Fully automatic, open-source deep learning pipeline for estimating left atrial fibrosis from late gadolinium enhancement (LGE) cardiac MRI, built to remove the operator-dependent steps that limit reproducibility of conventional atrial LGE analysis. A multilabel convolutional neural network delineates the left atrial blood pool, pulmonary veins, and mitral valve; these structures are then used to automatically calculate fibrosis burden via established image-intensity-ratio thresholds, without manual tracing. Validated on a 3D LGE-CMR dataset of 207 scans, the pipeline's automatic segmentation achieved a 91% Dice score against manual tracing, and its fully automatic fibrosis quantification closely matched semi-automatic reference methods. The CNN and pipeline are distributed as part of the open-source CemrgApp platform.

One of the foundational baseline segmentation networks submitted to the 2017 Automated Cardiac Diagnosis Challenge (ACDC), comparing 2D and 3D convolutional network designs for segmenting the left ventricle cavity, myocardium, and right ventricle cavity from short-axis cine cardiac MRI at end-diastole and end-systole. The accompanying study systematically explored the tradeoffs between 2D and 3D convolutions for this task, finding that, due to the highly anisotropic voxel spacing typical of clinical cine cardiac MRI, 2D networks that treat each slice independently can match or exceed 3D networks while being far cheaper to train. The public code and pretrained weights for the best-performing configuration have served as a widely used, simple baseline for later cardiac MRI segmentation research (including for automatically deriving ventricular volumes and ejection fraction).

Automated pipeline that segments both heart ventricles and tracks their motion throughout the cardiac cycle from short-axis cine cardiac MRI, producing 3D bi-ventricular models with per-vertex wall-thickness and curvature measurements over time. Built on a shape-refined multi-task fully convolutional network, followed by non-rigid registration and mesh-based motion tracking. Trained on roughly 400 manually annotated pulmonary hypertension patients as part of Imperial College London's UK Digital Heart Project, and underlies the related 4Dsurvival cardiac-motion survival-prediction study.

Two-stage pipeline that segments the left atrium and quantifies atrial scar tissue from 3D late-gadolinium-enhancement cardiac MRI, supporting atrial-fibrillation ablation planning. A Multi-Scale Weight Sharing network first delineates the atrial cavity, then a boundary-patch method segments scar tissue around the detected wall. Developed at Queen Mary University of London for the LAScarQS 2022 MICCAI/STACOM segmentation challenge.

Long-standing toolbox for automated segmentation of the ventricles and atria and derivation of cardiac imaging phenotypes from short- and long-axis cine cardiac MRI. Built on a fully convolutional network trained per slice, and widely reused across UK Biobank cardiac imaging studies since its 2018 publication. Developed at Imperial College London.