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Identifying regions of late mechanical activation (LMA) of the left ventricular (LV) myocardium is critical in determining the optimal pacing site for cardiac resynchronization therapy in patients with heart failure. Several deep learning-based approaches have been developed to predict 3D LMA maps of LV myocardium from a stack of sparse 2D cardiac magnetic resonance imaging (MRIs). However, these models often loosely consider the geometric shape structure of the myocardium. This makes the reconstructed activation maps suboptimal; hence leading to a reduced accuracy of predicting the late activating regions of hearts. In this paper, we propose to use shape-constrained diffusion models to better reconstruct a 3D LMA map, given a limited number of 2D cardiac MRI slices. In contrast to previous methods that primarily rely on spatial correlations of image intensities for 3D reconstruction, our model leverages object shape as priors learned from the training data to guide the reconstruction process. To achieve this, we develop a joint learning network that simultaneously learns a mean shape under deformation models. Each reconstructed image is then considered as a deformed variant of the mean shape. To validate the performance of our model, we train and test the proposed framework on a publicly available mesh dataset of 3D myocardium and compare it with state-of-the-art deep learning-based reconstruction models. Experimental results show that our model achieves superior performance in reconstructing the 3D LMA maps as compared to the state-of-the-art models.
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SADIR: Shape-Aware Diffusion Models for 3D Image Reconstruction
3D image reconstruction from a limited number of 2D images has been a long-standing challenge in computer vision and image analysis. While deep learning-based approaches have achieved impressive performance in this area, existing deep networks often fail to effectively utilize the shape structures of objects presented in images. As a result, the topology of reconstructed objects may not be well preserved, leading to the presence of artifacts such as discontinuities, holes, or mismatched connections between different parts. In this paper, we propose a shape-aware network based on diffusion models for 3D image reconstruction, named SADIR, to address these issues. In contrast to previous methods that primarily rely on spatial correlations of image intensities for 3D reconstruction, our model leverages shape priors learned from the training data to guide the reconstruction process. To achieve this, we develop a joint learning network that simultaneously learns a mean shape under deformation models. Each reconstructed image is then considered as a deformed variant of the mean shape. We validate our model, SADIR, on both brain and cardiac magnetic resonance images (MRIs). Experimental results show that our method outperforms the baselines with lower reconstruction error and better preservation of the shape structure of objects within the images.
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- Award ID(s):
- 2239977
- PAR ID:
- 10509918
- Publisher / Repository:
- Springer
- Date Published:
- Journal Name:
- International MICCAI Workshop on Shape in Medical Imaging
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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