Cardiac MRI allows for a comprehensive assessment of myocardial structure, function, and tissue characteristics. Here we describe a foundational vision system for cardiac MRI, capable of representing the breadth of human cardiovascular disease and health. Our deep learning model is trained via self-supervised contrastive learning, by which visual concepts in cine-sequence cardiac MRI scans are learned from the raw text of the accompanying radiology reports. We train and evaluate our model on data from four large academic clinical institutions in the United States. We additionally showcase the performance of our models on the UK BioBank, and two additional publicly available external datasets. We explore emergent zero-shot capabilities of our system, and demonstrate remarkable performance across a range of tasks; including the problem of left ventricular ejection fraction regression, and the diagnosis of 35 different conditions such as cardiac amyloidosis and hypertrophic cardiomyopathy. We show that our deep learning system is capable of not only understanding the staggering complexity of human cardiovascular disease, but can be directed towards clinical problems of interest yielding impressive, clinical grade diagnostic accuracy with a fraction of the training data typically required for such tasks.
Convolution is one of the most computationally intensive operations that must be performed for machine-learning model inference. A traditional approach to compute convolutions is known as the Im2Col + BLAS method. This paper proposes SConv: a direct-convolution algorithm based on a MLIR/LLVM code-generation toolchain that can be integrated into machine-learning compilers . This algorithm introduces: (a) Convolution Slicing Analysis (CSA) - a convolution-specific 3D cache-blocking analysis pass that focuses on tile reuse over the cache hierarchy; (b) Convolution Slicing Optimization (CSO) - a code-generation pass that uses CSA to generate a tiled direct-convolution macro-kernel; and (c) Vector-Based Packing (VBP) - an architecture-specific optimized input-tensor packing solution based on vector-register shift instructions for convolutions with unitary stride. Experiments conducted on 393 convolutions from full ONNX-MLIR machine-learning models indicate that the elimination of the Im2Col transformation and the use of fast packing routines result in a total packing time reduction, on full model inference, of 2.0x - 3.9x on Intel x86 and 3.6x - 7.2x on IBM POWER10. The speed-up over an Im2Col + BLAS method based on current BLAS implementations for end-to-end machine-learning model inference is in the range of 9% - 25% for Intel x86 and 10% - 42% for IBM POWER10 architectures. The total convolution speedup for model inference is 12% - 27% on Intel x86 and 26% - 46% on IBM POWER10. SConv also outperforms BLAS GEMM, when computing pointwise convolutions, in more than 83% of the 219 tested instances.