AI-Based Aortic Stenosis Classification in MRI Scans

Author:

Elvas Luís B.12ORCID,Águas Pedro1,Ferreira Joao C.12ORCID,Oliveira João Pedro13,Dias Miguel Sales1ORCID,Rosário Luís Brás4

Affiliation:

1. ISTAR, Instituto Universitário de Lisboa (ISCTE-IUL), 1649-026 Lisbon, Portugal

2. Inov Inesc Inovação—Instituto de Novas Tecnologias, 1000-029 Lisbon, Portugal

3. Instituto de Telecomunicações, 1049-001 Lisbon, Portugal

4. Faculty of Medicine, Lisbon University, Hospital Santa Maria/CHULN, CCUL, 1649-028 Lisbon, Portugal

Abstract

Aortic stenosis (AS) is a critical cardiovascular condition that necessitates precise diagnosis for effective patient care. Despite a limited dataset comprising only 202 images, our study employs transfer learning to investigate the efficacy of five convolutional neural network (CNN) models, coupled with advanced computer vision techniques, in accurately classifying AS. The VGG16 model stands out among the tested models, achieving 95% recall and F1-score. To fortify the model’s robustness and generalization, we implement various data augmentation techniques, including translation, rotation, flip, and brightness adjustment. These techniques aim to capture real-world image variations encountered in clinical settings. Validation, conducted using authentic data from Hospital Santa Maria, not only affirms the clinical applicability of our model but also highlights the potential to develop robust models with a limited number of images. The models undergo training after the images undergo a series of computer vision and data augmentation techniques, as detailed in this paper. These techniques augment the size of our dataset, contributing to improved model performance. In conclusion, our study illuminates the potential of AI-driven AS detection in MRI scans. The integration of transfer learning, CNN models, and data augmentation yields high accuracy rates, even with a small dataset, as validated in real clinical cases.

Funder

FCT—Fundação para a Ciência e Tecnologia

Publisher

MDPI AG

Subject

Electrical and Electronic Engineering,Computer Networks and Communications,Hardware and Architecture,Signal Processing,Control and Systems Engineering

Reference66 articles.

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4. (2022, December 01). Level of the SARS-CoV-2 Receptor ACE2 Activity Is Highly Elevated in Old-Aged Patients with Aortic Stenosis: Implications for ACE2 as a Biomarker for the Severity of COVID-19—PMC, Available online: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7815502/.

5. Artificial Intelligence Enabled Fully Automated CMR Function Quantification for Optimized Risk Stratification in Patients Undergoing Transcatheter Aortic Valve Replacement;Evertz;J. Intervent. Cardiol.,2022

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