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CACTUS: An open dataset and framework for automated Cardiac Assessment and Classification of Ultrasound images using deep transfer learning

2025· article· en· W4408688446 on OpenAlexafffund
Hanae Elmekki, Ahmed Alagha, Hani Sami, Amanda Spilkin, Antonela Zanuttini, Ehsan Zakeri, Jamal Bentahar, Lyes Kadem, Wenfang Xie, Philippe Pîbarot, Rabeb Mizouni, Hadi Otrok, Shakti Singh, Azzam Mourad

Bibliographic record

VenueComputers in Biology and Medicine · 2025
Typearticle
Languageen
FieldMedicine
TopicCardiac Imaging and Diagnostics
Canadian institutionsInstitut national de psychiatrie légale Philippe-PinelUniversité LavalConcordia University
FundersNatural Sciences and Engineering Research Council of Canada
KeywordsTransfer of learningConvolutional neural networkDeep learningComputer scienceArtificial intelligenceField (mathematics)Component (thermodynamics)Imaging phantomMachine learningArtificial neural networkCardiac imagingMedicineRadiology

Abstract

fetched live from OpenAlex

Cardiac ultrasound (US) scanning is one of the most commonly used techniques in cardiology to diagnose the health of the heart and its proper functioning. During a typical US scan, medical professionals take several images of the heart to be classified based on the cardiac views they contain, with a focus on high-quality images. However, this task is time consuming and error prone. Therefore, it is necessary to consider ways to automate these tasks and assist medical professionals in classifying and assessing cardiac US images. Machine learning (ML) techniques are regarded as a prominent solution due to their success in the development of numerous applications aimed at enhancing the medical field, including addressing the shortage of echography technicians. However, the limited availability of medical data presents a significant barrier to the application of ML in the field of cardiology, particularly regarding US images of the heart. This paper addresses this challenge by introducing the first open graded dataset for Cardiac Assessment and ClassificaTion of UltraSound (CACTUS), which is available online. This dataset contains images obtained from scanning a CAE Blue Phantom and representing various heart views and different quality levels, exceeding the conventional cardiac views typically found in literature. Additionally, the paper introduces a Deep Learning (DL) framework consisting of two main components. The first component is responsible for classifying cardiac US images based on the heart view using a Convolutional Neural Network (CNN) architecture. The second component uses the concept of Transfer Learning (TL) to utilize knowledge from the first component and fine-tune it to create a model for grading and assessing cardiac images. The framework demonstrates high performance in both classification and grading, achieving up to 99.43% accuracy and as low as 0.3067 error, respectively. To showcase its robustness, the framework is further fine-tuned using new images representing additional cardiac views and also compared to several other state-of-the-art architectures. The framework's outcomes and its performance in handling real-time scans were also assessed using a questionnaire answered by cardiac experts.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.005
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Dataset · Consensus signal: Dataset
Teacher disagreement score0.030
Threshold uncertainty score0.059

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.005
Meta-epidemiology (narrow)0.0040.001
Meta-epidemiology (broad)0.0020.002
Bibliometrics0.0060.003
Science and technology studies0.0010.001
Scholarly communication0.0020.001
Open science0.0060.003
Research integrity0.0040.003
Insufficient payload (model declined to judge)0.0090.011

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.036
GPT teacher head0.428
Teacher spread0.392 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreDataset

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations9
Published2025
Admission routes2
Has abstractyes

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