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Abstract #0615

A deep learning framework for assessing remodelling and functional changes in infarcted left ventricles with reduced ejection fraction

Stefano Buoso1, Jochen von Spiczak1,2, Rabea Schlenker1,3, Robert Manka1,3, and Sebastian Kozerke1
1Institute for Biomedical Engineering, ETH Zurich and University of Zurich, Zurich, Switzerland, 2Diagnostic and Interventional Raidology, University of Zurich, Zurich, Switzerland, 3Department of Cardiology, University of Zurich, Zurich, Switzerland

Synopsis

Keywords: Myocardium, Cardiovascular, ischemia, deep-learning, strains, remodelling, function

Motivation: To perform a retrospective analysis of the anatomical and functional remodelling of left ventricles 4 and 12 months after the ischemic event.

Goal(s): To assess differences in remodelling between patients with recovered function and those without.

Approach: A deep-learning framework was developed to fit a statistical shape model to all cardiac phases of each patient and compute strains, valve motion and morphological descriptors.

Results: Peak strain values and valve displacements at 4 and 12 months show different trends between patients with recovered function and those without. Peak-systolic shapes of patients with positive remodelling show a lower sphericity with respect to the others.

Impact: A deep learning framework reveals that relative changes in peak systolic anatomical shapes, radial and circumferential strains and valve motion after 4 months could provide a discriminator for predicting positive remodelling and restoration of functionality in patient with heart failure.

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