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This research applies simulation-based inference and neural posterior estimation to quantify uncertainty in cardiac model personalization using ultrafast ultrasound data. By treating parameter mapping as a statistical problem, the study significantly reduces prediction error while identifying specific sources of model ambiguity, such as parameter compensation effects. This approach advances the reliability of non-invasive cardiovascular diagnostics through rigorous machine learning techniques grounded in physics-based modeling.
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Uncertainty Quantification in Cardiac Model Personalisation from Ultrafast Ultrasound

arXiv3 min read

arXiv:2609.35214v1 Announce Type: cross Abstract: Cardiac model personalisation requires inferring mechanical parameters that are not directly measurable in vivo. Ultrafast ultrasound shear wave elastography (SWE) enables non-invasive tracking of myocardial stiffness dynamics over the cardiac cycle, providing a target for personalisation. However, mapping these observations to subject specific model parameters remains ill-posed, as multiple parameter sets can reproduce the same stiffness dynamics. We formulate SWE-informed personalisation as a statistical inference problem using simulation-based inference (SBI). Using a subject-adapted 0D cardiovascular model and neural posterior estimation, we estimate model-conditional posterior distributions over active stiffness scale k0, contraction rate kATP, and relaxation rate kSR, conditioned on SWE-derived curve features and subject specific context. Among six healthy volunteers, four passed objective prior-support diagnostics and were retained for quantitative posterior analysis. Curve-level RMSE against the observed SWE target decreased from 12.61 $\pm$ 5.55 kPa for the prior predictive median to 1.14 $\pm$ 0.38 kPa for the posterior predictive median, an 89.7 $\pm$ 4.2% reduction. Posterior analysis revealed parameter-specific uncertainty, k0-kATP compensation, weaker constraint of kSR, and the importance of prior-predictive diagnostics for assessing whether each subject is represented within the modelled SWE feature space. These results support SBI for uncertainty aware SWE-based personalisation, while identifying prior support and forward-model adequacy as key diagnostics.

Abstract:Cardiac model personalisation requires inferring mechanical parameters that are not directly measurable in vivo. Ultrafast ultrasound shear wave elastography (SWE) enables non-invasive tracking of myocardial stiffness dynamics over the cardiac cycle, providing a target for personalisation. However, mapping these observations to subject specific model parameters remains ill-posed, as multiple parameter sets can reproduce the same stiffness dynamics. We formulate SWE-informed personalisation as a statistical inference problem using simulation-based inference (SBI). Using a subject-adapted 0D cardiovascular model and neural posterior estimation, we estimate model-conditional posterior distributions over active stiffness scale k0, contraction rate kATP, and relaxation rate kSR, conditioned on SWE-derived curve features and subject specific context. Among six healthy volunteers, four passed objective prior-support diagnostics and were retained for quantitative posterior analysis. Curve-level RMSE against the observed SWE target decreased from 12.61 $\pm$ 5.55 kPa for the prior predictive median to 1.14 $\pm$ 0.38 kPa for the posterior predictive median, an 89.7 $\pm$ 4.2% reduction. Posterior analysis revealed parameter-specific uncertainty, k0-kATP compensation, weaker constraint of kSR, and the importance of prior-predictive diagnostics for assessing whether each subject is represented within the modelled SWE feature space. These results support SBI for uncertainty aware SWE-based personalisation, while identifying prior support and forward-model adequacy as key diagnostics.

Quantitative Methods (q-bio.QM); Machine Learning (cs.LG); Medical Physics (physics.med-ph)

arXiv:2609.35214 [q-bio.QM]

(or arXiv:2609.35214v1 [q-bio.QM] for this version)

https://doi.org/10.48550/arXiv.2609.35214 Focus to learn more arXiv-issued DOI via DataCite (pending registration)

Statistical Atlases and Computational Modelling of the Heart (STACOM), MICCAI 2026., Sep 2026, Strasbourg, France

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Full text under the publisher's open licence · 319 words

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