WiseLVAM: A Novel Framework For Left Ventricle Automatic Measurements

TL;DR

WiseLVAM is a fully automated framework for precise left ventricle measurements in echocardiography, combining contour-aware landmark detection and motion-guided scanline placement to improve clinical reliability.

Contribution

It introduces WiseLVAM, a novel, fully automated, and adaptable method that integrates contour and motion information for LV measurement in echocardiography.

Findings

Enhanced measurement accuracy and robustness.

Automated scanline placement aligned with clinical guidelines.

Potential for routine clinical application.

Abstract

Clinical guidelines recommend performing left ventricular (LV) linear measurements in B-mode echocardiographic images at the basal level -- typically at the mitral valve leaflet tips -- and aligned perpendicular to the LV long axis along a virtual scanline (SL). However, most automated methods estimate landmarks directly from B-mode images for the measurement task, where even small shifts in predicted points along the LV walls can lead to significant measurement errors, reducing their clinical reliability. A recent semi-automatic method, EnLVAM, addresses this limitation by constraining landmark prediction to a clinician-defined SL and training on generated Anatomical Motion Mode (AMM) images to predict LV landmarks along the same. To enable full automation, a contour-aware SL placement approach is proposed in this work, in which the LV contour is estimated using a weakly supervised B-mode landmark detector. SL placement is then performed by inferring the LV long axis and the basal level- mimicking clinical guidelines. Building on this foundation, we introduce \textit{WiseLVAM} -- a novel, fully automated yet manually adaptable framework for automatically placing the SL and then automatically performing the LV linear measurements in the AMM mode. \textit{WiseLVAM} utilizes the structure-awareness from B-mode images and the motion-awareness from AMM mode to enhance robustness and accuracy with the potential to provide a practical solution for the routine clinical application. The source code is publicly available at https://github.com/SFI-Visual-Intelligence/wiselvam.git.