# WiseLVAM: A Novel Framework For Left Ventricle Automatic Measurements

arXiv: https://arxiv.org/abs/2508.12023 · HTML: https://mlsanity.com/paper/2508.12023/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 10 of its 27 references that are in the map.
- First posted on arXiv 16 Aug 2025.

## Builds on (most cited first, 10 of 10)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1802.02611/) (2018)
- [An Intriguing Failing of Convolutional Neural Networks and the CoordConv Solution](https://mlsanity.com/paper/1807.03247/) (2018)
- [Numerical Coordinate Regression with Convolutional Neural Networks](https://mlsanity.com/paper/1801.07372/) (2018)
- [High-Throughput Precision Phenotyping of Left Ventricular Hypertrophy with Cardiovascular Deep Learning](https://mlsanity.com/paper/2106.12511/) (2021)
- [Automated Left Ventricle Dimension Measurement in 2D Cardiac Ultrasound via an Anatomically Meaningful CNN Approach](https://mlsanity.com/paper/1911.02448/) (2019)
- [U-LanD: Uncertainty-Driven Video Landmark Detection](https://mlsanity.com/paper/2102.01586/) (2021)
- [Reciprocal Landmark Detection and Tracking with Extremely Few Annotations](https://mlsanity.com/paper/2101.11224/) (2021)
- [EchoGLAD: Hierarchical Graph Neural Networks for Left Ventricle Landmark Detection on Echocardiograms](https://mlsanity.com/paper/2307.12229/) (2023)
- [EnLVAM: Enhanced Left Ventricle Linear Measurements Utilizing Anatomical Motion Mode](https://mlsanity.com/paper/2506.22063/) (2025)

## Built on by (most cited first, 1 of 1)

- [MedSapiens: Taking a Pose to Rethink Medical Imaging Landmark Detection](https://mlsanity.com/paper/2511.04255/) (2025)

## Abstract (arXiv)

Clinical guidelines recommend performing left ventricular (LV) linear measurements in B-mode echocardiographic images at the basal level -- typically at the mitral valve leaflet tips -- and aligned perpendicular to the LV long axis along a virtual scanline (SL). However, most automated methods estimate landmarks directly from B-mode images for the measurement task, where even small shifts in predicted points along the LV walls can lead to significant measurement errors, reducing their clinical reliability. A recent semi-automatic method, EnLVAM, addresses this limitation by constraining landmark prediction to a clinician-defined SL and training on generated Anatomical Motion Mode (AMM) images to predict LV landmarks along the same. To enable full automation, a contour-aware SL placement approach is proposed in this work, in which the LV contour is estimated using a weakly supervised B-mode landmark detector. SL placement is then performed by inferring the LV long axis and the basal level- mimicking clinical guidelines. Building on this foundation, we introduce textitWiseLVAM -- a novel, fully automated yet manually adaptable framework for automatically placing the SL and then automatically performing the LV linear measurements in the AMM mode. textitWiseLVAM utilizes the structure-awareness from B-mode images and the motion-awareness from AMM mode to enhance robustness and accuracy with the potential to provide a practical solution for the routine clinical application. The source code is publicly available at https://github.com/SFI-Visual-Intelligence/wiselvam.git.
