IP Library Granted Patent US 12,694,518
Granted Patent B2
US 12,694,518 · App. 18/277,500 · Granted Jul 28, 2026

Intramyocardial tissue displacement and motion measurement and strain analysis from MRI cine images using DENSE deep learning

Inventors: Frederick H. Epstein (Charlottesville, VA); Changyu Sun (Charlottesville, VA); Sona Qadimi (Charlottesville, VA); Yu Wang (Charlottesville, VA)
Assignee: UNIVERSITY OF VIRGINIA PATENT FOUNDATION
G06T7/0012G06T3/40G06T7/246G16H50/20G06T2207/10081G06T2207/10088G06T2207/20084G06T2207/30048
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Quick Facts
Patent No.
US 12,694,518
App. No.
18/277,500
Filed
Aug 16, 2023
Granted
Jul 28, 2026
Kind
B2
Art Unit
2662
USPC
382/131
Abstract

An exemplary method and system are disclosed that employ DENSE deep learning neural-network(s) trained with displacement-encoded imaging data (i.e., DENSE data) to estimate intramyocardial motion from cine MRI images and other cardiac medical imaging modalities, including standard cardiac computer tomography (CT) images, magnetic resonance imaging (MRI) images, echocardiogram images, heart ultrasound images, among other medical imaging modalities described herein. The DENSE deep learning neural-network(s) can be configured (trained) using (i) contour motion data from displacement-encoded imaging magnitude data as inputs to the neural network and (ii) displacement maps derived from displacement-encoded imaging phase images for comparison to the outputs of the neural network for neural network adjustments during the training.

Claims (59)

1 . A method of determining intramyocardial motion and/or measurand in medical image scans, the method comprising:

retrieving, by a processor, a medical image scan of a subject;

determining, by the processor, intramyocardial motion data in the medical image scan, in part, using a trained neural network, wherein the trained neural network has been trained by:

(i) generating a set of contour motion images or data from Displacement-ENcoding with Stimulated Echoes (DENSE) magnitude images or data and a set of training displacement map images or data from DENSE phase images or data; and

(ii) configuring a neural network comprising an input and output to generate the trained neural network by (a) applying the set of contour motion images or data to the input to generate an output displacement map image or data and (b) applying the set of the training displacement map images or data, or parameters derived therefrom, to the output displacement map to adjust weights of the neural network;

wherein the determined intramyocardial motion data, or a parameter derived therefrom, is outputted in a report or employed in a control operation for the diagnostics or treatment of cardiac disease or cardiac health-related conditions.

2 . The method of claim 1 , wherein the medical image scan is at least one of: cardiac computer tomography (CT) images, magnetic resonance imaging (MRI) images, echocardiogram images, and heart ultrasound images.

3 . The method of claim 1 further comprising:

determining, by the processor, a set of values associated with at least one of a strain parameter, a strain rate parameter, a torsion parameter, and a twist parameter using the determined intramyocardial motion data, wherein the determined set of values associated with the at least one of the strain parameter, the strain rate parameter, the torsion parameter, and the twist parameter is outputted in the report or employed in the control operation for the diagnostics or the treatment of cardiac disease or the cardiac health-related conditions.

4 . The method of claim 1 , wherein the set of contour motion images or data is generated by:

binarizing pixels of the DENSE magnitude images or data to a binary value corresponding to contour motions defined within the DENSE magnitude images or data.

5 . The method of claim 4 , wherein the set of contour motion images or data is further generated by:

scaling the DENSE magnitude images or data to a pre-defined image size; and

cropping the scaled DENSE magnitude images or data to an image region of interest.

6 . The method of claim 1 , wherein the neural network comprises a convolutional neural network comprising one or more convolution layers, one or more batch normalization layers, one or more ReLU layers, and one or more pooling layers, the layers being connected together collectively to form a network.

7 . The method of claim 1 , wherein the neural network comprises a 3D UNet neural network.

8 . The method of claim 1 , wherein the DENSE magnitude images or data and the DENSE phase images or data are determined from a plurality of DENSE training data sets, wherein the plurality of DENSE training data sets are acquired by:

acquiring first data comprising a stimulated echo and a Tl relaxation echo;

acquiring second data comprised of a second stimulated echo, a second Tl relaxation echo, and a second stimulated anti-echo;

acquiring at least one of original frames comprising the stimulated echo and the Tl relaxation echo;

acquiring at least one of additional original frames comprising a stimulated echo, a Tl relaxation echo, and a stimulated anti-echo; and

acquiring a plurality of new original frames of displacement encoded stimulated echo (DENSE) cine frames of MRI image data of a subject.

