Motion-Conditioned Multi-View Fusion for Myocardial Infarction Localization from Echocardiography

Myocardial infarction (MI) remains a leading cause of mortality worldwide. Echocardiography (Echo) is a widely available modality for MI assessment, where regional wall motion abnormality is a key indicator. Prior learning based methods for myocardial motion analysis often use handcrafted descriptors or densely supervised estimation, but the need for extensive annotation limits applicability. Foundation models have recently improved vision-based Echo analysis; however, most methods operate on single views and segment-level localization remains unreliable under view-dependent ambiguity, especially in apical views. To address this, we propose MCF-Net, a novel motion-guided multi-view fusion framework that fuses myocardial motion cues with foundation model representations to localize infarction. Visual features are extracted using EchoPrime, a pretrained Echo foundation model shared across dual views. Cardiac motion is modeled with extremely sparse supervision: a single annotated template frame is transferred across videos to initialize point tracking, avoiding dense labels. Motion-derived segment-aware soft masks provide coarse spatial priors that selectively enhance features for challenging myocardial segments. A motion-conditioned fusion mechanism then integrates motion and vision across views, refining predictions without overriding strong appearance cues. On segment-level MI localization, MCF-Net achieves 72.4\% F1 and 84.9\% accuracy, outperforming state-of-the-art motion-only, vision-only, and fusion baselines.

Contrast-Free Myocardial Scar Segmentation in Cine MRI using Motion and Texture Fusion

Late gadolinium enhancement MRI (LGE MRI) is the gold standard for the detection of myocardial scars for post myocardial infarction (MI). LGE MRI requires the injection of a contrast agent, which carries potential side effects and increases scanning time and patient discomfort. To address these issues, we propose a novel framework that combines cardiac motion observed in cine MRI with image texture information to segment the myocardium and scar tissue in the left ventricle. Cardiac motion tracking can be formulated as a full cardiac image cycle registration problem, which can be solved via deep neural networks. Experimental results prove that the proposed method can achieve scar segmentation based on non-contrasted cine images with comparable accuracy to LGE MRI. This demonstrates its potential as an alternative to contrast-enhanced techniques for scar detection.