Cardiovascular Medicine and Research 1.
Szijártó, Ádám, MSc
C4442F
Semmelweis Egyetem
+36203666935
sz.adam1996@gmail.com
Deep learning-enabled echocardiographic assessment of biventricular ejection fractions
MSc Ádám Szijártó1
1: Semmelweis Egyetem
Szóbeli
Cardiovascular Medicine and Research 1.
English
Cardiovascular Medicine and Research
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
Semmelweis University
Dr. Kovács Attila, Dr. Tokodi Márton
I do not give consent to the publication of my abstract on the website of the congress.
after finishing doctoral studies with absolutorium (PhD)
Szabad
elfogadva
szóbeli
jóváhagyta
9729
16:15
16:25