Artificial Intelligence, Wearables and Remote Monitoring for Heart Failure: Current and Future Applications.

Substantial milestones have been attained in the field of heart failure (HF) diagnostics and therapeutics in the past several years that have translated into decreased mortality but a paradoxical increase in HF-related hospitalizations. With increasing data digitalization and access, remote monitoring via wearables and implantables have the potential to transform ambulatory care workflow, with a particular focus on reducing HF hospitalizations. Additionally, artificial intelligence and machine learning (AI/ML) have been increasingly employed at multiple stages of healthcare due to their power in assimilating and integrating multidimensional multimodal data and the creation of accurate prediction models. With the ever-increasing troves of data, the implementation of AI/ML algorithms could help improve workflow and outcomes of HF patients, especially time series data collected via remote monitoring. In this review, we sought to describe the basics of AI/ML algorithms with a focus on time series forecasting and the current state of AI/ML within the context of wearable technology in HF, followed by a discussion of the present limitations, including data integration, privacy, and challenges specific to AI/ML application within healthcare.

Parallel MRI Reconstruction Using Broad Learning System.

As an inverse problem, parallel magnetic resonance imaging (pMRI) reconstruction accelerates imaging speed by interpolating missing k-space data from a group of phased-array coils. Deep learning methods have been used for improving pMRI reconstruction quality in recent years. However, deep learning approaches need a large amount of training data that are acquired from different hardware configurations and anatomical areas. Data distributions may be different between training data and testing data, and a long-time training is needed. In this work, we proposed a broad learning system based parallel MRI reconstruction that exploits approximation capability of one-layer neural network through broadening network structure with expanded nodes. Experimental results show that the proposed method is able to suppress noise in compared to the conventional pMRI reconstruction.

Multi-scale Unrolled Deep Learning Framework for Accelerated Magnetic Resonance Imaging.

Accelerating data acquisition in magnetic resonance imaging (MRI) has been of perennial interest due to its prohibitively slow data acquisition process. Recent trends in accelerating MRI employ data-centric deep learning frameworks due to its fast inference time and 'one-parameter-fit-all' principle unlike in traditional model-based acceleration techniques. Unrolled deep learning framework that combines the deep priors and model knowledge are robust compared to naive deep learning based framework. In this paper, we propose a novel multi-scale unrolled deep learning framework which learns deep image priors through multi-scale CNN and is combined with unrolled framework to enforce data-consistency and model knowledge. Essentially, this framework combines the best of both learning paradigms:model-based and data-centric learning paradigms. Proposed method is verified using several experiments on numerous data sets.

DIAGNOSTIC IMAGE QUALITY ASSESSMENT AND CLASSIFICATION IN MEDICAL IMAGING: OPPORTUNITIES AND CHALLENGES.

Magnetic Resonance Imaging (MRI) suffers from several artifacts, the most common of which are motion artifacts. These artifacts often yield images that are of non-diagnostic quality. To detect such artifacts, images are prospectively evaluated by experts for their diagnostic quality, which necessitates patient-revisits and rescans whenever non-diagnostic quality scans are encountered. This motivates the need to develop an automated framework capable of accessing medical image quality and detecting diagnostic and non-diagnostic images. In this paper, we explore several convolutional neural network-based frameworks for medical image quality assessment and investigate several challenges therein.

Acceleration of three-dimensional diffusion magnetic resonance imaging using a kernel low-rank compressed sensing method.

Diffusion Magnetic Resonance Imaging (dMRI) has shown great potential in probing tissue microstructure and structural connectivity in the brain but is often limited by the lengthy scan time needed to sample the diffusion profile by acquiring multiple diffusion weighted images (DWIs). Although parallel imaging technique has improved the speed of dMRI acquisition, attaining high resolution three dimensional (3D) dMRI on preclinical MRI systems remained still time consuming. In this paper, kernel principal component analysis, a machine learning approach, was employed to estimate the correlation among DWIs. We demonstrated the feasibility of such correlation estimation from low-resolution training DWIs and used the correlation as a constraint to reconstruct high-resolution DWIs from highly under-sampled k-space data, which significantly reduced the scan time. Using full k-space 3D dMRI data of post-mortem mouse brains, we retrospectively compared the performance of the so-called kernel low rank (KLR) method with a conventional compressed sensing (CS) method in terms of image quality and ability to resolve complex fiber orientations and connectivity. The results demonstrated that the KLR-CS method outperformed the conventional CS method for acceleration factors up to 8 and was likely to enhance our ability to investigate brain microstructure and connectivity using high-resolution 3D dMRI.

Bi-Linear Modeling of Data Manifolds for Dynamic-MRI Recovery.

This paper puts forth a novel bi-linear modeling framework for data recovery via manifold-learning and sparse-approximation arguments and considers its application to dynamic magnetic-resonance imaging (dMRI). Each temporal-domain MR image is viewed as a point that lies onto or close to a smooth manifold, and landmark points are identified to describe the point cloud concisely. To facilitate computations, a dimensionality reduction module generates low-dimensional/compressed renditions of the landmark points. Recovery of high-fidelity MRI data is realized by solving a non-convex minimization task for the linear decompression operator and affine combinations of landmark points which locally approximate the latent manifold geometry. An algorithm with guaranteed convergence to stationary solutions of the non-convex minimization task is also provided. The aforementioned framework exploits the underlying spatio-temporal patterns and geometry of the acquired data without any prior training on external data or information. Extensive numerical results on simulated as well as real cardiac-cine MRI data illustrate noteworthy improvements of the advocated machine-learning framework over state-of-the-art reconstruction techniques.

