动估计在内的关键技术的发展仍然是一个挑战。在这项工作中,我们开发了一种新的基于DL的心肌分割和运动估计框架,以从超声心动图视频生成应变测量.
UNASSIGNED:开发了三维(3D)卷积神经网络(CNN)用于心肌分割和用于运动估计的光流网络。分割网络用于定义感兴趣区域(ROI),并且使用光流网络来估计ROI中的像素运动。我们执行了模型架构搜索以识别用于运动估计的最佳基础架构。最终的工作流设计和相关的超参数是仔细实现的结果。此外,我们将DL模型与传统的斑点跟踪算法进行了比较,外部临床数据。每个视频由超声专家和DL专家使用斑点跟踪超声心动图(STE)和DL方法进行双盲测量,分别。
UNASSIGNED:DL方法成功执行了自动分割,运动估计,和全球纵向应变(GLS)测量在所有的检查。三维分割具有较好的时空平滑性,平均骰子相关性达到0.82,目标帧效果优于以往的二维网络。最佳运动估计网络实现了每帧0.05±0.03mm的平均终点误差,比以前报道的最先进的。在GLS测量中,DL方法相对于传统方法没有显着差异,Spearman相关性为0.90(p<0.001),平均偏差为-1.2±1.5%。
未经批准:总而言之,我们的方法具有更好的分割和运动估计性能,并证明了DL方法用于自动应变分析的可行性。DL方法有助于减少时间消耗和人力,这对转化研究和精准医学的努力有着巨大的希望。
UNASSIGNED: Strain analysis provides more thorough spatiotemporal signatures for myocardial contraction, which is helpful for early detection of cardiac insufficiency. The use of deep learning (DL) to automatically measure myocardial strain from echocardiogram videos has garnered recent attention. However, the development of key techniques including segmentation and motion estimation remains a challenge. In this work, we developed a novel DL-based framework for myocardial segmentation and motion estimation to generate strain measures from echocardiogram videos.
UNASSIGNED: Three-dimensional (3D) Convolutional Neural Network (CNN) was developed for myocardial segmentation and optical flow network for motion estimation. The segmentation network was used to define the region of interest (ROI), and the optical flow network was used to estimate the pixel motion in the ROI. We performed a model architecture search to identify the optimal base architecture for motion estimation. The final workflow design and associated hyperparameters are the result of a careful implementation. In addition, we compared the DL model with a traditional speck tracking algorithm on an independent, external clinical data. Each video was double-blind measured by an ultrasound expert and a DL expert using speck tracking echocardiography (STE) and DL method, respectively.
UNASSIGNED: The DL method successfully performed automatic segmentation, motion estimation, and global longitudinal strain (GLS) measurements in all examinations. The 3D segmentation has better spatio-temporal smoothness, average dice correlation reaches 0.82, and the effect of target frame is better than that of previous 2D networks. The best motion estimation network achieved an average end-point error of 0.05 ± 0.03 mm per frame, better than previously reported state-of-the-art. The DL method showed no significant difference relative to the traditional method in GLS measurement, Spearman correlation of 0.90 (p < 0.001) and mean bias -1.2 ± 1.5%.
UNASSIGNED: In conclusion, our method exhibits better segmentation and motion estimation performance and demonstrates the feasibility of DL method for automatic strain analysis. The DL approach helps reduce time consumption and human effort, which holds great promise for translational research and precision medicine efforts.