9 . A method of training a neural network having an input and output to generate an output displacement map corresponding to intramyocardial motion in a biomedical image, the method comprising:

generating, via a processor, a set of contour motion images or data from DENSE magnitude images or data;

generating, via the processor, a set of training displacement map images or data from DENSE phase images or data; and

configuring the neural network by (i) applying the set of contour motion images or data to the input of the neural network to generate an output displacement map image or data and (ii) applying the set of training displacement map images or data, or parameter derived therefrom, to the output displacement map to adjust weights of the neural network,

wherein the trained neural network is employed to determine intramyocardial motion data, or a parameter derived therefrom, and wherein output of the trained neural network is outputted in a report or employed in a control operation for the diagnostics or treatment of cardiac disease or cardiac health-related conditions.

10 . The method of claim 9 , wherein the medical image scan is at least one of: cardiac computer tomography (CT) images, magnetic resonance imaging (MRI) images, echocardiogram images, heart ultrasound images.

11 . The method of claim 9 , wherein the determined intramyocardial motion data is employed to determine a set of values associated with at least one of a strain parameter, a strain rate parameter, a torsion parameter, and a twist parameter, and wherein the determined set of values associated with the at least one of the strain parameter, the strain rate parameter, the torsion parameter, and the twist parameter is outputted in the report or employed in the control operation for the diagnostics or the treatment of cardiac disease or the cardiac health-related conditions.

12 . The method of claim 9 , wherein the set of contour motion images or data is generated by:

scaling the DENSE magnitude images or data to a pre-defined image size;

cropping the scaled DENSE magnitude images or data to an image region of interest; and

binarizing pixels of the DENSE magnitude images or data to a binary value corresponding to contour motions defined within the DENSE magnitude images or data.

13 . A system comprising:

a processor; and

a memory having instructions stored thereon to determine intramyocardial motion and/or measurand in medical image scans, wherein execution of the instructions by the processor causes the processor to:

retrieve medical image scan of a subject;

determine intramyocardial motion data in the medical image scan, in part, using a trained neural network, wherein the trained neural network has been trained by:

(i) generating a set of contour motion images or data from Displacement-ENcoding with Stimulated Echoes (DENSE) magnitude images or data and a set of training displacement map images or data from DENSE phase images or data; and

(ii) configuring a neural network comprising an input and output to generate the trained neural network by (a) applying the set of contour motion images or data to the input to generate an output displacement map image or data and (b) applying the set of training displacement map images or data to the output displacement map to adjust weights of the neural network;

wherein the determined intramyocardial motion data, or a parameter derived therefrom, is outputted in a report or employed in a control operation for the diagnostics or treatment of cardiac disease or cardiac health-related conditions.

14 . The system of claim 13 , wherein the medical image scan is at least one of: cardiac computer tomography (CT) images, magnetic resonance imaging (MRI) images, echocardiogram images, and heart ultrasound images.

15 . The system of claim 13 , wherein the determined intramyocardial motion data is employed to determine a set of values associated with at least one of a strain parameter, a strain rate parameter, a torsion parameter, and a twist parameter, and wherein the determined set of values associated with the at least one of the strain parameter, the strain rate parameter, the torsion parameter, and the twist parameter is outputted in the report or employed in the control operation for the diagnostics or the treatment of cardiac disease or the cardiac health-related conditions.

16 . The system of claim 13 , wherein the instructions include:

a first instruction to scale the DENSE magnitude images or data to a pre-defined image size;

a second instruction to crop the scaled DENSE magnitude images or data to an image region of interest; and

a third instruction to binarize pixels of the DENSE magnitude images or data to a binary value corresponding to contour motions defined within the DENSE magnitude images or data.

