Enrique Lara-Pezzi

Andrés Bell-Navas, María Villalba-Orero, Enrique Lara-Pezzi et al.

Heart diseases constitute the main cause of international human defunction. According to the World Health Organization (WHO), approximately 18 million deaths happen each year due to precisely heart diseases. In particular, heart failures (HF) press the healthcare industry to develop systems for their early, rapid, and effective prediction. This work presents an automatic system based on a novel deep learning framework which analyses in real-time echocardiography video sequences for the challenging and more specific task of heart failure time prediction. This system works in two stages. The first one transforms the data from a database of echocardiography video sequences into a machine learning-compatible collection of annotated images which can be used in the training phase of any machine learning-based framework, including a deep learning-based one. This stage includes the use of the Higher Order Dynamic Mode Decomposition (HODMD) algorithm for both data augmentation and feature extraction. The second stage builds and trains a Vision Transformer (ViT). Self-supervised learning (SSL) methods, so far barely explored in the literature about heart failure prediction, are adopted to effectively train the ViT from scratch, even with scarce databases. The designed neural network analyses images from echocardiography sequences to estimate the time in which a heart failure will happen. The results obtained show the efficacy of the HODMD algorithm and the superiority of the proposed system with respect to several established ViT and Convolutional Neural Network (CNN) architectures. The source code will be incorporated into the next version release of the ModelFLOWs-app software (https://github.com/modelflows/ModelFLOWs-app).

Andrés Bell-Navas, Nourelhouda Groun, María Villalba-Orero et al.

Heart diseases are the main international cause of human defunction. According to the WHO, nearly 18 million people decease each year because of heart diseases. Also considering the increase of medical data, much pressure is put on the health industry to develop systems for early and accurate heart disease recognition. In this work, an automatic cardiac pathology recognition system based on a novel deep learning framework is proposed, which analyses in real-time echocardiography video sequences. The system works in two stages. The first one transforms the data included in a database of echocardiography sequences into a machine-learning-compatible collection of annotated images which can be used in the training stage of any kind of machine learning-based framework, and more specifically with deep learning. This includes the use of the Higher Order Dynamic Mode Decomposition (HODMD) algorithm, for the first time to the authors' knowledge, for both data augmentation and feature extraction in the medical field. The second stage is focused on building and training a Vision Transformer (ViT), barely explored in the related literature. The ViT is adapted for an effective training from scratch, even with small datasets. The designed neural network analyses images from an echocardiography sequence to predict the heart state. The results obtained show the superiority of the proposed system and the efficacy of the HODMD algorithm, even outperforming pretrained Convolutional Neural Networks (CNNs), which are so far the method of choice in the literature.

Nourelhouda Groun, Maria Villalba-Orero, Lucia Casado-Martin et al.

In the realm of cardiovascular medicine, medical imaging plays a crucial role in accurately classifying cardiac diseases and making precise diagnoses. However, the field faces significant challenges when integrating data science techniques, as a significant volume of images is required for these techniques. As a consequence, it is necessary to investigate different avenues to overcome this challenge. In this contribution, we offer an innovative tool to conquer this limitation. In particular, we delve into the application of a well recognized method known as the EigenFaces approach to classify cardiac diseases. This approach was originally motivated for efficiently representing pictures of faces using principal component analysis, which provides a set of eigenvectors (aka eigenfaces), explaining the variation between face images. As this approach proven to be efficient for face recognition, it motivated us to explore its efficiency on more complicated data bases. In particular, we integrate this approach, with convolutional neural networks (CNNs) to classify echocardiography images taken from mice in five distinct cardiac conditions (healthy, diabetic cardiomyopathy, myocardial infarction, obesity and TAC hypertension). Performing a preprocessing step inspired from the eigenfaces approach on the echocardiography datasets, yields sets of pod modes, which we will call eigenhearts. To demonstrate the proposed approach, we compare two testcases: (i) supplying the CNN with the original images directly, (ii) supplying the CNN with images projected into the obtained pod modes. The results show a substantial and noteworthy enhancement when employing SVD for pre-processing, with classification accuracy increasing by approximately 50%.

Nourelhouda Groun, Maria Villalba-Orero, Lucia Casado-Martin et al.

In this work, a data-driven, modal decomposition method, the higher order dynamic mode decomposition (HODMD), is combined with a convolutional neural network (CNN) in order to improve the classification accuracy of several cardiac diseases using echocardiography images. The HODMD algorithm is used first as feature extraction technique for the echocardiography datasets, taken from both healthy mice and mice afflicted by different cardiac diseases (Diabetic Cardiomyopathy, Obesity, TAC Hypertrophy and Myocardial Infarction). A total number of 130 echocardiography datasets are used in this work. The dominant features related to each cardiac disease were identified and represented by the HODMD algorithm as a set of DMD modes, which then are used as the input to the CNN. In a way, the database dimension was augmented, hence HODMD has been used, for the first time to the authors knowledge, for data augmentation in the machine learning framework. Six sets of the original echocardiography databases were hold out to be used as unseen data to test the performance of the CNN. In order to demonstrate the efficiency of the HODMD technique, two testcases are studied: the CNN is first trained using the original echocardiography images only, and second training the CNN using a combination of the original images and the DMD modes. The classification performance of the designed trained CNN shows that combining the original images with the DMD modes improves the results in all the testcases, as it improves the accuracy by up to 22%. These results show the great potential of using the HODMD algorithm as a data augmentation technique.