A deep learning approach to using wearable seismocardiography for diagnosing aortic valve stenosis and predicting aortic hemodynamics obtained by 4D flow MRI

In this paper, we explored the use of deep learning for the prediction of aortic flow metrics obtained using 4D flow MRI using wearable seismocardiography (SCG) devices. 4D flow MRI provides a comprehensive assessment of cardiovascular hemodynamics, but it is costly and time-consuming. We hypothesized that deep learning could be used to identify pathological changes in blood flow, such as elevated peak systolic velocity Vmax in patients with heart valve diseases, from SCG signals. We also investigated the ability of this deep learning technique to differentiate between patients diagnosed with aortic valve stenosis (AS), non-AS patients with a bicuspid aortic valve (BAV), non-AS patients with a mechanical aortic valve (MAV), and healthy subjects with a normal tricuspid aortic valve (TAV). In a study of 77 subjects who underwent same-day 4D flow MRI and SCG, we found that the Vmax values obtained using deep learning and SCGs were in good agreement with those obtained by 4D flow MRI. Additionally, subjects with TAV, BAV, MAV, and AS could be classified with ROC-AUC values of 92%, 95%, 81%, and 83%, respectively. This suggests that SCG obtained using low-cost wearable electronics may be used as a supplement to 4D flow MRI exams or as a screening tool for aortic valve disease.

Least Squares Optimal Density Compensation for the Gridding Non-uniform Discrete Fourier Transform

The Gridding algorithm has shown great utility for reconstructing images from non-uniformly spaced samples in the Fourier domain in several imaging modalities. Due to the non-uniform spacing, some correction for the variable density of the samples must be made. Existing methods for generating density compensation values are either sub-optimal or only consider a finite set of points (a set of measure 0) in the optimization. This manuscript presents the first density compensation algorithm for a general trajectory that takes into account the point spread function over a set of non-zero measure. We show that the images reconstructed with Gridding using the density compensation values of this method are of superior quality when compared to density compensation weights determined in other ways. Results are shown with a numerical phantom and with magnetic resonance images of the abdomen and the knee.