17 . A non-transitory computer-readable medium having instructions stored thereon to determine intramyocardial motion and/or measurand in medical image scans, wherein execution of the instructions by the processor causes the processor to:

retrieve medical image scan of a subject;

determine intramyocardial motion data in the medical image scan, in part, using a trained neural network, wherein the trained neural network has been trained by:

(i) generating a set of contour motion images or data from Displacement-ENcoding with Stimulated Echoes (DENSE) magnitude images or data and a set of training displacement map images or data from DENSE phase images or data; and

(ii) configuring a neural network comprising an input and output to generate the trained neural network by (a) applying the set of contour motion images or data to the input to generate an output displacement map image or data and (b) applying the set of training displacement map images or data to the output displacement map to adjust weights of the neural network;

wherein the determined intramyocardial motion data, or a parameter derived therefrom, is outputted in a report or employed in a control operation for the diagnostics or treatment of cardiac disease or cardiac health-related conditions.

18 . The non-transitory computer-readable medium of claim 17 , wherein the medical image scan is at least one of: cardiac computer tomography (CT) images, magnetic resonance imaging (MRI) images, echocardiogram images, and heart ultrasound images.

19 . The non-transitory computer-readable medium of claim 17 , wherein the determined intramyocardial motion data is employed to determine a set of values associated with at least one of a strain parameter, a strain rate parameter, a torsion parameter, and a twist parameter, and wherein the determined set of values associated with the at least one of the strain parameter, the strain rate parameter, the torsion parameter, and the twist parameter is outputted in the report or employed in the control operation for the diagnostics or the treatment of cardiac disease or the cardiac health-related conditions.

20 . The non-transitory computer-readable medium of claim 17 , wherein the instructions include:

a first instruction to scale the DENSE magnitude images or data to a pre-defined image size;

a second instruction to crop the scaled DENSE magnitude images or data to an image region of interest; and

a third instruction to binarize pixels of the DENSE magnitude images or data to a binary value corresponding to contour motions defined within the DENSE magnitude images or data.

