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Deep Learning Detection of Cardiac Akinesis in Echocardiograms

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Book cover Pattern Recognition. ICPR International Workshops and Challenges (ICPR 2021)

Abstract

Heart diseases are still among the main causes of death in the world population. The use of tools able to discriminate early this type of problem, even by non-specialized medical personnel on an outpatient basis, would put a decrease in health pressure on hospital centers and a better patient prognosis. This paper focuses on the problem of cardiac akinesis, a condition attributable to a very large number of pathologies, and a possible serious complication for SARS-Covid19 patients. In particular, we considered echocardiographic images of both akinetic and healthy patients. The dataset, containing echocardiograms of around 700 patients, has been supplied by Sacco hospital of Milan (Italy). We implemented a modified ResNet34 architecture and we tested the model under various combinations of parameters. The final best performing model was able to achieve a F1-score of 0.91 in the binary classification Akinetic vs. Normokinetic.

This work was partially granted by the project DIMASDIA-COVID19, co-founded by Italy and POR FESR Regione Lombardia (2014–2020).

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References

  1. Al’Aref, S.J., et al.: Clinical applications of machine learning in cardiovascular disease and its relevance to cardiac imaging. Eur. Heart J. 40(24), 1975–1986 (2019). https://doi.org/10.1093/eurheartj/ehy404

    Article  Google Scholar 

  2. Capotosto, L., Nguyen, B.L., Ciardi, M.R., Mastroianni, C., Vitarelli, A.: Heart, covid-19, and echocardiography. Echocardiography 37(9), 1454–1464 (2020). https://doi.org/10.1111/echo.14834

    Article  Google Scholar 

  3. Gandhi, S., Mosleh, W., Shen, J., Chow, C.M.: Automation, machine learning, and artificial intelligence in echocardiography: a brave new world. Echocardiography 35(9), 1402–1418 (2018). https://doi.org/10.1111/echo.14086

    Article  Google Scholar 

  4. Ghorbani, A., et al.: Deep learning interpretation of echocardiograms. NPJ Digit. Med. 3(1), 1–10 (2020). https://doi.org/10.1038/s41746-019-0216-8

    Article  Google Scholar 

  5. He, K., Zhang, X., Ren, S., Sun, J.: Deep residual learning for image recognition. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 770–778 (2016). https://doi.org/10.1109/CVPR.2016.90

  6. Kilic, A.: Artificial intelligence and machine learning in cardiovascular health care. Ann. Thorac. Surg. 109(5), 1323–1329 (2020). https://doi.org/10.1016/j.athoracsur.2019.09.042

    Article  Google Scholar 

  7. Kusunose, K., et al.: A deep learning approach for assessment of regional wall motion abnormality from echocardiographic images. Cardiovasc. Imaging 13(2 Part 1), 374–381 (2020). https://doi.org/10.1016/j.jcmg.2019.02.024

    Article  Google Scholar 

  8. Kusunose, K., Haga, A., Inoue, M., Fukuda, D., Yamada, H., Sata, M.: Clinically feasible and accurate view classification of echocardiographic images using deep learning. Biomolecules 10(5), 665 (2020). https://doi.org/10.3390/biom10050665

    Article  Google Scholar 

  9. Leclerc, S., et al.: Deep learning for segmentation using an open large-scale dataset in 2D echocardiography. IEEE Trans. Med. Imaging 38(9), 2198–2210 (2019). https://doi.org/10.1109/TMI.2019.2900516

    Article  Google Scholar 

  10. Lin, T.Y., Goyal, P., Girshick, R., He, K., Dollar, P.: Focal loss for dense object detection. In: Proceedings of the IEEE International Conference on Computer Vision (ICCV), pp. 2980–2988 (2017). https://doi.org/10.1109/ICCV.2017.324

  11. Litjens, G., et al.: State-of-the-art deep learning in cardiovascular image analysis. Cardiovasc. Imaging 12(8, Part 1), 1549–1565 (2019). https://doi.org/10.1016/j.jcmg.2019.06.009

    Article  Google Scholar 

  12. Madani, A., Arnaout, R., Mofrad, M., Arnaout, R.: Fast and accurate view classification of echocardiograms using deep learning. NPJ Digit. Med. 1(1), 1–8 (2018). https://doi.org/10.1038/s41746-017-0013-1

    Article  Google Scholar 

  13. Madani, A., Ong, J.R., Tibrewal, A., Mofrad, M.R.: Deep echocardiography: data-efficient supervised and semi-supervised deep learning towards automated diagnosis of cardiac disease. NPJ Digit. Med. 1(1), 1–11 (2018). https://doi.org/10.1038/s41746-018-0065-x

    Article  Google Scholar 

  14. Narula, S., Shameer, K., Salem Omar, A.M., Dudley, J.T., Sengupta, P.P.: Machine-learning algorithms to automate morphological and functional assessments in 2D echocardiography. J. Am. Coll. Cardiol. 68(21), 2287–2295 (2016). https://doi.org/10.1016/j.jacc.2016.08.062

    Article  Google Scholar 

  15. Selvaraju, R.R., Cogswell, M., Das, A., Vedantam, R., Parikh, D., Batra, D.: Grad-cam: visual explanations from deep networks via gradient-based localization. In: IEEE International Conference on Computer Vision (ICCV), pp. 618–626 (2017). https://doi.org/10.1109/ICCV.2017.74

  16. Taheri Dezaki, F., et al.: Cardiac phase detection in echocardiograms with densely gated recurrent neural networks and global extrema loss. IEEE Trans. Med. Imaging 38(8), 1821–1832 (2019). https://doi.org/10.1109/TMI.2018.2888807

    Article  Google Scholar 

  17. Tanaka, N., et al.: Transthoracic echocardiography in models of cardiac disease in the mouse. Circulation 94(5), 1109–1117 (1996). https://doi.org/10.1161/01.CIR.94.5.1109

    Article  Google Scholar 

  18. Vaseli, H., et al.: Designing lightweight deep learning models for echocardiography view classification. In: Medical Imaging 2019: Image-Guided Procedures, Robotic Interventions, and Modeling. International Society for Optics and Photonics, vol. 10951, p. 109510F (2019). https://doi.org/10.1117/12.2512913

  19. Zamzmi, G., Hsu, L., Li, W., Sachdev, V., Antani, S.: Harnessing machine intelligence in automatic echocardiogram analysis: Current status, limitations, and future directions. IEEE Rev. Biomed. Eng. press (2020). https://doi.org/10.1109/RBME.2020.2988295

    Article  Google Scholar 

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Acknowledgement

We would like to thank the team of the Department of Cardiology of Luigi Sacco hospital, Echocardiography Laboratory in particular Maria Michela Caracciolo, Manfredo Cerchiello, Simone Colombo, Stefano De Vita, Alessandra Giavarini, Maria Isabella Tagliasacchi, for supplying us with the dataset.

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Correspondence to Alessandro Bitetto .

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Bitetto, A. et al. (2021). Deep Learning Detection of Cardiac Akinesis in Echocardiograms. In: Del Bimbo, A., et al. Pattern Recognition. ICPR International Workshops and Challenges. ICPR 2021. Lecture Notes in Computer Science(), vol 12661. Springer, Cham. https://doi.org/10.1007/978-3-030-68763-2_38

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  • DOI: https://doi.org/10.1007/978-3-030-68763-2_38

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