# Hierarchical Spatio-temporal Segmentation Network for Ejection Fraction Estimation in Echocardiography Videos

arXiv: https://arxiv.org/abs/2508.18681 · HTML: https://mlsanity.com/paper/2508.18681/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 15 of its 28 references that are in the map.
- First posted on arXiv 26 Aug 2025.

## Builds on (most cited first, 15 of 15)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [MobileNetV2: Inverted Residuals and Linear Bottlenecks](https://mlsanity.com/paper/1801.04381/) (2018)
- [Mamba: Linear-Time Sequence Modeling with Selective State Spaces](https://mlsanity.com/paper/2312.00752/) (2023)
- [SegFormer: Simple and Efficient Design for Semantic Segmentation with Transformers](https://mlsanity.com/paper/2105.15203/) (2021)
- [V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentation](https://mlsanity.com/paper/1606.04797/) (2016)
- [ViViT: A Video Vision Transformer](https://mlsanity.com/paper/2103.15691/) (2021)
- [TransUNet: Transformers Make Strong Encoders for Medical Image Segmentation](https://mlsanity.com/paper/2102.04306/) (2021)
- [UNet++: Redesigning Skip Connections to Exploit Multiscale Features in Image Segmentation](https://mlsanity.com/paper/1912.05074/) (2019)
- [VideoMamba: State Space Model for Efficient Video Understanding](https://mlsanity.com/paper/2403.06977/) (2024)
- [Deep Learning for Segmentation using an Open Large-Scale Dataset in 2D Echocardiography](https://mlsanity.com/paper/1908.06948/) (2019)
- [Deep learning for cardiac image segmentation: A review](https://mlsanity.com/paper/1911.03723/) (2019)
- [Echocardiography Segmentation with Enforced Temporal Consistency](https://mlsanity.com/paper/2112.02102/) (2021)
- [GraphEcho: Graph-Driven Unsupervised Domain Adaptation for Echocardiogram Video Segmentation](https://mlsanity.com/paper/2309.11145/) (2023)
- [P-Mamba: Marrying Perona Malik Diffusion with Mamba for Efficient Pediatric Echocardiographic Left Ventricular Segmentation](https://mlsanity.com/paper/2402.08506/) (2024)
- [Light-weight spatio-temporal graphs for segmentation and ejection fraction prediction in cardiac ultrasound](https://mlsanity.com/paper/2207.02549/) (2022)

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

- [The segmentation ceiling: why explicit left-ventricular masks do not improve learned ejection-fraction regression](https://mlsanity.com/paper/2609.19730/) (2026)

## Abstract (arXiv)

Automated segmentation of the left ventricular endocardium in echocardiography videos is a key research area in cardiology. It aims to provide accurate assessment of cardiac structure and function through Ejection Fraction (EF) estimation. Although existing studies have achieved good segmentation performance, their results do not perform well in EF estimation. In this paper, we propose a Hierarchical Spatio-temporal Segmentation Network (ourmodel) for echocardiography video, aiming to improve EF estimation accuracy by synergizing local detail modeling with global dynamic perception. The network employs a hierarchical design, with low-level stages using convolutional networks to process single-frame images and preserve details, while high-level stages utilize the Mamba architecture to capture spatio-temporal relationships. The hierarchical design balances single-frame and multi-frame processing, avoiding issues such as local error accumulation when relying solely on single frames or neglecting details when using only multi-frame data. To overcome local spatio-temporal limitations, we propose the Spatio-temporal Cross Scan (STCS) module, which integrates long-range context through skip scanning across frames and positions. This approach helps mitigate EF calculation biases caused by ultrasound image noise and other factors.