小柯机器人

AI技术实现对心脏功能的评估
2020-03-27 21:53

美国斯坦福大学James Y. Zou、David Ouyang等研究人员合作取得一项新成果,他们利用AI技术实现对心脏功能的评估。这一研究成果于2020年3月25日在线发表在《自然》上。

研究人员表示,准确评估心脏功能对于诊断心血管疾病、筛查心脏毒性以及决定重症患者的临床治疗至关重要。然而,尽管经过多年的训练,人类对心功能的评估集中在有限的心动周期采样上,并且观察者之间的差异很大。
 
为了克服这一挑战,研究人员提出了一种基于视频的深度学习算法(EchoNet-Dynamic),该算法在分割左心室、估计射血分数和评估心肌病等关键任务中超过了人类专家。
 
通过超声心动图视频训练,该模型以0.92的Dice相似系数准确分割左心室,预测平均绝对误差为4.1%的射血分数,并可靠地对射血分数降低的心力衰竭进行分类(曲线下面积为0.97)。在另一个医疗系统的外部数据集中,EchoNet-Dynamic预测平均绝对误差为6.0%的射血分数,并对射血分数降低的心力衰竭进行分类,其曲线下面积为0.96。
 
重复进行人类测量后进行的前瞻性评估证实,该模型的方差可与人类专家相比较或更小。通过利用多个心脏周期的信息,这一模型可以快速识别出射血分数的细微变化,比人类评估具有更高的可重复性,并为实时准确诊断心血管疾病奠定了基础。
 
为促进进一步的创新,研究人员还公开提供了10030个带注释的超声心动图视频数据集。
 
附:英文原文

Title: Video-based AI for beat-to-beat assessment of cardiac function

Author: David Ouyang, Bryan He, Amirata Ghorbani, Neal Yuan, Joseph Ebinger, Curtis P. Langlotz, Paul A. Heidenreich, Robert A. Harrington, David H. Liang, Euan A. Ashley, James Y. Zou

Issue&Volume: 2020-03-25

Abstract: Accurate assessment of cardiac function is crucial for the diagnosis of cardiovascular disease1, screening for cardiotoxicity2 and decisions regarding the clinical management of patients with a critical illness3. However, human assessment of cardiac function focuses on a limited sampling of cardiac cycles and has considerable inter-observer variability despite years of training4,5. Here, to overcome this challenge, we present a video-based deep learning algorithm—EchoNet-Dynamic—that surpasses the performance of human experts in the critical tasks of segmenting the left ventricle, estimating ejection fraction and assessing cardiomyopathy. Trained on echocardiogram videos, our model accurately segments the left ventricle with a Dice similarity coefficient of 0.92, predicts ejection fraction with a mean absolute error of 4.1% and reliably classifies heart failure with reduced ejection fraction (area under the curve of 0.97). In an external dataset from another healthcare system, EchoNet-Dynamic predicts the ejection fraction with a mean absolute error of 6.0% and classifies heart failure with reduced ejection fraction with an area under the curve of 0.96. Prospective evaluation with repeated human measurements confirms that the model has variance that is comparable to or less than that of human experts. By leveraging information across multiple cardiac cycles, our model can rapidly identify subtle changes in ejection fraction, is more reproducible than human evaluation and lays the foundation for precise diagnosis of cardiovascular disease in real time. As a resource to promote further innovation, we also make publicly available a large dataset of 10,030 annotated echocardiogram videos.

DOI: 10.1038/s41586-020-2145-8

Source: https://www.nature.com/articles/s41586-020-2145-8

Nature:《自然》,创刊于1869年。隶属于施普林格·自然出版集团,最新IF:69.504
官方网址:http://www.nature.com/
投稿链接:http://www.nature.com/authors/submit_manuscript.html


本期文章:《自然》:Online/在线发表

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