Accurate representation of myocardial infarct geometry is crucial for patient-specific cardiac modeling in MI patients. While Late gadolinium enhancement (LGE) MRI is the clinical gold standard for infarct detection, it requires contrast agents, introducing side effects and patient discomfort. Moreover, infarct reconstruction from LGE often relies on sparsely sampled 2D slices, limiting spatial resolution and accuracy. In this work, we propose a novel framework for automatically reconstructing high-fidelity 3D myocardial infarct geometry from 2D clinically standard cine MRI, eliminating the need for contrast agents. Specifically, we first reconstruct the 4D biventricular mesh from multi-view cine MRIs via an automatic deep shape fitting model, biv-me. Then, we design an infarction reconstruction model, CMotion2Infarct-Net, to explicitly utilize the motion patterns within this dynamic geometry to localize infarct regions. Evaluated on 205 cine MRI scans from 126 MI patients, our method achieves a Dice score of 0.652 when compared with manual delineation, demonstrating reasonable agreement. This study demonstrates the feasibility of contrast-free, cardiac motion-driven 3D infarct reconstruction, paving the way for efficient digital twin of MI.

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Personalized 3D Myocardial Infarct Geometry Reconstruction from Cine MRI with Explicit Cardiac Motion Modeling

  • Yilin Lyu,
  • Fan Yang,
  • Xiaoyue Liu,
  • Zichen Jiang,
  • Joshua Dillon,
  • Debbie Zhao,
  • Martyn Nash,
  • Charlene Mauger,
  • Alistair Young,
  • Ching-Hui Sia,
  • Mark Y. Chan,
  • Lei Li

摘要

Accurate representation of myocardial infarct geometry is crucial for patient-specific cardiac modeling in MI patients. While Late gadolinium enhancement (LGE) MRI is the clinical gold standard for infarct detection, it requires contrast agents, introducing side effects and patient discomfort. Moreover, infarct reconstruction from LGE often relies on sparsely sampled 2D slices, limiting spatial resolution and accuracy. In this work, we propose a novel framework for automatically reconstructing high-fidelity 3D myocardial infarct geometry from 2D clinically standard cine MRI, eliminating the need for contrast agents. Specifically, we first reconstruct the 4D biventricular mesh from multi-view cine MRIs via an automatic deep shape fitting model, biv-me. Then, we design an infarction reconstruction model, CMotion2Infarct-Net, to explicitly utilize the motion patterns within this dynamic geometry to localize infarct regions. Evaluated on 205 cine MRI scans from 126 MI patients, our method achieves a Dice score of 0.652 when compared with manual delineation, demonstrating reasonable agreement. This study demonstrates the feasibility of contrast-free, cardiac motion-driven 3D infarct reconstruction, paving the way for efficient digital twin of MI.