PhD Scientific Days 2026

Budapest, 16-18 June 2026

Cardiovascular Medicine and Research 1.

Deep learning-enabled echocardiographic assessment of biventricular ejection fractions

Előadó neve

Szijártó, Ádám, MSc

Neptune code

C4442F

Előadó munkahelye

Semmelweis Egyetem

Előadó telefonszáma

+36203666935

Előadó e-mail címe

sz.adam1996@gmail.com

Az előadás címe

Deep learning-enabled echocardiographic assessment of biventricular ejection fractions

Szerző(k) neve és munkahelye

MSc Ádám Szijártó1

1: Semmelweis Egyetem

Bemutatás módja

Szóbeli

Szekció

Cardiovascular Medicine and Research 1.

Language of the presentation

English

Preferred session

Cardiovascular Medicine and Research

Összefoglaló szövege

Introduction
Accurate assessment of left ventricular (LV) and right ventricular (RV) systolic function via ejection fractions (LVEF and RVEF) is crucial in cardiology, guiding diagnosis, therapy, and prognosis. While 2D echocardiography (2DE) is widely used for its accessibility, it requires multiple views for LVEF and cannot reliably quantify RVEF. 3D echocardiography (3DE) provides superior biventricular evaluation but is underutilized due to training demands, time constraints, limited probes/software, and poor acoustic windows.

Aims
This study develops QUEST-EF (QUantification of Echocardiographic STudies—Ejection Fraction), a dual-task deep learning (DL) model to predict 3DE-derived LVEF and RVEF from a single apical four-chamber (A4C) 2DE video. It aims to validate performance across diverse cardiac diseases, geographies, and populations.

Methods
QUEST-EF was trained in two steps. First pre-trained in a self-supervised manner on 29,876 unlabeled A4C videos, supervised for LVEF on EchoNet-Dynamic (10,030 videos) and a dual-center 3DE dataset (5,341 videos) and for RVEF on the latter. Beyond testing QUEST-EF internally on 20% of the dual-centre dataset, its performance was also externally validated in patients with acquired and congenital cardiac diseases from four international centers and healthy adults from six continents enrolled in the WASE study.

Results
Internally, QUEST-EF achieved LVEF MAE 4.56% (95% CI 4.11–5.09%) and RVEF MAE 4.82% (4.33–5.41%), with AUCs 0.94 and 0.88 for dysfunction. Externally, LVEF MAE 4.60% (4.41–4.80%), RVEF MAE 5.42% (5.18–5.65%). Predictions associated with composite heart failure/death (n=187; LVEF aHR 0.945, P=0.002; RVEF aHR 0.927, P=0.006), independent of age and sex, and 10-year mortality (n=1,166; LVEF aHR 0.947, P=0.001; RVEF aHR 0.877, P=0.001), independent of the Framingham Risk Score and E/e′ ratio.

Conclusion
QUEST-EF enables rapid, accurate, vendor-independent biventricular EF prediction from routine A4C views, robust across pathologies and regions.

Funding
Semmelweis Egyetem Predoktori Ösztöndíj

University

Semmelweis University

Supervisor

Dr. Kovács Attila, Dr. Tokodi Márton

Publication of my abstract

I do not give consent to the publication of my abstract on the website of the congress.

phd.section.field

after finishing doctoral studies with absolutorium (PhD)

Kind

Szabad

Status

elfogadva

Accepted presentation method

szóbeli

Előadás fájl jóváhagyás

jóváhagyta

Előadó

9729

Start

16:15

End

16:25