Evidence map›Paper›PMID 32378776›Full record

ArticleMagnetic resonance in medicine2020

Automated detection of left ventricle in arterial input function images for inline perfusion mapping using deep learning: A study of 15,000 patients.

Hui Xue, Ethan Tseng, Kristopher D Knott, Tushar Kotecha, Louise Brown, Sven Plein, Marianna Fontana, James C Moon, Peter Kellman

Open access · greenAbstract read
In one paragraph

Article in Magnetic resonance in medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.2field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
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  7. An Overview of Deep Learning Methods for Left Ventricle Segmentation.Computational intelligence and neuroscience · 2023
    Review
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  10. Imaging gravity-induced lung water redistribution with automated inline processing at 0.55 T cardiovascular magnetic resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2022
    Article
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  14. Deep Learning-Based Segmentation and Uncertainty Assessment for Automated Analysis of Myocardial Perfusion MRI Datasets Using Patch-Level Training and Advanced Data Augmentation.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2021
    Article
  15. A Patch-Wise Deep Learning Approach for Myocardial Blood Flow Quantification with Robustness to Noise and Nonrigid Motion.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Hui XueNational Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA.ORCID 0000-0002-4561-5530
Ethan TsengNational Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA.
Kristopher D KnottBarts Heart Centre, London, UK.
Tushar KotechaNational Amyloidosis Centre, Royal Free Hospital, London, UK.
Louise BrownDepartment of Biomedical Imaging Science, Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Sven PleinDepartment of Biomedical Imaging Science, Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Marianna FontanaNational Amyloidosis Centre, Royal Free Hospital, London, UK.
James C MoonBarts Heart Centre, London, UK.
Peter KellmanNational Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA.
National Institutes of Health · USBritish Heart Foundation · GBThe Royal Free Hospital · GBUniversity of Leeds · GB

Funding

Gadgetron Global Network and Intelligence Computing: Clinical Imaging Application Development and Software InfrastructureZIAHL006214 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI KELLMAN, PETER · 2016 to 2025
$7.3M
Gadgetron Global Network and Artificial Intelligence Powered Cardiac ImagingZIAHL006242 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI KELLMAN, PETER · 2019 to 2023
$2.2M
British Heart Foundation CH/16/2/32089British Heart Foundation FS/18/21/33447Intramural NIH HHS Z99 HL999999Intramural NIH HHS ZIA HL006214Intramural NIH HHS ZIA HL006242
6 · The paper itself

Abstract

purposeQuantification of myocardial perfusion has the potential to improve the detection of regional and global flow reduction. Significant effort has been made to automate the workflow, where one essential step is the arterial input function (AIF) extraction. Failure to accurately identify the left ventricle (LV) prevents AIF estimation required for quantification, therefore high detection accuracy is required. This study presents a robust LV detection method using the convolutional neural network (CNN).

methodsCNN models were trained by assembling 25,027 scans (N = 12,984 patients) from three hospitals, seven scanners. Performance was evaluated using a hold-out test set of 5721 scans (N = 2805 patients). Model inputs were a time series of AIF images (2D+T). Two variations were investigated: (1) two classes (2CS) for background and foreground (LV mask), and (2) three classes (3CS) for background, LV, and RV. The final model was deployed on MRI scanners using the Gadgetron reconstruction software framework.

resultsModel loading on the MRI scanner took ~340 ms and applying the model took ~180 ms. The 3CS model successfully detected the LV in 99.98% of all test cases (1 failure out of 5721). The mean Dice ratio for 3CS was 0.87 ± 0.08 with 92.0% of all cases having Dice >0.75. The 2CS model gave a lower Dice ratio of 0.82 ± 0.22 (P < 1e-5). There was no significant difference in foot-time, peak-time, first-pass duration, peak value, and area-under-curve (P > .2) comparing automatically extracted AIF signals with signals from manually drawn contours.

conclusionsA CNN-based solution to detect the LV blood pool from the arterial input function image series was developed, validated, and deployed. A high LV detection accuracy of 99.98% was achieved.

Indexed as

Deep LearningHeart VentriclesAlgorithmsHumansMagnetic Resonance ImagingPerfusionarterial input functiondeep learningGadgetronInline AImyocardial perfusionperfusion quantification

Identifiers

PMID32378776
PMCPMC9373024
OpenAlexW3021214839

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.