Improving robustness of automatic cardiac function quantification from cine magnetic resonance imaging using synthetic image data.

Journal: Scientific reports
Published Date:

Abstract

Although having been the subject of intense research over the years, cardiac function quantification from MRI is still not a fully automatic process in the clinical practice. This is partly due to the shortage of training data covering all relevant cardiovascular disease phenotypes. We propose to synthetically generate short axis CINE MRI using a generative adversarial model to expand the available data sets that consist of predominantly healthy subjects to include more cases with reduced ejection fraction. We introduce a deep learning convolutional neural network (CNN) to predict the end-diastolic volume, end-systolic volume, and implicitly the ejection fraction from cardiac MRI without explicit segmentation. The left ventricle volume predictions were compared to the ground truth values, showing superior accuracy compared to state-of-the-art segmentation methods. We show that using synthetic data generated for pre-training a CNN significantly improves the prediction compared to only using the limited amount of available data, when the training set is imbalanced.

Authors

  • Bogdan A Gheorghiță
    Advanta, Siemens SRL, Brașov, Romania. bogdan.gheorghita@siemens.com.
  • Lucian M Itu
    From the Division of Cardiovascular Imaging, Department of Radiology and Radiological Science (C.T., C.N.D.C., S.B., M.R., T.W.M., T.M.D., R.R.B., U.J.S.), and Division of Cardiology, Department of Medicine (R.R.B., D.H.S., U.J.S.), Medical University of South Carolina, Ashley River Tower, 25 Courtenay Dr, Charleston, SC 29425-2260; Department of Computed Tomography-Research & Development, Siemens Healthcare GmbH, Forchheim, Germany (K.L.G., C.C., C.S., M.S.); Department of Corporate Technology, Siemens SRL, Brasov, Romania (L.M.I.); and Department of Medical Imaging Technologies, Siemens Healthcare, Princeton, NJ (S.R., P.S.).
  • Puneet Sharma
    Digital Technologies and Innovation, Siemens Healthineers, Princeton, NJ, United States.
  • Constantin Suciu
    Department of Automation and Information Technology, Transilvania University of Braşov, Braşov, Romania.
  • Jens Wetzl
    Pattern Recognition Lab, Department of Computer Science, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
  • Christian Geppert
    Magnetic Resonance, Siemens Healthineers, Erlangen, Germany.
  • Mohamed Ali Asik Ali
    Digital Technology and Innovation, Siemens Healthineers, Bangalore, India.
  • Aaron M Lee
    NIHR Biomedical Research Centre at Barts, Queen Mary University of London, London, UK.
  • Stefan K Piechnik
    Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, UK.
  • Stefan Neubauer
    Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, UK.
  • Steffen E Petersen
    Cardiac Imaging Department, Barts Heart Centre, St Bartholomew's Hospital, London, UK; William Harvey Research Institute, NIHR Barts Biomedical Research Centre, Queen Mary University of London, London, UK.
  • Jeanette Schulz-Menger
    Charité-Universitätsmedizin Berlin, Experimental and Clinical Research Center, Working Group On CMR and HELIOS Klinikum Berlin Buch, Cardiology Berlin, DZHK partnersite Berlin, Berlin, Germany.
  • Teodora Chitiboi
    Siemens Healthcare GmbH, Department of CMR, Hamburg, Deutschland.