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Isovolumic Relaxation Time and e’ Metrics Evaluated by Deep-learning Analysis of Long-axis Cine: Correlations to Atrial Pressure and Fibrosis
Dana Peters1, Jérôme Lamy1, Felicia Seemann2, Einar Heiberg3, and Ricardo Gonzales1
1Yale Unversity, New Haven, CT, United States, 2National Institutes of Health, Bethesda, MD, United States, 3Lund University, Lund, Sweden
We used machine learning to perform difficult analyses, to measure diastolic functional metrics.
Figure 1: A) Deep-learning identification of valve insertion points on long axis cine (see blue markers, indicated by white arrows). B) Processing of valve locations to obtain IVRT and e’, along with a’ and s’. C) Blinded qualitative analysis of atrial LGE: one subject had only mild atrial enhancement (left), while the other had extensive enhancement (right, arrows).
Figure 2: Extensive LA LGE was associated with longer IVRT time (15 ±4.5% vs. 9.9± 4%, p=0.032), and lower |a’/s’| values (0.78 ±.25 vs. 1.0 ±0.28, p<0.05), reflecting the impact of atrial fibrosis on diastolic function.