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3D shape-based myocardial infarction prediction using point cloud classification networks

Abstract:
Myocardial infarction (MI) is one of the most prevalent cardiovascular diseases with associated clinical decision-making typically based on single-valued imaging biomarkers. However, such metrics only approximate the complex 3D structure and physiology of the heart and hence hinder a better understanding and prediction of MI outcomes. In this work, we investigate the utility of complete 3D cardiac shapes in the form of point clouds for an improved detection of MI events. To this end, we propose a fully automatic multi-step pipeline consisting of a 3D cardiac surface reconstruction step followed by a point cloud classification network. Our method utilizes recent advances in geometric deep learning on point clouds to enable direct and efficient multi-scale learning on high-resolution surface models of the cardiac anatomy. We evaluate our approach on 1068 UK Biobank subjects for the tasks of prevalent MI detection and incident MI prediction and find improvements of ∼13% and ∼5% respectively over clinical benchmarks. Furthermore, we analyze the role of each ventricle and cardiac phase for 3D shape-based MI detection and conduct a visual analysis of the morphological and physiological patterns typically associated with MI outcomes.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1109/EMBC40787.2023.10340878

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Institution:
University of Oxford
Division:
MPLS
Department:
Engineering Science
Role:
Author
ORCID:
0000-0001-8198-5128


Publisher:
IEEE
Publication date:
2023-12-11
Acceptance date:
2023-04-11
Event title:
45th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC 2023)
Event location:
Sydney, Australia
Event website:
https://embc.embs.org/2023/
Event start date:
2023-07-24
Event end date:
2023-07-28
DOI:
EISSN:
2694-0604
ISSN:
2375-7477
EISBN:
979-8-3503-2447-1
ISBN:
979-8-3503-2448-8


Language:
English
Pubs id:
1339428
Local pid:
pubs:1339428
Deposit date:
2023-04-30

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