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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
A parameter based on a physical assessment, quantifying the risk of mortality.
- 2.
A protein released in large quantities in the event of damage to the heart muscle cells.
- 3.
A protein released in large quantities when the heart needs to work harder.
References
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)
Lieberman, E.B., Hutchins, G.M., Herskowitz, A., Rose, N.R., Baughman, K.L.: Clinicopathoiogic description of myocarditis (1991)
Li, Y., Zhang, F., Wang, X., Wang, D.: Expression and clinical significance of serum Follistatin-like protein 1 in acute myocardial infarction (2017)
Kottwitz, J., et al.: Myoglobin for Detection of High-Risk Patients with Acute Myocarditis (2020)
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)
Shah, A.S.V., et al.: Sensitive Troponin Assay and the Classification of Myocardial Infarction (2015)
Jackson, E., Bellenger, N., Seddon, M., Harden, S., Peebles, C.: Ischaemic and non-ischaemic cardiomyopathies–cardiac MRI appearances with delayed enhancement (2007)
Tabassian, M., et al.: Machine learning of the spatio-temporal characteristics of echocardiographic deformation curves for infarct classification (2017)
Suinesiaputra, A., et al.: Statistical Shape Modeling of the Left Ventricle: Myocardial Infarct Classification Challenge (2018)
Cetin, I., et al.: A Radiomics Approach to Computer-Aided Diagnosis with Cardiac Cine-MRI (2017)
Wolterink, J.M., Leiner, T., Viergever, M.A., Išgum, I.: Automatic Segmentation and Disease Classification Using Cardiac Cine MR Images (2017)
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)
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)
EMIDEC Classification Contest. http://emidec.com/classification-contest. Accessed 12 Sep 2020
Markus Hüllebrand et al.: ... (2020)
Automated Cardiac Diagnosis Challenge. https://www.creatis.insa-lyon.fr/Challenge/acdc/. Accessed 12 Sep 2020
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)
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)
Sugasawa, S., Noma, H.: Estimating individual treatment effects by gradient boosting trees (2019)
Akhil, J.: Prediction of heart disease using k-nearest neighbor and particle swarm optimization (2017)
Breiman, L.: Random Forests (2001)
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)
Ribeiro, M.T., Singh, S., Guestrin, C.: Why Should I Trust You? Explaining the Predictions of Any Classifier (2016)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this paper
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)