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Abstract #0232

Quantification of Extracellular Volume Fraction in Cardiac MRI without Blood Sampling Using Multi-Stage Training Deep Learning

Zhuaon Li1,2, Khalid Youssef2,3, Mehdi Amian1,2, Dilek M. Yalcinkaya2,4, Venkateshwar Polsani5, Michael Elliott6, Rohan Dharmakumar2, Robert Judd7, Dipan Shah8, Orlando Simonetti9, Matthew Tong9, and Behzad Sharif1,2
1Laboratory for Translational Imaging for Microcirculation, Weldon School of Biomedical Engineering, Purdue University, Indianapolis, IN, United States, 2Department of Radiology & Imaging Sciences, Indiana University School of Medicine, Indianapolis, IN, United States, 3Krannert Cardiovascular Research Center, Indiana University School of Medicine/IU Health Cardiovascular Institute, Indianapolis, IN, United States, 4Laboratory for Translational Imaging for Microcirculation,Electrical and Computer Engineering, Purdue University, Indianapolis, IN, United States, 5Piedmont Heart Institute, Atlanta, GA, United States, 6Atrium Health, Charlotte, NC, United States, 7Intelerad, Durham, NC, United States, 8Houston Methodist DeBakey Heart and Vascular Center, Houston, TX, United States, 9The Ohio State University, Columbus, OH, United States

Synopsis

Keywords: Diagnosis/Prediction, Machine Learning/Artificial Intelligence, Extracellular Volume Fraction, Hematocrit

Motivation: Blood sampling for hematocrit (HCT) measurement limits clinical use of extracellular volume fraction (ECV) in diagnosing myocardial diseases.

Goal(s): Develop and evaluate a deep learning (DL) model to predict HCT from cardiovascular magnetic resonance (CMR) data, exploring if additional features improve predictability across multiple centers.

Approach: Trained a multi-stage DL model using multi-center CMR T1 values and clinical features to predict HCT without blood sampling.

Results: The DL model identified native blood-pool T1 and gender as optimal features, achieving higher correlation with true HCT (R=0.65) than linear regression (R=0.59) and strong agreement between synthetic and true ECV (R=0.95).

Impact: This study shows that incorporating additional features in a DL model enhances HCT prediction from CMR data, eliminating the need for blood sampling. This advancement could streamline ECV measurement, making it more accessible for diagnosing myocardial diseases in clinical settings.

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Keywords