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Introduction Identifying the optimal Inversion Time (TI) is pivotal to null the myocardium and obtain high quality cardiac magnetic resonance (CMR) late gadolinium enhancement (LGE) imaging. Setting the optimal TI can be challenging in some diseases and for less experienced operators. We propose an Artificial Intelligence (AI) tool to automatically predict the optimal TI in CMR-LGE imaging. Methods The AI tool, named THAITI, consists of a Random Forest regression model whose hyperparametrs were optimized by means of evolutionary computation. The model considers as input parameters patient-specific TI determinants, such as age, gender, weight, height, kidney function, heart rate, contrast dose, and time from injection to image acquisition. THAITI was trained on 155 patients (2588 CMR-LGE images) with mixed cardiac conditions who underwent CMR (1.5T Siemens AvantoFit; Gadovist; averaged, motion-corrected, free-breathing true-FISP IR). Clinical testing was performed on 55 matched patients, randomized to experimental (THAITI-set TI) vs control (experienced operator-set TI) group. A user interface was developed for clinical testing. Image quality was assessed blindly by 2 independent experienced operators. Results THAITI Mean Squared Error (MSE) in the validation set was 4.7 and percentage of mispredicted TI of 4.5%. During clinical testing, LGE quality did not differ between the experimental vs control group: quality was “optimal” or “good” in 96% vs 93%, “poor” in 4% vs 7%. The average number of LGE images acquired and LGE imaging duration were similar (experimental vs control group: 17 ± 3 vs 16 ± 3 LGE images per patient; 12:14 vs 12:20 mm:ss, respectively). Conclusion THAITI efficiently predicts optimal TI for CMR-LGE imaging. Further development is needed to increase generalizability (multi-vendor, multi-sequence, multi-contrast) and to test its potential to improve LGE image quality and reduce the need for repeated imaging for inexperienced operators. Figure 1. Top panel: THAITI interface. Bottom panel: examples of experimental group LGE imaging. Table 1. Control vs experimental group. Data expressed as absolute number (%), mean ±SD

Background and objectives: Myocardial infarction scar (MIS) assessment by cardiac magnetic resonance provides prognostic information and guides patients’ clinical management. However, MIS segmentation is time-consuming and not performed routinely. This study presents a deep-learning-based computational workflow for the segmentation of left ventricular (LV) MIS, for the first time performed on state-of-the-art dark-blood late gadolinium enhancement (DB-LGE) images, and the computation of MIS transmurality and extent. Methods: DB-LGE short-axis images of consecutive patients with myocardial infarction were acquired at 1.5T in two centres between Jan 1, 2019, and June 1, 2021. Two convolutional neural network (CNN) models based on the U-Net architecture were trained to sequentially segment the LV and MIS, by processing an incoming series of DB-LGE images. A 5-fold cross-validation was performed to assess the performance of the models. Model outputs were compared respectively with manual (LV endo- and epicardial border) and semi-automated (MIS, 4-Standard Deviation technique) ground truth to assess the accuracy of the segmentation. An automated post-processing and reporting tool was developed, computing MIS extent (expressed as relative infarcted mass) and transmurality. Results: The dataset included 1355 DB-LGE short-axis images from 144 patients (MIS in 942 images). High performance (> 0.85) as measured by the Intersection over Union metric was obtained for both the LV and MIS segmentations on the training sets. The performance for both LV and MIS segmentations was 0.83 on the test sets. Compared to the 4-Standard Deviation segmentation technique, our system was five times quicker (

