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Author:

Tian, Yuan (Tian, Yuan.) | Qin, Wenting (Qin, Wenting.) | Zhao, Zihang (Zhao, Zihang.) | Wang, Chunrong (Wang, Chunrong.) | Tian, Yajie (Tian, Yajie.) | Zhang, Yuelun (Zhang, Yuelun.) | He, Kai (He, Kai.) | Zhang, Yuguan (Zhang, Yuguan.) | Shen, Le (Shen, Le.) | Zhou, Zhuhuang (Zhou, Zhuhuang.) | Yu, Chunhua (Yu, Chunhua.)

Indexed by:

Scopus SCIE

Abstract:

Segmenting the left ventricle from the transgastric short-axis views (TSVs) on transesophageal echocardiography (TEE) is the cornerstone for cardiovascular assessment during perioperative management. Even for seasoned professionals, the procedure remains time-consuming and experience-dependent. The current study aims to evaluate the feasibility of deep learning for automatic segmentation by assessing the validity of different U-Net algorithms. A large dataset containing 1388 TSV acquisitions was retrospectively collected from 451 patients (32% women, average age 53.42 years) who underwent perioperative TEE between July 2015 and October 2023. With image preprocessing and data augmentation, 3336 images were included in the training set, 138 images in the validation set, and 138 images in the test set. Four deep neural networks (U-Net, Attention U-Net, UNet++, and UNeXt) were employed for left ventricle segmentation and compared in terms of the Jaccard similarity coefficient (JSC) and Dice similarity coefficient (DSC) on the test set, as well as the number of network parameters, training time, and inference time. The Attention U-Net and U-Net++ models performed better in terms of JSC (the highest average JSC: 86.02%) and DSC (the highest average DSC: 92.00%), the UNeXt model had the smallest network parameters (1.47 million), and the U-Net model had the least training time (6428.65 s) and inference time for a single image (101.75 ms). The Attention U-Net model outperformed the other three models in challenging cases, including the impaired boundary of left ventricle and the artifact of the papillary muscle. This pioneering exploration demonstrated the feasibility of deep learning for the segmentation of the left ventricle from TSV on TEE, which will facilitate an accelerated and objective alternative of cardiovascular assessment for perioperative management.

Keyword:

deep learning transesophageal echocardiography transgastric short-axis view left ventricle segmentation convolutional neural network

Author Community:

  • [ 1 ] [Tian, Yuan]Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Anesthesiol, Beijing 100730, Peoples R China
  • [ 2 ] [Wang, Chunrong]Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Anesthesiol, Beijing 100730, Peoples R China
  • [ 3 ] [Tian, Yajie]Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Anesthesiol, Beijing 100730, Peoples R China
  • [ 4 ] [Zhang, Yuelun]Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Anesthesiol, Beijing 100730, Peoples R China
  • [ 5 ] [He, Kai]Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Anesthesiol, Beijing 100730, Peoples R China
  • [ 6 ] [Zhang, Yuguan]Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Anesthesiol, Beijing 100730, Peoples R China
  • [ 7 ] [Shen, Le]Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Anesthesiol, Beijing 100730, Peoples R China
  • [ 8 ] [Yu, Chunhua]Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Anesthesiol, Beijing 100730, Peoples R China
  • [ 9 ] [Qin, Wenting]Beijing Univ Technol, Coll Chem & Life Sci, Dept Biomed Engn, Beijing 100124, Peoples R China
  • [ 10 ] [Zhao, Zihang]Beijing Univ Technol, Coll Chem & Life Sci, Dept Biomed Engn, Beijing 100124, Peoples R China
  • [ 11 ] [Zhou, Zhuhuang]Beijing Univ Technol, Coll Chem & Life Sci, Dept Biomed Engn, Beijing 100124, Peoples R China

Reprint Author's Address:

  • [Yu, Chunhua]Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Anesthesiol, Beijing 100730, Peoples R China;;[Zhou, Zhuhuang]Beijing Univ Technol, Coll Chem & Life Sci, Dept Biomed Engn, Beijing 100124, Peoples R China;;

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Source :

DIAGNOSTICS

Year: 2024

Issue: 15

Volume: 14

3 . 6 0 0

JCR@2022

Cited Count:

WoS CC Cited Count:

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 8

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