Int J Cardiovasc Imaging. 2024;40(6):1245-1256.
Artificial intelligence-enhanced automation for M-mode echocardiographic analysis: ensuring fully automated, reliable, and reproducible measurements.
제1저자 정다운, 정성희 · 교신저자 윤연이
소속 (10)
- Department of Internal Medicine, Graduate School of Medical Science, Brain Korea 21 Project, Yonsei University College of Medicine, Seoul, South Korea.
- CONNECT-AI Research Center, Yonsei University College of Medicine, Seoul, South Korea.
- Ontact Health Inc, Seoul, South Korea.
- Ontact Health Inc, Seoul, South Korea. yeonyeeyoon@gmail.com.
- Cardiovascular Center and Division of Cardiology, Department of Internal Medicine, Seoul National University Bundang Hospital, Gumi-Ro 173, Bundang-Gu, Seongnam, Gyeonggi-Do, 13620, South Korea. yeonyeeyoon@gmail.com.
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul, South Korea. yeonyeeyoon@gmail.com.
- Graduate School of Biomedical Engineering, Yonsei University College of Medicine, Seoul, South Korea.
- Cardiovascular Center and Division of Cardiology, Department of Internal Medicine, Seoul National University Bundang Hospital, Gumi-Ro 173, Bundang-Gu, Seongnam, Gyeonggi-Do, 13620, South Korea.
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul, South Korea.
- Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea.
Abstract
To enhance M-mode echocardiography's utility for measuring cardiac structures, we developed and evaluated an artificial intelligence (AI)-based automated analysis system for M-mode images through the aorta and left atrium [M-mode (Ao-LA)], and through the left ventricle [M-mode (LV)]. Our system, integrating two deep neural networks (DNN) for view classification and image segmentation, alongside an auto-measurement algorithm, was developed using 5,958 M-mode images [3,258 M-mode (LA-Ao), and 2,700 M-mode (LV)] drawn from a nationwide echocardiographic dataset collated from five tertiary hospitals. The performance of view classification and segmentation DNNs were evaluated on 594 M-mode images, while automatic measurement accuracy was tested on separate internal test set with 100 M-mode images as well as external test set with 280 images (140 sinus rhythm and 140 atrial fibrillation). Performance evaluation showed the view classification DNN's overall accuracy of 99.8% and segmentation DNN's Dice similarity coefficient of 94.3%. Within the internal test set, all automated measurements, including LA, Ao, and LV wall and cavity, resonated strongly with expert evaluations, exhibiting Pearson's correlation coefficients (PCCs) of 0.81-0.99. This performance persisted in the external test set for both sinus rhythm (PCC, 0.84-0.98) and atrial fibrillation (PCC, 0.70-0.97). Notably, automatic measurements, consistently offering multi-cardiac cycle readings, showcased a stronger correlation with the averaged multi-cycle manual measurements than with those of a single representative cycle. Our AI-based system for automatic M-mode echocardiographic analysis demonstrated excellent accuracy, reproducibility, and speed. This automated approach has the potential to improve efficiency and reduce variability in clinical practice.
© 2024. The Author(s), under exclusive licence to Springer Nature B.V.
Keywords
Artificial IntelligenceAutomatic quantificationDeep learningEchocardiographyM-mode
그 밖의 정보
- 출판 형태
- Journal Article, Multicenter Study, Evaluation Study
- 저널
- The international journal of cardiovascular imaging · eISSN 1875-8312
- 전자 출판
- 2024-04-23
- MeSH
- Humans · Reproducibility of Results · Predictive Value of Tests* · Echocardiography* · Automation* · Image Interpretation, Computer-Assisted* · Databases, Factual · Deep Learning · Heart Ventricles / diagnostic imaging / physiopathology · Heart Atria / diagnostic imaging / physiopathology · Atrial Fibrillation / diagnostic imaging / physiopathology · Female · Male · Observer Variation · Middle Aged · Aged · Datasets as Topic · Artificial Intelligence · Aorta / diagnostic imaging
- 연구비
- Institute of Information & communications Technology Planning & Evaluation (IITP), Korea No. 2022000972
- 참고문헌
- 17편