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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