cardiology imaging teams

Abstract: Motion estimation in echocardiography is essential for quantitative assessment of cardiac function and myocardial mechanics, but remains challenging due to image artifacts, limited image information, speckle decorrelation, and the scarcity of ground-truth displacement fields. Anatomy-guided approaches can provide structural information, yet often rely on expert-labeled myocardial segmentations. We propose EchoDiST, a framework for unsupervised echocardiographic myocardial motion estimation that integrates self-distillation-based joint learning with a diffusion-conditioned motion estimation network. Here, unsupervised motion estimation refers to learning without ground-truth displacement fields. The self-distillation strategy jointly optimizes anatomical segmentation and myocardial motion estimation under limited anatomical annotations. Diffusion-based conditioning is used during training with stochastic perturbations, while inference requires only a single deterministic forward pass without iterative reverse-diffusion sampling. EchoDiST was evaluated on three echocardiographic datasets, including two external test datasets under cross-view and cross-dataset settings. Compared with seven representative learning-based methods, EchoDiST consistently improved anatomical alignment, myocardial strain assessment, and motion-derived functional and cardiac-phase assessment. These gains were statistically significant across the evaluated tasks and datasets. Overall, EchoDiST provides an effective approach for reliable myocardial motion estimation under limited anatomical supervision and supports downstream quantitative assessment of cardiac function.

Abstract: Myocardial strain from echocardiography is a key biomarker for cardiac function. Recent deep learning methods show strong performance for myocardial motion tracking but often lack physiological constraints, leading to temporal drift across the cardiac cycle. Consequently, tracked points may not return to their relative initial positions at the end of each cardiac cycle, producing inaccurate strain estimates and even divergence in some cases. We propose a deep learning framework that compensates for drift during myocardial tracking. We extend a state-of-the-art echocardiographic tracking method (TAS-Net) with persistent memory tokens that share information across sliding windows over full cardiac cycles. A teacher-student fine-tuning strategy on real echocardiographic data then enforces physiologically consistent cyclic motion while preserving tracking accuracy. Experiments show reduced global and regional strain drift, improved agreement with clinical references, and better test-retest reproducibility, supporting more reliable myocardial strain estimation in clinical practice.