Abstract
Coronary artery disease (CAD) is the third most prominent cause of mortality in the world and is linked to 17.8 million deaths per year. Blockage of the coronary arteries leads to reduced blood supply to the heart muscles, causing complications such as myocardial infarction (MI), otherwise known as a heart attack. If left untreated, this can result in long-term damage. MRI or CT scans are typically performed to check for MI. Although it is challenging, diagnosis of CAD using echocardiography could be possible, which is relatively inexpensive and quicker than other imaging modalities. Furthermore, automation of this process can help reduce the burden on cardiologists, and even make diagnosis accessible where clinical experts are not present. In this work, we present an end-to-end deep learning approach for classification of MI in echocardiography videos. We show how our automatic method outperforms existing published work for automatic MI classification (+1.8% F1-score) and shows slightly lower results compared to the best performing semi-automatic method (F1-scores of 82.90 vs. 85.71). Our work has been developed using multiple publicly available datasets and was evaluated on an MI classification dataset with an F1-score of 87.09%. Our code is available at (https://github.com/BioMedIA-MBZUAI/mi-classification).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Acharya, U.R., et al.: Automated classification of patients with coronary artery disease using grayscale features from left ventricle echocardiographic images. Comput. Methods Programs Biomed. 112(3), 624â632 (2013)
Anderson, J.L., Morrow, D.A.: Acute myocardial infarction. N. Engl. J. Med. 376(21), 2053â2064 (2017)
Benjamin, E.J., et al.: Heart disease and stroke statistics-2019 update: a report from the american heart association. Circulation 139(10), e56âe528 (2019)
Cerqueira, M.D., et al.: Standardized myocardial segmentation and nomenclature for tomographic imaging of the heart: a statement for healthcare professionals from the cardiac imaging committee of the council on clinical cardiology of the american heart association. Circulation 105(4), 539â542 (2002)
Defazio, A., Jelassi, S.: Adaptivity without compromise: a momentumized, adaptive, dual averaged gradient method for stochastic optimization. arXiv preprint arXiv:2101.11075 (2021)
Degerli, A., et al.: Early detection of myocardial infarction in low-quality echocardiography. IEEE Access 9, 34442â34453 (2021)
Esmaeilzadeh, M., Parsaee, M., Maleki, M.: The role of echocardiography in coronary artery disease and acute myocardial infarction. J. Tehran Univ. Heart Center 8(1), 1 (2013)
He, K., Zhang, X., Ren, S., Sun, J.: Deep residual learning for image recognition. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition,pp. 770â778 (2016)
Kiranyaz, S., et al.: Left ventricular wall motion estimation by active polynomials for acute myocardial infarction detection. IEEE Access 8, 210301â210317 (2020)
Kusunose, K., et al.: A deep learning approach for assessment of regional wall motion abnormality from echocardiographic images. Cardiovasc. Imaging 13(2âPartâ1), 374â381 (2020)
Leclerc, S., et al.: Deep learning for segmentation using an open large-scale dataset in 2d echocardiography. IEEE Trans. Med. Imaging 38(9), 2198â2210 (2019)
Mackay, J., Mensah, G.A., Greenlund, K.: The atlas of heart disease and stroke. World Health Organization (2004)
Mangla, A., Oliveros, E., Williams Sr., K.A., Kalra, D.K.: Cardiac imaging in the diagnosis of coronary artery disease. Curr. Probl. Cardiol. 42(10), 316â366 (2017)
Mathur, P., Srivastava, S., Xu, X., Mehta, J.L.: Artificial intelligence, machine learning, and cardiovascular disease. Clin. Med. Insights Cardio. 14, 1179546820927404 (2020)
Muraki, R., Teramoto, A., Sugimoto, K., Sugimoto, K., Yamada, A., Watanabe, E.: Automated detection scheme for acute myocardial infarction using convolutional neural network and long short-term memory. PLoS ONE 17(2), e0264002 (2022)
Ning, Z., Tu, C., Xiao, Q., Luo, J., Zhang, Yu.: Multi-scale gradational-order fusion framework for breast lesions classification using ultrasound images. In: Martel, A.L., et al. (eds.) MICCAI 2020. LNCS, vol. 12266, pp. 171â180. Springer, Cham (2020). https://doi.org/10.1007/978-3-030-59725-2_17
Ouyang, D., et al.: Video-based ai for beat-to-beat assessment of cardiac function. Nature 580(7802), 252â256 (2020)
Raghavendra, U.: Automated technique for coronary artery disease characterization and classification using dd-dtdwt in ultrasound images. Biomed. Signal Process. Control 40, 324â334 (2018)
Ronneberger, O., Fischer, P., Brox, T.: U-Net: Convolutional networks for biomedical image segmentation. In: Navab, N., Hornegger, J., Wells, W.M., Frangi, A.F. (eds.) MICCAI 2015. LNCS, vol. 9351, pp. 234â241. Springer, Cham (2015). https://doi.org/10.1007/978-3-319-24574-4_28
Saeed, M., Muhtaseb, R., Yaqub, M.: Contrastive pretraining for echocardiography segmentation with limited data. In: Annual Conference on Medical Image Understanding and Analysis, pp. 680â691. Springer (2022). https://doi.org/10.1007/978-3-031-12053-4_50
Semmlow, J., Rahalkar, K.: Acoustic detection of coronary artery disease. Annu. Rev. Biomed. Eng. 9, 449â469 (2007)
Tran, D., Wang, H., Torresani, L., Ray, J., LeCun, Y., Paluri, M.: A closer look at spatiotemporal convolutions for action recognition. In: Proceedings of the IEEE conference on Computer Vision and Pattern Recognition, pp. 6450â6459 (2018)
Upton, R.: Detection of prognostically significant coronary artery disease in stress echocardiography using artificial intelligence. Ph.D. thesis, University of Oxford (2020)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
1 Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
Copyright information
Âİ 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this paper
Cite this paper
Saeed, M., Yaqub, M. (2022). End-to-End Myocardial Infarction Classification from Echocardiographic Scans. In: Aylward, S., Noble, J.A., Hu, Y., Lee, SL., Baum, Z., Min, Z. (eds) Simplifying Medical Ultrasound. ASMUS 2022. Lecture Notes in Computer Science, vol 13565. Springer, Cham. https://doi.org/10.1007/978-3-031-16902-1_6
Download citation
DOI: https://doi.org/10.1007/978-3-031-16902-1_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-16901-4
Online ISBN: 978-3-031-16902-1
eBook Packages: Computer ScienceComputer Science (R0)