Cross-modality cardiac image segmentation model that addresses spatial-temporal confounding -- where the anatomy and imaging-modality elements of cardiac images are intertwined across space and time. DCL performs multi-dimensional causal intervention, modeling causal relationships between images and labels as well as causality along the time and space dimensions, integrating historical optimal interventions to transfer knowledge across temporal contexts. A diffusion mechanism further keeps extracted anatomical elements causally invariant across modalities. On cross-modality cardiac images (MR, CT, and ultrasound), DCL achieved a mean Dice of 0.951, outperforming other advanced segmentation methods.

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.

Disentangled representation learning model for cardiac image analysis that factorises 2D medical images (MRI, CT) into a spatial 'anatomy factor' (a semantically meaningful multi-channel map, produced by a U-Net-style anatomy encoder) and a non-spatial 'modality factor' (a latent vector capturing imaging-specific characteristics). This disentangled representation supports semi-supervised segmentation using only a fraction of labeled images (matching fully supervised performance), multi-task learning (e.g. jointly regressing cardiac indices), multimodal pooling of MRI and CT data, and image-to-image synthesis between modalities via latent-space arithmetic (swapping modality factors). SDNet also demonstrates that its modality factor alone can predict the input imaging modality with high accuracy.

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).

Multimodal cardiac MRI foundation model that fuses 3D+T cine CMR (short-axis and long-axis views) with tabular patient health records (demographics, metabolic, and lifestyle factors) from 42,000 UK Biobank participants. Two-stage self-supervised pretraining -- masked-image reconstruction, then imaging-tabular contrastive alignment -- produces representations that transfer to whole-heart segmentation, cardiac phenotype/physiological-feature regression, and cardiac/metabolic disease classification within one unified framework.

Fully automated deep learning workflow for characterizing cardiac mechanics from balanced steady-state free-precession (bSSFP) cine cardiac MRI. It decouples two convolutional networks—a segmentation net (CarSON) and a 3D motion-estimation net (CarMEN)—to derive left- and right-ventricular volumes plus global and regional myocardial strain and strain rate without manual tracing. Trained and validated on healthy and cardiovascular-disease subjects and shown to be robust across MRI vendors, with excellent intra-scanner repeatability for strain. Developed at Massachusetts General Hospital and the Harvard-MIT Division of Health Sciences and Technology.

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.

Foundation model for cine cardiac MRI, self-supervised via masked autoencoding on nearly 75,000 UK Biobank scans. Uses a Vision Transformer with a convolutional stem, unified across long-axis and short-axis views. Fine-tuned checkpoints are released for ventricle and myocardium segmentation, ejection-fraction regression, cardiovascular disease classification, and landmark localization across several public benchmark datasets (ACDC, M&Ms, M&Ms2, EMIDEC, and others).

Ensemble of ten self-configuring nnU-Net models (five 2D, five 3D) that segments the left ventricle, right ventricle, and myocardium from short-axis cardiac cine MRI. Won the 2020 M&Ms challenge, a multi-centre, multi-vendor, multi-disease benchmark spanning scanners from four vendors and three countries, demonstrating strong generalization across acquisition protocols. Developed by DKFZ, the group behind the widely used nnU-Net framework.

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.