KerNL: Kernel-Based Nonlinear Approach to Parallel MRI Reconstruction.

The conventional calibration-based parallel imaging method assumes a linear relationship between the acquired multi-channel k-space data and the unacquired missing data, where the linear coefficients are estimated using some auto-calibration data. In this paper, we first analyze the model errors in the conventional calibration-based methods and demonstrate the nonlinear relationship. Then, a much more general nonlinear framework is proposed for auto-calibrated parallel imaging. In this framework, kernel tricks are employed to represent the general nonlinear relationship between acquired and unacquired k-space data without increasing the computational complexity. Identification of the nonlinear relationship is still performed by solving linear equations. Experimental results demonstrate that the proposed method can achieve reconstruction quality superior to GRAPPA and NL-GRAPPA at high net reduction factors.

MLS: Joint Manifold-Learning and Sparsity-Aware Framework for Highly Accelerated Dynamic Magnetic Resonance Imaging.

Manifold-based models have been recently exploited for accelerating dynamic magnetic resonance imaging (dMRI). While manifold-based models have shown to be more efficient than conventional low-rank approaches, joint low-rank and sparsity-aware modeling still appears to be very efficient due to the inherent sparsity within dMR images. In this paper, we propose a joint manifold-learning and sparsity-aware framework for dMRI. The proposed method establishes a link between the recently developed manifold models and conventional sparsity-aware models. Dynamic MR images are modeled as points located on or close to a smooth manifold, and a novel data-driven manifold-learning approach, which preserves affine relation among images, is used to learn the low-dimensional embedding of the dynamic images. The temporal basis learnt from such an approach efficiently captures the inherent periodicity of dynamic images and hence sparsity along temporal direction is enforced during reconstruction. The proposed framework is validated by extensive numerical tests on phantom and in-vivo data sets.

A Kernel-Based Low-Rank (KLR) Model for Low-Dimensional Manifold Recovery in Highly Accelerated Dynamic MRI.

While many low rank and sparsity-based approaches have been developed for accelerated dynamic magnetic resonance imaging (dMRI), they all use low rankness or sparsity in input space, overlooking the intrinsic nonlinear correlation in most dMRI data. In this paper, we propose a kernel-based framework to allow nonlinear manifold models in reconstruction from sub-Nyquist data. Within this framework, many existing algorithms can be extended to kernel framework with nonlinear models. In particular, we have developed a novel algorithm with a kernel-based low-rank model generalizing the conventional low rank formulation. The algorithm consists of manifold learning using kernel, low rank enforcement in feature space, and preimaging with data consistency. Extensive simulation and experiment results show that the proposed method surpasses the conventional low-rank-modeled approaches for dMRI.

M-MRI: A Manifold-based Framework to Highly Accelerated Dynamic Magnetic Resonance Imaging.

High-dimensional signals, including dynamic magnetic resonance (dMR) images, often lie on low dimensional manifold. While many current dynamic magnetic resonance imaging (dMRI) reconstruction methods rely on priors which promote low-rank and sparsity, this paper proposes a novel manifold-based framework, we term M-MRI, for dMRI reconstruction from highly undersampled k-space data. Images in dMRI are modeled as points on or close to a smooth manifold, and the underlying manifold geometry is learned through training data, called "navigator" signals. Moreover, low-dimensional embeddings which preserve the learned manifold geometry and effect concise data representations are computed. Capitalizing on the learned manifold geometry, two regularization loss functions are proposed to reconstruct dMR images from highly undersampled k-space data. The advocated framework is validated using extensive numerical tests on phantom and in-vivo data sets.

Bi-Linear Modeling of Manifold-Data Geometry for Dynamic-MRI Recovery.

This paper establishes a modeling framework for data located onto or close to (unknown) smooth manifolds, embedded in Euclidean spaces, and considers its application to dynamic magnetic resonance imaging (dMRI). The framework comprises several modules: First, a set of landmark points is identified to describe concisely a data cloud formed by highly under-sampled dMRI data, and second, low-dimensional renditions of the landmark points are computed. Searching for the linear operator that decompresses low-dimensional data to high-dimensional ones, and for those combinations of landmark points which approximate the manifold data by affine patches, leads to a bi-linear model of the dMRI data, cognizant of the intrinsic data geometry. Preliminary numerical tests on synthetically generated dMRI phantoms, and comparisons with state-of-the-art reconstruction techniques, underline the rich potential of the proposed method for the recovery of highly under-sampled dMRI data.

ACCELERATING DYNAMIC MAGNETIC RESONANCE IMAGING BY NONLINEAR SPARSE CODING.

Although being high-dimensional, dynamic magnetic resonance images usually lie on low-dimensional manifolds. Nonlinear models have been shown to capture well that latent low-dimensional nature of data, and can thus lead to improvements in the quality of constrained recovery algorithms. This paper advocates a novel reconstruction algorithm for dynamic magnetic resonance imaging (dMRI) based on nonlinear dictionary learned from low-spatial but high-temporal resolution images. The nonlinear dictionary is initially learned using kernel dictionary learning, and the proposed algorithm subsequently alternates between sparsity enforcement in the feature space and the data-consistency constraint in the original input space. Extensive numerical tests demonstrate that the proposed scheme is superior to popular methods that use linear dictionaries learned from the same set of training data.