Skip to main content

Deep-Learning-Based Myocardial Pathology Detection

  • Conference paper
  • First Online:
Statistical Atlases and Computational Models of the Heart. M&Ms and EMIDEC Challenges (STACOM 2020)

Abstract

Cardiovascular diseases are the top cause of death worldwide. Commonly, physicians screen suspected pathological patients with histological examinations and blood tests. Since these clinical parameters are frequently ambiguous, they are routinely extended by delayed-enhancement magnetic resonance imaging of the myocardium.

We propose a method combining deep learning and classical machine learning to differentiate between pathological and normal cases. A convolutional neural network infers a segmentation of the left myocardium from a magnetic resonance image as a preliminary step. This segmentation is employed to determine radiomics-based features describing the morphology and texture of the myocardium. Subsequently, a multilayer perceptron deduces pathological cases from these radiomics features and clinical observations. The presented method demonstrates an accuracy of 0.96 and an F2-score of 0.98 on a nested cross-validation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    A parameter based on a physical assessment, quantifying the risk of mortality.

  2. 2.

    A protein released in large quantities in the event of damage to the heart muscle cells.

  3. 3.

    A protein released in large quantities when the heart needs to work harder.

References

  1. Roth, G.A., et al.: Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 392(10159), 1736–1788 (2017)

    Google Scholar 

  2. Lieberman, E.B., Hutchins, G.M., Herskowitz, A., Rose, N.R., Baughman, K.L.: Clinicopathoiogic description of myocarditis (1991)

    Google Scholar 

  3. Li, Y., Zhang, F., Wang, X., Wang, D.: Expression and clinical significance of serum Follistatin-like protein 1 in acute myocardial infarction (2017)

    Google Scholar 

  4. Kottwitz, J., et al.: Myoglobin for Detection of High-Risk Patients with Acute Myocarditis (2020)

    Google Scholar 

  5. Sachdeva, S., Song, X., Dham, N., Heath, D.M., DeBiasi, R.L.: Analysis of clinical parameters and cardiac magnetic resonance imaging as predictors of outcome in pediatric myocarditis (2015)

    Google Scholar 

  6. Shah, A.S.V., et al.: Sensitive Troponin Assay and the Classification of Myocardial Infarction (2015)

    Google Scholar 

  7. Jackson, E., Bellenger, N., Seddon, M., Harden, S., Peebles, C.: Ischaemic and non-ischaemic cardiomyopathies–cardiac MRI appearances with delayed enhancement (2007)

    Google Scholar 

  8. Tabassian, M., et al.: Machine learning of the spatio-temporal characteristics of echocardiographic deformation curves for infarct classification (2017)

    Google Scholar 

  9. Suinesiaputra, A., et al.: Statistical Shape Modeling of the Left Ventricle: Myocardial Infarct Classification Challenge (2018)

    Google Scholar 

  10. Cetin, I., et al.: A Radiomics Approach to Computer-Aided Diagnosis with Cardiac Cine-MRI (2017)

    Google Scholar 

  11. Wolterink, J.M., Leiner, T., Viergever, M.A., Išgum, I.: Automatic Segmentation and Disease Classification Using Cardiac Cine MR Images (2017)

    Google Scholar 

  12. Khened, M., Alex, V., Krishnamurthi, G.: Densely Connected Fully Convolutional Network for Short-Axis Cardiac Cine MR Image Segmentation and Heart Diagnosis Using Random Forest (2017)

    Google Scholar 

  13. Isensee, F., Jaeger, P.F., Full, P.M., Wolf, I., Engelhardt, S., Maier-Hein, K.H.: Automatic Cardiac Disease Assessment on cine-MRI via Time-Series Segmentation and Domain Specific Features (2017)

    Google Scholar 

  14. EMIDEC Classification Contest. http://emidec.com/classification-contest. Accessed 12 Sep 2020

  15. Markus Hüllebrand et al.: ... (2020)

    Google Scholar 

  16. Automated Cardiac Diagnosis Challenge. https://www.creatis.insa-lyon.fr/Challenge/acdc/. Accessed 12 Sep 2020

  17. Baessler, B., Mannil, M., Oebel, S., Maintz, D., Alkadhi, H., Manka, R.: Subacute and Chronic Left Ventricular Myocardial Scar: Accuracy of Texture Analysis on Nonenhanced Cine MR Images (2018)

    Google Scholar 

  18. Baessler, B., et al.: Cardiac MRI and Texture Analysis of Myocardial T1 and T2 Maps in Myocarditis with Acute versus Chronic Symptoms of Heart Failure (2019)

    Google Scholar 

  19. Sugasawa, S., Noma, H.: Estimating individual treatment effects by gradient boosting trees (2019)

    Google Scholar 

  20. Akhil, J.: Prediction of heart disease using k-nearest neighbor and particle swarm optimization (2017)

    Google Scholar 

  21. Breiman, L.: Random Forests (2001)

    Google Scholar 

  22. Pérez-García, F., Sparks, R., Ourselin, S.: TorchIO: a Python library for efficient loading, preprocessing, augmentation and patch-based sampling of medical images in deep learning (2020)

    Google Scholar 

  23. Ribeiro, M.T., Singh, S., Guestrin, C.: Why Should I Trust You? Explaining the Predictions of Any Classifier (2016)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Matthias Ivantsits .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Ivantsits, M., Huellebrand, M., Kelle, S., Schönberg, S.O., Kuehne, T., Hennemuth, A. (2021). Deep-Learning-Based Myocardial Pathology Detection. In: Puyol Anton, E., et al. Statistical Atlases and Computational Models of the Heart. M&Ms and EMIDEC Challenges. STACOM 2020. Lecture Notes in Computer Science(), vol 12592. Springer, Cham. https://doi.org/10.1007/978-3-030-68107-4_38

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-68107-4_38

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-68106-7

  • Online ISBN: 978-3-030-68107-4

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics