EchoTracker2: Enhancing Myocardial Point Tracking by Modeling Local Motion

Myocardial point tracking (MPT) has recently emerged as a promising direction for motion estimation in echocardiography, driven by advances in general-purpose point tracking methods. However, myocardial motion fundamentally differs from motion encountered in natural videos, as it arises from physiologically constrained deformation that is spatially and temporally continuous throughout the cardiac cycle. Consequently, motion trajectories typically remain locally confined despite substantial tissue deformation. Motivated by these properties, we revisit the architectural design for MPT and find that coarse initialization in commonly used two-stage coarse-to-fine architectures may be unnecessary in this domain. In this work, we propose a fine-stage-only architecture, \textbf{EchoTracker2}, which enriches pixel-precise features with local spatiotemporal context and integrates them with long-range joint temporal reasoning for robust tracking. Experimental results across in-distribution, out-of-distribution (OOD), and public synthetic datasets show that our model improves position accuracy by $6.5\%$ and reduces median trajectory error by $12.2\%$ relative to a domain-specific state-of-the-art (SOTA) model. Compared to the best general-purpose point tracking method, the improvements are $2.0\%$ and $5.3\%$, respectively. Moreover, EchoTracker2 shows better agreement with expert-derived global longitudinal strain (GLS) and enhances test-rest reproducibility. Source code will be available at: https://github.com/riponazad/ptecho.

Low Complexity Point Tracking of the Myocardium in 2D Echocardiography

Deep learning methods for point tracking are applicable in 2D echocardiography, but do not yet take advantage of domain specifics that enable extremely fast and efficient configurations. We developed MyoTracker, a low-complexity architecture (0.3M parameters) for point tracking in echocardiography. It builds on the CoTracker2 architecture by simplifying its components and extending the temporal context to provide point predictions for the entire sequence in a single step. We applied MyoTracker to the right ventricular (RV) myocardium in RV-focused recordings and compared the results with those of CoTracker2 and EchoTracker, another specialized point tracking architecture for echocardiography. MyoTracker achieved the lowest average point trajectory error at 2.00 $\pm$ 0.53 mm. Calculating RV Free Wall Strain (RV FWS) using MyoTracker's point predictions resulted in a -0.3$\%$ bias with 95$\%$ limits of agreement from -6.1$\%$ to 5.4$\%$ compared to reference values from commercial software. This range falls within the interobserver variability reported in previous studies. The limits of agreement were wider for both CoTracker2 and EchoTracker, worse than the interobserver variability. At inference, MyoTracker used 67$\%$ less GPU memory than CoTracker2 and 84$\%$ less than EchoTracker on large sequences (100 frames). MyoTracker was 74 times faster during inference than CoTracker2 and 11 times faster than EchoTracker with our setup. Maintaining the entire sequence in the temporal context was the greatest contributor to MyoTracker's accuracy. Slight additional gains can be made by re-enabling iterative refinement, at the cost of longer processing time.