Deep Learning Analysis of Polar Maps from SPECT Myocardial Perfusion Imaging for Prediction of Coronary Artery Disease

Purpose: This study aimed to investigate the diagnostic accuracy of deep convolutional neural networks for classifying the polar map images in Single-photon emission computed tomography (SPECT) myocardial perfusion imaging (MPI) by considering the physician’s diagnosis as reference.Methods: 3318 images of stress and rest polar maps related to patients (67% women and 33% men) who underwent 99mTc-sestamibi MPI were collected. The images were manually labeled with normal and abnormal labels according to the doctor’s diagnosis reports. The proposed deep learning model was trained using stress and rest polar maps and evaluated for prediction of obstructive disease in a stratified 5-fold cross-validation procedure.Results: The mean values of accuracy, sensitivity, accuracy, specificity, f1 score, and the area under the roc curve were 0.7562, 0.7856, 0.5748, 0.7434, 0.6646, and, 0.8450, respectively over 5 folds using both stress and rest scans. The inclusion of rest perfusion maps significantly improved AUC of the deep learning model (AUC: 0.845; 95% CI: 0.832-0.857), compared with using stress polar maps only (AUC: 0.827; 95% CI: 0.814-0.840); P < 0.05.Conclusion: The results of the present work reveal the possible applications of deep learning for polar map images classification in SPECT MPI.

Phase analysis to measure left ventricular dyssynchrony by Gated-SPECT myocardial perfusion imaging showed by two different software

Conclusión Realizar el análisis fase de análisis por GS-PMI es factible. Sin embargo la DE mostró diferencias significativas entre los dos programas. Aunque los valores mostrados podrían ser utilizados como valores normales, se recomienda que éstos se obtengan y utilicen para cada programa por separado.