Why the study?
To explore the diagnostic performance of a deep learning model in early detection of interstitial myocardial fibrosis using native T1 maps of HCM without LGE.
Does a deep learning model based on native T1 mapping accurately detect early myocardial fibrosis in HCM patients without late gadolinium enhancement compared to healthy controls?
Does a deep learning model based on native T1 mapping accurately detect early myocardial fibrosis in HCM patients without late gadolinium enhancement compared to healthy controls?
A deep learning model using native T1 mapping can identify early myocardial fibrosis in HCM patients without late gadolinium enhancement, offering a promising contrast-free diagnostic approach.
DL models on native T1 may enable earlier fibrosis detection in LGE-negative HCM; hypothesis-generating and requires prospective validation before clinical use.
OBJECTIVE: To explore the diagnostic performance of deep learning (DL) model in early detection of the interstitial myocardial fibrosis using native T1 maps of hypertrophic cardiomyopathy (HCM) without late gadolinium enhancement (LGE). METHODS: Sixty HCM patients and 44 healthy volunteers who underwent cardiac magnetic resonance were enrolled in this study. Each native T1 map was labeled according to its LGE status. Then, native T1 maps of LGE (-) and those of the controls were preprocessed and entered in the SE-ResNext-50 model as the matrix for the DL model for training, validation and testing. RESULTS: <0.05) in distinguishing native T1 maps of LGE (-) from those of the controls in the testing set. CONCLUSION: The DL model based on SE-ResNext-50 could be used for identifying native T1 maps of LGE (-) with relatively high accuracy. It is a promising approach for early detection of myocardial fibrosis in HCM without the use of contrast agent.
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Shi et al. (2021) studied this question.
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