Deep Representation Learning for Unsupervised Clustering of Myocardial Fiber Trajectories in Cardiac Diffusion Tensor Imaging

Understanding the complex myocardial architecture is critical for diagnosing and treating heart disease. However, existing methods often struggle to accurately capture this intricate structure from Diffusion Tensor Imaging (DTI) data, particularly due to the lack of ground truth labels and the ambiguous, intertwined nature of fiber trajectories. We present a novel deep learning framework for unsupervised clustering of myocardial fibers, providing a data-driven approach to identifying distinct fiber bundles. We uniquely combine a Bidirectional Long Short-Term Memory network to capture local sequential information along fibers, with a Transformer autoencoder to learn global shape features, with pointwise incorporation of essential anatomical context. Clustering these representations using a density-based algorithm identifies 33 to 62 robust clusters, successfully capturing the subtle distinctions in fiber trajectories with varying levels of granularity. Our framework offers a new, flexible, and quantitative way to analyze myocardial structure, achieving a level of delineation that, to our knowledge, has not been previously achieved, with potential applications in improving surgical planning, characterizing disease-related remodeling, and ultimately, advancing personalized cardiac care.