# Deformable Image Registration for Self-supervised Cardiac Phase Detection in Multi-View Multi-Disease Cardiac Magnetic Resonance Images

arXiv: https://arxiv.org/abs/2510.05819 · HTML: https://mlsanity.com/paper/2510.05819/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 11 of its 40 references that are in the map.
- First posted on arXiv 7 Oct 2025.

## Builds on (most cited first, 11 of 11)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Spatial Transformer Networks](https://mlsanity.com/paper/1506.02025/) (2015)
- [Unsupervised Learning of Probabilistic Diffeomorphic Registration for Images and Surfaces](https://mlsanity.com/paper/1903.03545/) (2019)
- [An Unsupervised Learning Model for Deformable Medical Image Registration](https://mlsanity.com/paper/1802.02604/) (2018)
- [Learning a Probabilistic Model for Diffeomorphic Registration](https://mlsanity.com/paper/1812.07460/) (2018)
- [Joint Learning of Motion Estimation and Segmentation for Cardiac MR Image Sequences](https://mlsanity.com/paper/1806.04066/) (2018)
- [MulViMotion: Shape-aware 3D Myocardial Motion Tracking from Multi-View Cardiac MRI](https://mlsanity.com/paper/2208.00034/) (2022)
- [Probabilistic Motion Modeling from Medical Image Sequences: Application to Cardiac Cine-MRI](https://mlsanity.com/paper/1907.13524/) (2019)
- [Comparison of Evaluation Metrics for Landmark Detection in CMR Images](https://mlsanity.com/paper/2201.10410/) (2022)
- [Self-supervised motion descriptor for cardiac phase detection in 4D CMR based on discrete vector field estimations](https://mlsanity.com/paper/2209.05778/) (2022)
- [Cardiac valve event timing in echocardiography using deep learning and triplane recordings](https://mlsanity.com/paper/2403.10156/) (2024)

## Abstract (arXiv)

Cardiovascular magnetic resonance (CMR) is the gold standard for assessing cardiac function, but individual cardiac cycles complicate automatic temporal comparison or sub-phase analysis. Accurate cardiac keyframe detection can eliminate this problem. However, automatic methods solely derive end-systole (ES) and end-diastole (ED) frames from left ventricular volume curves, which do not provide a deeper insight into myocardial motion. We propose a self-supervised deep learning method detecting five keyframes in short-axis (SAX) and four-chamber long-axis (4CH) cine CMR. Initially, dense deformable registration fields are derived from the images and used to compute a 1D motion descriptor, which provides valuable insights into global cardiac contraction and relaxation patterns. From these characteristic curves, keyframes are determined using a simple set of rules. The method was independently evaluated for both views using three public, multicentre, multidisease datasets. M&Ms-2 (n=360) dataset was used for training and evaluation, and M&Ms (n=345) and ACDC (n=100) datasets for repeatability control. Furthermore, generalisability to patients with rare congenital heart defects was tested using the German Competence Network (GCN) dataset. Our self-supervised approach achieved improved detection accuracy by 30% - 51% for SAX and 11% - 47% for 4CH in ED and ES, as measured by cyclic frame difference (cFD), compared with the volume-based approach. We can detect ED and ES, as well as three additional keyframes throughout the cardiac cycle with a mean cFD below 1.31 frames for SAX and 1.73 for LAX. Our approach enables temporally aligned inter- and intra-patient analysis of cardiac dynamics, irrespective of cycle or phase lengths. GitHub repository: https://github.com/Cardio-AI/cmr-multi-view-phase-detection.git