Cardiac phase detection in echocardiography using convolutional neural networks

Sci Rep. 2023 Jun 1;13(1):8908. doi: 10.1038/s41598-023-36047-x.

Abstract

Echocardiography is a commonly used and cost-effective test to assess heart conditions. During the test, cardiologists and technicians observe two cardiac phases-end-systolic (ES) and end-diastolic (ED)-which are critical for calculating heart chamber size and ejection fraction. However, non-essential frames called Non-ESED frames may appear between these phases. Currently, technicians or cardiologists manually detect these phases, which is time-consuming and prone to errors. To address this, an automated and efficient technique is needed to accurately detect cardiac phases and minimize diagnostic errors. In this paper, we propose a deep learning model called DeepPhase to assist cardiology personnel. Our convolutional neural network (CNN) learns from echocardiography images to identify the ES, ED, and Non-ESED phases without the need for left ventricle segmentation or electrocardiograms. We evaluate our model on three echocardiography image datasets, including the CAMUS dataset, the EchoNet Dynamic dataset, and a new dataset we collected from a cardiac hospital (CardiacPhase). Our model outperforms existing techniques, achieving 0.96 and 0.82 area under the curve (AUC) on the CAMUS and CardiacPhase datasets, respectively. We also propose a novel cropping technique to enhance the model's performance and ensure its relevance to real-world scenarios for ES, ED, and Non ES-ED classification.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Diastole
  • Echocardiography / methods
  • Heart Ventricles / diagnostic imaging
  • Heart* / diagnostic imaging
  • Humans
  • Image Processing, Computer-Assisted / methods
  • Neural Networks, Computer*