Assignments (2)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 15, 2026
From: EPSTEIN, FREDERICK H.; SUN, CHANGYU; QADIMI, SONA; WANG, YU
To: UNIVERSITY OF VIRGINIA
Reel/Frame 074370/0335 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 15, 2026
From: UNIVERSITY OF VIRGINIA
To: UNIVERSITY OF VIRGINIA PATENT FOUNDATION
Reel/Frame 074370/0546 →
Continuity (2)
Provisional Application 63149900 · Feb 16, 2021
Related Publication 20240046464A1 · Feb 8, 2024
References Cited (56)
US 7813537B2 · Epstein et al. · 2010 [cited by applicant]
US 8700127B2 · Salerno et al. · 2014 [cited by applicant]
US 9183626B2 · Zhao et al. · 2015 [cited by applicant]
US 9224210B2 · Epstein et al. · 2015 [cited by applicant]
US 9589345B2 · Zhao et al. · 2017 [cited by applicant]
US 9953439B2 · Salerno et al. · 2018 [cited by applicant]
US 10143384B2 · Chen et al. · 2018 [cited by applicant]
US 10310047B2 · Cai et al. · 2019 [cited by applicant]
US 10830855B2 · Cai et al. · 2020 [cited by applicant]
US 20080015428A1 · Epstein · 2008 [cited by examiner]
US 20110133736A1 · Zhong · 2011 [cited by applicant]
US 20120134595A1 · Fonseca · 2012 [cited by examiner]
US 20150099964A1 · Voigt et al. · 2015 [cited by applicant]
US 20190302210A1 · Epstein et al. · 2019 [cited by applicant]
US 20200249306A1 · Abdishektaei et al. · 2020 [cited by applicant]
US 20200363485A1 · Sun et al. · 2020 [cited by applicant]
US 20210219862A1 · Loecher · 2021 [cited by examiner]
US 20210267455A1 · Ghadimi et al. · 2021 [cited by applicant]
CN 111012377A · 2020 [cited by examiner]
Lehmonen Lauri: “Quantification of MRI-derived myocardial motion in specified cardiac disorders”, Doctoral School in Natural Sciences Dissertation Series, Nov. 25, 2020 (Nov. 25, 2020), XP055967799, Retrieved from the I… [cited by applicant]
Spottiswoode, B.S. ; Zhong, X. ; Lorenz, C.H. ; Mayosi, B.M. ; Meintjes, E.M. ; Epstein, F.H.: “Motion- guided segmentation for cine DENSE MRI”, Medical Image Analysis, Oxford University Press, Oxofrd, GB, vol. 13, No. … [cited by applicant]
Edward Ferdian; Avan Suinesiaputra; Kenneth Fung; Nay Aung; Elena Lukaschuk; Ahmet Barutcu; Edd Maclean; Jose Paiva; Stefan K. Pie: “Fully Automated Myocardial Strain Estimation from CMR Tagged Images using a Deep Learn… [cited by applicant]
Ghadimi Sona, Auger Daniel A., Feng Xue, Sun Changyu, Meyer Craig H., Bilchick Kenneth C., Cao Jie Jane, Scott Andrew D., Oshinski: “Fully-automated global and segmental strain analysis of DENSE cardiovascular magnetic … [cited by applicant]
Kar Julia, Zhong X, MV Cohen, DA Cornejo, et al.: “Introduction to a mechanism for automated myocardium boundary detection with displacement encoding with stimulated echoes (DeNSe)”, British Institute of Radiology, Jan.… [cited by applicant]
International Search Report and Written Opinion issued for Application No. PCT/US2022/014903, dated Apr. 6, 2022. [cited by applicant]
Amzulescu, et al., “Myocardial Strain Imaging: Review of General Principles, Validation, and Sources of Discrepancies”, European Heart Journal—Cardiovascular Imaging, vol. 20, No. 6, pp. 605-619, Jun. 2019. [cited by applicant]
Baker, et al., “A Database and Evaluation Methodology for Optical Flow”, International Journal of Computer Vision, vol. 92, pp. 1-31, Nov. 30, 2010. [cited by applicant]
Bilchick, et al., “CMR DENSE and the Seattle Heart Failure Model Inform Survival and Arrhythmia Risk After CRT”, JACC: Cardiovascular Imaging, vol. 13, No. 4, pp. 924-936, Apr. 2020. [cited by applicant]
Buss, et al., “Assessment of Myocardial Deformation with Cardiac Magnetic Resonance Strain Imaging Improves Risk Stratification in Patients with Dilated Cardiomyopathy”, European Heart Journal—Cardiovascular Imaging, vo… [cited by applicant]
Drafts, et al., “Low to Moderate Dose Anthracycline-Based Chemotherapy Is Associated with Early Noninvasive Imaging Evidence of Subclinical Cardiovascular Disease”, JACC: Cardiovascular Imaging, vol. 6, No. 8, pp. 877-8… [cited by applicant]
Gilliam, et al., “Automated Motion Estimation for 2-D Cine DENSE MRI”, IEEE Transactions on Medical Imaging, vol. 31, No. 9, pp. 1669-1681, Sep. 2012. [cited by applicant]
Horn , et al., “Determining Optical Flow”, Proceedings, vol. 0281, Techniques and Applications of Image Understanding, pp. 185-203, Nov. 12, 1981. [cited by applicant]
Ilg, et al., “FlowNet 2.0: Evolution of Optical Flow Estimation with Deep Networks”, IEEE Conference on Computer Vision and Pattern Recognition (CVPR), pp. 1-16, 2017. [cited by applicant]
Ji, et al., “3D Convolutional Neural Networks for Human Action Recognition”, IEEE Transactions on Pattern Analysis and Machine Intelligence, vol. 35, No. 1, pp. 221-231, Mar. 6, 2012. [cited by applicant]
