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. Code is available at https://github.com/ThierryJudge/cardiac-motion.

Links to Paper and Supplementary Materials

Main Paper (Open Access Version): https://papers.miccai.org/miccai-2026-sat/paper/STACOM2026_031.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/profile?id=~Thierry_Judge1

BibTex

@InProceedings{JudThi_Myocardial_MICCAISAT2026,
        author = { Judge, Thierry AND Duchateau, Nicolas AND Østvik, Andreas AND Dalen, Havard AND Grenne, Bjørnar AND Courand, Pierre-Yves AND Lovstakken, Lasse AND Jodoin, Pierre-Marc AND Bernard, Olivier},
        title = { { Myocardial Strain Drift Correction in Deep Learning Based Ultrasound Tracking } },
        booktitle = {Medical Image Computing and Computer Assisted Intervention -- MICCAI 2026 Workshops and Challenges},
        year = {2026},
        publisher = {Springer Nature Switzerland},
        volume = {LNCS 17267},
        month = {pending},
        page = {pending}
}


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