Funding Acknowledgements Type of funding sources: None. Introduction The extent of ischemic scar detected by Cardiac Magnetic Resonance (CMR) with late gadolinium enhancement (LGE) is linked with long-term prognosis, but scar quantification is time-consuming. Deep Learning (DL) approaches appear promising in CMR segmentation. Purpose: To train and apply a deep learning approach to dark blood (DB) CMR-LGE for ischemic scar segmentation, comparing results to 4-Standard Deviation (4-SD) semi-automated method. Methods: We trained and validated a dual neural network infrastructure on a dataset of DB-LGE short-axis stacks, acquired at 1.5T from 33 patients with ischemic scar. The DL architectures were an evolution of the U-Net Convolutional Neural Network (CNN), using data augmentation to increase generalization. The CNNs worked together to identify and segment 1) the myocardium and 2) areas of LGE. The first CNN simultaneously cropped the region of interest (RoI) according to the bounding box of the heart and calculated the area of myocardium. The cropped RoI was then processed by the second CNN, which identified the overall LGE area. The extent of scar was calculated as the ratio of the two areas. For comparison, endo- and epi-cardial borders were manually contoured and scars segmented by a 4-SD technique with a validated software. Results: The two U-Net networks were implemented with two free and open-source software library for machine learning. We performed 5-fold cross-validation over a dataset of 108 and 385 labelled CMR images of the myocardium and scar, respectively. We obtained high performance (> ∼0.85) as measured by the Intersection over Union metric (IoU) on the training sets, in the case of scar segmentation. With regards to heart recognition, the performance was lower (> ∼0.7), although improved (∼ 0.75) by detecting the cardiac area instead of heart boundaries. On the validation set, performances oscillated between 0.8 and 0.85 for scar tissue recognition, and dropped to ∼0.7 for myocardium segmentation. We believe that underrepresented samples and noise might be affecting the overall performances, so that additional data might be beneficial. Figure1: examples of heart segmentation (upper left panel: training; upper right panel: validation) and of scar segmentation (lower left panel: training; lower right panel: validation). Conclusion: Our CNNs show promising results in automatically segmenting LV and quantify ischemic scars on DB-LGE-CMR images. The performances of our method can further improve by expanding the data set used for the training. If implemented in a clinical routine, this process can speed up the CMR analysis process and aid in the clinical decision-making. Abstract Figure.

Nowadays, understanding the topology of biological neural networks and sampling their activity is possible thanks to various laboratory protocols that provide a large amount of experimental data, thus paving the way to accurate modeling and simulation. Neuromorphic systems were developed to simulate the dynamics of biological neural networks by means of electronic circuits, offering an efficient alternative to classic simulations based on systems of differential equations, from both the points of view of the energy consumed and the overall computational effort. Spikey is a configurable neuromorphic chip based on the Leaky Integrate-And-Fire model, which gives the user the possibility to model an arbitrary neural topology and simulate the temporal evolution of membrane potentials. To accurately reproduce the behavior of a specific biological network, a detailed parameterization of all neurons in the neuromorphic chip is necessary. Determining such parameters is a hard, error-prone, and generally time consuming task. In this work, we propose a novel methodology for the automatic calibration of neuromorphic chips that exploits a given neural activity as target. Our results show that, in the case of small networks with a low complexity, the method can estimate a vector of parameters capable of reproducing the target activity. Conversely, in the case of more complex networks, the simulations with Spikey can be highly affected by noise, which causes small variations in the simulations outcome even when identical networks are simulated, hindering the convergence to optimal parameterizations.

Global optimization problems can be effectively solved by means of Computational Intelligence methods. However, there are several areas in which the effectiveness of these algorithms can be hampered by the computational costs of the fitness evaluations, or by specific features of the fitness landscape that can be characterized by noise and by the presence of several (even infinite) local optima. These issues bring about the necessity of defining specific techniques to replace the original problem with a surrogate representation. Fourier surrogate modeling represents a novel and effective approach to generate smoother, and possibly easier to explore, fitness landscapes, and to reduce the computational effort. Fourier surrogates require an initial sampling of the search space that must be performed to calculate the Fourier transforms. In this paper we investigate the impact on the quality of the surrogate models of the hyper-parameters of the methodology, and of several methods that can be employed for the initial sampling of the fitness landscape (i.e., pseudorandom numbers, low discrepancy sequences, a logistic map in chaotic regime, true random positions generated by a quantum computer, and point packing). Our results show that semistructured approaches like quasi-random sequences and point packing can outperform the other sampling methods.