Kim, et al., “Myocardial Tissue Tracking with Two-Dimensional Cine Displacement-Encoded MR Imaging: Development and Initial Evaluation”, Radiological Society of North America, vol. 230, No. 3, pp. 862-871, Mar. 2004. [cited by applicant]
Lin, et al., “Reproducibility of Cine Displacement Encoding with Stimulated Echoes (DENSE) in Human Subjects”, Magnetic Resonance Imaging, vol. 35, pp. 148-153, Jan. 1, 2017. [cited by applicant]
Lindman, et al., “Management of Asymptomatic Severe Aortic Stenosis: Evolving Concepts in Timing of Valve Replacement”, JACC: Cardiovascular Imaging, vol. 13, No. 2, Part 1, pp. 481-493, Feb. 2020. [cited by applicant]
Mangion, et al., “Circumferential Strain Predicts Major Adverse Cardiovascular Events Following an Acute ST-Segment-Elevation Myocardial Infarction”, Radiology, vol. 290, No. 2, pp. 329-337, Feb. 2019. [cited by applicant]
Mangion, et al., “Displacement Encoding With Stimulated Echoes Enables the Identification of Infarct Transmurality Early Postmyocardial Infarction”, Journal of Magnetic Resonance Imaging, vol. 52, No. 6, pp. 1722-1731, … [cited by applicant]
Ong, et al., “Myocardial Strain Imaging by Cardiac Magnetic Resonance for Detection of Subclinical Myocardial Dysfunction in Breast Cancer Patients Receiving Trastuzumab and Chemotherapy”, International Journal of Cardi… [cited by applicant]
Pedrizzetti, et al., “Principles of Cardiovascular Magnetic Resonance Feature Tracking and Echocardiographic Speckle Tracking for Informed Clinical Use”, Journal of Cardiovascular Magnetic Resonance, vol. 18, No. 1, pp.… [cited by applicant]
Plana, et al., “Expert Consensus for Multimodality Imaging Evaluation of Adult Patients During and After Cancer Therapy: A Report from the American Society of Echocardiography and the European Association of Cardiovascu… [cited by applicant]
Ronneberger, et al., “U-Net: Convolutional Networks for Biomedical Image Segmentation”, International Conference on Medical Image Computing and Computer-Assisted Intervention, pp. 234-241, Nov. 18, 2015. [cited by applicant]
Scatteia, et al., “Strain Imaging Using Cardiac Magnetic Resonance”, Heart Failure Reviews, vol. 22, pp. 465-476, Jun. 15, 2017. [cited by applicant]
Schuster, et al., “Cardiovascular Magnetic Resonance Myocardial Feature Tracking: Concepts and Clinical Applications”, Advances in Cardiovascular Imaging, vol. 9, No. 4, pp. 1-9, Mar. 23, 2016. [cited by applicant]
Shetty, et al., “Cardiac Magnetic Resonance-Derived Anatomy, Scar, and Dyssynchrony Fused with Fluoroscopy to Guide LV Lead Placement in Cardiac Resynchronization Therapy: A Comparison with Acute Haemodynamic Measures a… [cited by applicant]
Simpson, et al., “MR Assessment of Regional Myocardial Mechanics”, Journal of Magnetic Resonance Imaging, vol. 37, No. 3, pp. 576-599, Mar. 2013. [cited by applicant]
Spottiswoode, et al., “Motion-Guided Segmentation for Cine DENSE MRI”, Medical Image Analysis, vol. 13, No. 1, pp. 105-115, Feb. 2009. [cited by applicant]
Spottiswoode, et al., “Tracking Myocardial Motion from Cine DENSE Images Using Spatiotemporal Phase Unwrapping and Temporal Fitting”, IEEE Transactions on Medical Imaging, vol. 26, No. 1, pp. 15-30, Jan. 2007. [cited by applicant]
Szymanski, et al., “Should LVEF Be Replaced by Global Longitudinal Strain?”, Hearts, vol. 100, No. 21, pp. 1655-1656, Nov. 2014. [cited by applicant]
Tayal, et al., “The Feasibility of a Novel Limited Field of View Spiral Cine DENSE Sequence to Assess Myocardial Strain in Dilated Cardiomyopathy”, Magnetic Resonance Materials in Physics, Biology and Medicine, vol. 32,… [cited by applicant]
Tran, et al., “Learning Spatiotemporal Features with 3D Convolutional Networks”, International Conference on Computer Vision, pp. 4489-4497, Feb. 17, 2015. [cited by applicant]
Wehner, et al., “Comparison of Left Ventricular Strains and Torsion Derived from Feature Tracking and DENSE CMR”, Journal of Cardiovascular Magnetic Resonance, vol. 20, No. 63, pp. 1-11, Feb. 7, 2018. [cited by applicant]
Xu, et al., “A Region-Growing Algorithm for InSAR Phase Unwrapping”, IEEE Transactions on Geoscience and Remote Sensing, vol. 37, No. 1, pp. 124-134, Jan. 31, 1999. [cited by applicant]
Young, et al., “Generalized Spatiotemporal Myocardial Strain Analysis for DENSE and SPAMM Imaging”, Magnetic Resonance in Medicine, vol. 67, No. 6, pp. 1590-1599, Jun. 2012. [cited by applicant]
Zhong, et al., “Imaging Three-Dimensional Myocardial Mechanics Using Navigator—Gated Volumetric Spiral Cine DENSE MRI”, Magnetic Resonance in Medicine, vol. 64, No. 4, pp. 1089-1097, Oct. 2010. [cited by applicant]