Learning-Based Regularization for Cardiac Strain Analysis via Domain Adaptation.

Journal: IEEE transactions on medical imaging
Published Date:

Abstract

Reliable motion estimation and strain analysis using 3D+ time echocardiography (4DE) for localization and characterization of myocardial injury is valuable for early detection and targeted interventions. However, motion estimation is difficult due to the low-SNR that stems from the inherent image properties of 4DE, and intelligent regularization is critical for producing reliable motion estimates. In this work, we incorporated the notion of domain adaptation into a supervised neural network regularization framework. We first propose a semi-supervised Multi-Layered Perceptron (MLP) network with biomechanical constraints for learning a latent representation that is shown to have more physiologically plausible displacements. We extended this framework to include a supervised loss term on synthetic data and showed the effects of biomechanical constraints on the network's ability for domain adaptation. We validated the semi-supervised regularization method on in vivo data with implanted sonomicrometers. Finally, we showed the ability of our semi-supervised learning regularization approach to identify infarct regions using estimated regional strain maps with good agreement to manually traced infarct regions from postmortem excised hearts.

Authors

  • Allen Lu
    Department of Biomedical Engineering, Yale University, New Haven, CT 06520, USA.
  • Shawn S Ahn
  • Kevinminh Ta
    Department of Biomedical Engineering, Yale University, New Haven, CT 06520, USA.
  • Nripesh Parajuli
    Department of Electrical Engineering, Yale University, New Haven, CT 06520, USA. Electronic address: nripesh.parajuli21@yale.edu.
  • John C Stendahl
  • Zhao Liu
    Centre for Nanohealth, Swansea University Medical School, Swansea, UK.
  • Nabil E Boutagy
  • Geng-Shi Jeng
    Department of Bioengineering, Washington University, Seattle 98195, WA, USA.
  • Lawrence H Staib
    Biomedical Engineering, Yale University, New Haven, CT 06511, USA.
  • Matthew O'Donnell
    Department of Bioengineering, Washington University, Seattle 98195, WA, USA.
  • Albert J Sinusas
    Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
  • James S Duncan
    Biomedical Engineering, Yale University, New Haven, CT 06511, USA.