Abstract

Predicting long-term cardiac rhythm outcomes from baseline imaging remains a major challenge in atrial fibrillation (AF) management. In this study, we propose a neural network architecture, “AF-Echo”, based on spatio-temporal convolution and video self-attention, to predict cardiac rhythm status two years after initial diagnosis using transthoracic echocardiography (TTE) videos. We analyze a cohort called FASTRHAC which consists of patients hospitalized for AF and followed over a two-year period. The binary ground-truth label was defined by experts at the 24-month follow-up (M24), distinguishing sinus rhythm (healthy) from AF rhythm (non-healthy). The model is trained in a multi-task learning setting, jointly predicting rhythm outcome and auxiliary cardiological parameters. Our quantitative results show that echocardiography allows long-term rhythm prediction, yielding significantly better predictive performance than a baseline ECG-based model, highlighting the potential of deep video-based models for early risk stratification in AF management.

Links to Paper and Supplementary Materials

Main Paper (Open Access Version): https://papers.miccai.org/miccai-2026-sat/paper/MLMI_050.pdf

SharedIt Link: Not yet available

SpringerLink (DOI): Not yet available

Supplementary Material: Not Submitted

Link to Open Review

Open Review Page: https://openreview.net/forum?id=tXFBb8hYRW

BibTex

@InProceedings{SadKim_LongTerm_MICCAISAT2026,
        author = { Sadreddini, Kimia AND Newson, Alasdair AND Soulat-Dufour, Laurie AND Ponnaiah, Maharajah AND Cohen, Ariel AND Hatem, Stephan},
        title = { { Long-Term Prediction of Atrial Fibrillation Severity from Echocardiography Video } },
        booktitle = {Medical Image Computing and Computer Assisted Intervention -- MICCAI 2026 Workshops and Challenges},
        year = {2026},
        publisher = {Springer Nature Switzerland},
        volume = {LNCS 17272},
        month = {pending},
        page = {pending}
}


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