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Massoud Zolgharni

Publications and source records attributed to Massoud Zolgharni.

5 recordsLinked to original sources

Domain Shift in Echocardiography: Interpretable Quantification and Prediction of Cross-Dataset Left Ventricular Segmentation

Cross-dataset generalisation remains a major barrier to clinical deployment of echocardiographic left ventricular segmentation, yet the sources of this shift are rarely disentangled. We examined whether transfer degradation could be estimated before deployment using handcrafted ultrasound descriptors, VAE latent features, and segmentation-derived latent features across six echocardiographic datasets. Geometry-aware preprocessing substantially improved several poor transfer cases, suggesting that much of the apparent domain shift reflects field-of-view and framing inconsistencies rather than intrinsic acoustic differences alone. Intensity z-normalisation changed dataset separability by less than 0.005, indicating that brightness and contrast are not the dominant shift axis. Absolute Dice drop on held-out source-target pairs was predicted with an R-squared value of 0.612, an MAE of 0.082, and a Spearman rho of 0.681. The variant without LV and fan-shaped features retained approximately 70% of this explanatory power, supporting mask-free transfer-risk monitoring. The most informative discrepancy measure depended on the representation, with CMD strongest in z-normalised handcrafted features, with an absolute r of approximately 0.86 and an R-squared value of approximately 0.70; log-Wasserstein strongest in VAE space, with an r of approximately -0.90 and an R-squared value of approximately 0.81; and log-MMD strongest in LV-segmentation latent features, with an r of approximately -0.92 and an R-squared value of approximately 0.84. Apparent vendor effects were largely dataset-confounded. Echocardiographic domain shift is therefore structured and measurable, and its impact on segmentation can be partly reduced through geometry-aware preprocessing and anticipated using representation-specific transfer-risk estimation.

cs.CV

EAGT: Echocardiography Augmentation for Generalisability and Transferability

Deep learning models for echocardiography segmentation often struggle to generalise across institutions, scanners, and patient populations, where collecting large, consistently annotated datasets is infeasible. Data augmentation is inexpensive and widely used to improve the robustness of deep learning models; however, its role in enhancing cross-dataset generalisability in echocardiography remains insufficiently understood. This study presents a large-scale multi-dataset evaluation of 29 data augmentation techniques and their pairwise combinations for 2D left ventricular segmentation using a U-Net trained on Unity, CAMUS, and EchoNet Dynamic datasets. Each augmentation was explored under several hyperparameter settings and assessed through repeated runs using Dice and IoU in both in-domain and cross-dataset scenarios, with statistical significance quantified via independent t-tests. In-domain accuracy was near-saturated and insensitive to augmentation, whereas cross-dataset performance varied widely. Geometry-based augmentations including affine, shift-scale-rotate, flip, and perspective produced the largest and most consistent gains, while aggressive intensity- and artefact-based transforms often degraded transfer. Moreover, pairwise combinations outperformed individual augmentations mainly when the two transformations were complementary, particularly by improving some difficult domain-shift cases from poor to acceptable performance. These findings provide empirical guidance for designing augmentation policies that improve the robustness and transferability of echocardiography segmentation models.

cs.CV

Echocardiographic Image Quality Assessment Using Deep Neural Networks

Echocardiography image quality assessment is not a trivial issue in transthoracic examination. As the in vivo examination of heart structures gained prominence in cardiac diagnosis, it has been affirmed that accurate diagnosis of the left ventricle functions is hugely dependent on the quality of echo images. Up till now, visual assessment of echo images is highly subjective and requires specific definition under clinical pathologies. While poor-quality images impair quantifications and diagnosis, the inherent variations in echocardiographic image quality standards indicates the complexity faced among different observers and provides apparent evidence for incoherent assessment under clinical trials, especially with less experienced cardiologists. In this research, our aim was to analyse and define specific quality attributes mostly discussed by experts and present a fully trained convolutional neural network model for assessing such quality features objectively.

eess.IV

Automated Assessment of Transthoracic Echocardiogram Image Quality Using Deep Neural Networks

Standard views in two-dimensional echocardiography are well established but the quality of acquired images are highly dependent on operator skills and are assessed subjectively. This study is aimed at providing an objective assessment pipeline for echocardiogram image quality by defining a new set of domain-specific quality indicators. Consequently, image quality assessment can thus be automated to enhance clinical measurements, interpretation, and real-time optimization. We have developed deep neural networks for the automated assessment of echocardiographic frame which were randomly sampled from 11,262 adult patients. The private echocardiography dataset consists of 33,784 frames, previously acquired between 2010 and 2020. Deep learning approaches were used to extract the spatiotemporal features and the image quality indicators were evaluated against the mean absolute error. Our quality indicators encapsulate both anatomical and pathological elements to provide multivariate assessment scores for anatomical visibility, clarity, depth-gain and foreshortedness, respectively.

eess.IV

Automated Segmentation of Left Ventricle in 2D echocardiography using deep learning

Following the successful application of the U-Net to medical images, there have been different encoder-decoder models proposed as an improvement to the original U-Net for segmenting echocardiographic images. This study aims to examine the performance of the state-of-the-art proposed models as well as the original U-Net model by applying them to segment the endocardium of the Left Ventricle in 2D automatically. The prediction outputs of the models are used to evaluate the performance of the models by comparing the automated results against the expert annotations (gold standard). Our results reveal that the U-Net model outperforms other models by achieving an average Dice coefficient of 0.92$ \pm 0.05$, and Hausdorff distance of 3.97$ \pm 0.82$.

eess.IV