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Abstract #1500

Predicting Late Gadolinium Enhancement of Acute Myocardial Infarction in Contrast-free Cardiac Cine MRI using Deep Generative Learning

Pengfang Qian1,2, An Dongaolei3, Wu Lianming3, and Haikun Qi1,2
1School of Biomedical Engineering, ShanghaiTech University, Shanghai, China, 2Shanghai Clinical Research and Trial Center, Shanghai, China, 3Department of Radiology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China

Synopsis

Keywords: Myocardium, Machine Learning/Artificial Intelligence

Motivation: Although late Gadolinium Enhancement (LGE) imaging is widely used for diagnosing myocardial infarction (MI), contrast-free approaches are in need for patients with gadolinium contraindications.

Goal(s): To develop Cine Generated Enhancement (CGE), a novel technique that uses contrast-free cine images to predict images resembling LGE.

Approach: A deep generative model was trained to translate cine images into LGE images of acute MI exploiting the different motion dynamics between heathy and infarcted myocardium.

Results: Realistic enhancement images can be generated for acute MI patients using cine images unseen during training. The scar size and transmurality estimated with CGE agreed well with LGE.

Impact: This study presents an effective, non-invasive, and contrast-free method for predicting LGE in acute MI, potentially reducing the use of gadolinium-based contrast agents and shortening cardiac MR examinations.

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Keywords