Inline AI: Open-source Deep Learning Inference for Cardiac MR

Cardiac Magnetic Resonance (CMR) is established as a non-invasive imaging technique for evaluation of heart function, anatomy, and myocardial tissue characterization. Quantitative biomarkers are central for diagnosis and management of heart disease. Deep learning (DL) is playing an ever more important role in extracting these quantitative measures from CMR images. While many researchers have reported promising results in training and evaluating models, model deployment into the imaging workflow is less explored. A new imaging AI framework, the InlineAI, was developed and open-sourced. The main innovation is to enable the model inference inline as a part of imaging computation, instead of as an offline post-processing step and to allow users to plug in their models. We demonstrate the system capability on three applications: long-axis CMR cine landmark detection, short-axis CMR cine analysis of function and anatomy, and quantitative perfusion mapping. The InlineAI allowed models to be deployed into imaging workflow in a streaming manner directly on the scanner. The model was loaded and inference on incoming images were performed while the data acquisition was ongoing, and results were sent back to scanner. Several biomarkers were extracted from model outputs in the demonstrated applications and reported as curves and tabular values. All processes are full automated. the model inference was completed within 6-45s after the end of imaging data acquisition.

Landmark detection in Cardiac Magnetic Resonance Imaging Using A Convolutional Neural Network

Purpose: To develop a convolutional neural network (CNN) solution for robust landmark detection in cardiac MR images. Methods: This retrospective study included cine, LGE and T1 mapping scans from two hospitals. The training set included 2,329 patients and 34,019 images. A hold-out test set included 531 patients and 7,723 images. CNN models were developed to detect two mitral valve plane and apical points on long-axis (LAX) images. On short-axis (SAX) images, anterior and posterior RV insertion points and LV center were detected. Model outputs were compared to manual labels by two operators for accuracy with a t-test for statistical significance. The trained model was deployed to MR scanners. Results: For the LAX images, success detection was 99.8% for cine, 99.4% for LGE. For the SAX, success rate was 96.6%, 97.6% and 98.9% for cine, LGE and T1-mapping. The L2 distances between model and manual labels were 2 to 3.5 mm, indicating close agreement between model landmarks to manual labels. No significant differences were found for the anterior RV insertion angle and LV length by the models and operators for all views and imaging sequences. Model inference on MR scanner took 610ms/5.6s on GPU/CPU, respectively, for a typical cardiac cine series. Conclusions: This study developed, validated and deployed a CNN solution for robust landmark detection in both long and short-axis CMR images for cine, LGE and T1 mapping sequences, with the accuracy comparable to the inter-operator variation.