Machine Learning and Artificial Intelligence
Amine Amyar, PhD
Postdoctoral Research Fellow
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
Amine Amyar, PhD
Postdoctoral Research Fellow
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
Ahmed S. Fahmy, PhD
Instructor in Medicine
Harvard Medical School
Boston, Massachusetts, United States
Rui Guo, PhD
Postdoctoral Research Fellow
Beth Israel Deaconess Medical Center
Beijing, Massachusetts, United States
Kei Nakata, MD
Clinical fellow
Mie University Hospital
Tsu, Mie, Japan
Eiryu Sai, MD, PhD
Postdoctoral Research Fellow
Beth Israel Deaconess Medical Center
Tokyo, Massachusetts, United States
Jennifer Rodriguez
Clinical Trials Specialist
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
Julia Cirillo, BSc
Research Assistant
Beth Israel Deaconess Medical Center, Massachusetts, United States
Karishma Pareek, MD
Resident Physician
Boston University School of Medicine and Boston Medical Center, United States
Jiwon Kim, MD
Associate Professor of Medicine
Weill Cornell Medicine
New York, New York, United States
Robert M. Judd, PhD
Professor Emeritus
Duke University
Durham, North Carolina, United States
Frederick L. Ruberg, MD
Professor of Medicine and Radiology
Boston University School of Medicine and Boston Medical Center
Boston, Massachusetts, United States
Jonathan W. Weinsaft, MD
Professor of Medicine
Weill Cornell Medical College
New York, New York, United States
Reza Nezafat, PhD
Professor
Harvard Medical School
Boston, Massachusetts, United States
In T1 mapping, a series of T1 weighted (T1w) images are collected and numerically fitted to a 2 or 3-parameter model of the signal recovery to estimate voxel-wise T1 values. To reduce the scan time, one can collect fewer T1w images, albeit at the cost of precision or/and accuracy. Recently, feasibility of using a neural network instead of conventional 2- or 3-parameter fit modeling has been demonstrated (1-3) to reduce the scan time to 3-4 heartbeats. In MyoMapNet, four T1w images are collected after a single inversion recovery, which will then be used as inputs to a deep learning model to estimate T1. However, prior studies used data from a single vendor and field-strength, therefore the generalizability of the models has not been established. The goal of our study is to improve the performance of the previous models by proposing a scanner-independent MyoMapNet architecture.
Methods:
We propose a scanner-independent MyoMapNet (SI-MyoMapNet) architecture by incorporating the relevant scanner information as additional inputs to the model (Fig. 1). SI-MyoMapNet is a deep fully convolutional neural network based on U-Net to generate T1 map from four T1w images, corresponding inversion-recovery times (TI), vendor, and field strength. Modified Look-Locker (MOLLI) images from patients undergoing clinical CMR at three different medical centers were extracted: 1) 1249 patients from Beth Israel Deaconess Medical Center (BIDMC) collected using Siemens 3T (MAGNETOM Vida), 2) 99 patients from Weill Cornell Medical Center (Cornell) collected using Siemens 1.5T (MAGNETOM Sola fit), and 3) 75 patients from Boston Medical Center (BMC) collected using Philips 1.5T (Achieva). MOLLI T1 mapping was performed at each site using vendor-provided imaging protocol. This retrospectively collected dataset were divided into a training/validation (N=853/285) and testing dataset (N=285). The model was trained using mean absolute error cost function for 3000 epochs with an early stopping of 70 to avoid overfitting. The batch size, learning rate, weight decay were 64, 0.01, and 0.001 respectively.
Results:
Fig. 2 shows representative native T1 maps from 3 different subjects, imaged at Siemens 3T (BIDMC), Siemens 1.5T (Cornell) and Philips 1.5T (BMC) from the testing dataset. The SI-MyoMapNet T1 maps had similar image quality as MOLLI sequence. Native T1 values using SI-MyoMapNet strongly correlated with MOLLI in BIDMC (myocardium: r=0.93, P< 0.001; blood: r=0.90, P< 0.001), in Cornell (myocardium: r=0.97, P=0.04; blood: r=0.91, P=0.99), and in BMC (myocardium: r=0.86, P=0.34; blood: r=0.90, P=0.43). In Bland-Altman analysis, SI-MyoMapNet and MOLLI native and post-contrast T1 were in good agreement in all three sites Fig. 3. Inclusion of field-strength and vendor as additional information to the deep learning architecture improves generalizability of MyoMapNet, allowing cardiac T1 mapping using different vendors or field-strength.
Conclusion: