# SV-Cine: Diagnosis-Conditioned Segmentation of Single Ventricle Physiology via Generative Data Augmentation

arXiv: https://arxiv.org/abs/2609.12997 · HTML: https://mlsanity.com/paper/2609.12997/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 16 of its 40 references that are in the map.
- First posted on arXiv 11 Sep 2026.

## Builds on (most cited first, 16 of 16)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [FiLM: Visual Reasoning with a General Conditioning Layer](https://mlsanity.com/paper/1709.07871/) (2017)
- [TransUNet: Transformers Make Strong Encoders for Medical Image Segmentation](https://mlsanity.com/paper/2102.04306/) (2021)
- [Semantic Image Synthesis with Spatially-Adaptive Normalization](https://mlsanity.com/paper/1903.07291/) (2019)
- [TotalSegmentator: robust segmentation of 104 anatomical structures in CT images](https://mlsanity.com/paper/2208.05868/) (2022)
- [UNet 3+: A Full-Scale Connected UNet for Medical Image Segmentation](https://mlsanity.com/paper/2004.08790/) (2020)
- [Towards a Guideline for Evaluation Metrics in Medical Image Segmentation](https://mlsanity.com/paper/2202.05273/) (2022)
- [An Exploration of 2D and 3D Deep Learning Techniques for Cardiac MR Image Segmentation](https://mlsanity.com/paper/1709.04496/) (2017)
- [SDF4CHD: Generative Modeling of Cardiac Anatomies with Congenital Heart Defects](https://mlsanity.com/paper/2311.00332/) (2023)
- [ImageCHD: A 3D Computed Tomography Image Dataset for Classification of Congenital Heart Disease](https://mlsanity.com/paper/2101.10799/) (2021)
- [A versatile foundation model for cine cardiac magnetic resonance image analysis tasks](https://mlsanity.com/paper/2506.00679/) (2025)
- [Pathology Synthesis of 3D-Consistent Cardiac MR Images using 2D VAEs and GANs](https://mlsanity.com/paper/2209.04223/) (2022)
- [Benefits of Linear Conditioning with Metadata for Image Segmentation](https://mlsanity.com/paper/2102.09582/) (2021)
- [Assessment of Deep Learning Segmentation for Real-Time Free-Breathing Cardiac Magnetic Resonance Imaging at Rest and Under Exercise Stress](https://mlsanity.com/paper/2311.14049/) (2023)
- [An Improved Approach for Cardiac MRI Segmentation based on 3D UNet Combined with Papillary Muscle Exclusion](https://mlsanity.com/paper/2410.06818/) (2024)

## Abstract (arXiv)

Single Ventricle Physiology (SVP) is a rare subtype of congenital heart disease characterized by the presence of a single functional cardiac ventricle with atypical anatomic configurations that challenge conventional image segmentation approaches. The scarcity of clinical data and the morphological diversity across SVP subtypes make the development of robust segmentation methods particularly difficult. To address these limitations, we propose a cardiac MRI segmentation framework focused on ventricular chambers and myocardium segmentation tailored for SVP. First, we introduce a data augmentation pipeline that generates synthetic 3D cardiac meshes using SDF4CHD and corresponding synthetic cardiac MRI through generative modeling. Second, we introduce SV-Cine, a diagnosis-conditioned adaptation of the foundation model CineMA that incorporates patient-level diagnostic information through Feature-wise Linear Modulation layers, enabling diagnosis-aware feature adaptation during segmentation. We evaluated the framework on an internal cohort with varying SVP subtypes. SV-Cine achieved median Dice scores of 0.89 (IQR: 0.80--0.91) for the left ventricle and 0.72 (IQR: 0.54--0.84) for the right ventricle, outperforming the strongest baseline, nnU-Net, by 0.39 Dice points on right ventricle segmentation. It also yields a median ejection fraction error of 5.55 percentage points (IQR: 3.41--7.69) for the dominant ventricle. Compared with the internal cohort, LV and myocardium segmentation performance was lower for the external cohort; whereas RV Dice scores were comparable for both cohorts. Our findings suggest that a pretrained foundation model can be adapted for highly specialized downstream tasks through usage of diagnosis priors while leveraging anatomic knowledge learned from large-scale MRI datasets during pretraining.