Heart Failure Prediction using Modal Decomposition and Masked Autoencoders for Scarce Echocardiography Databases

Heart diseases constitute the main cause of international human defunction. According to the World Health Organization (WHO), approximately 18 million deaths happen each year due to precisely heart diseases. In particular, heart failures (HF) press the healthcare industry to develop systems for their early, rapid and effective prediction. In this work, an automatic system which analyses in real-time echocardiography video sequences is proposed for the challenging and more specific task of prediction of heart failure times. This system is based on a novel deep learning framework, and works in two stages. The first one transforms the data included in a database of echocardiography video sequences into a machine learning-compatible collection of annotated images which can be used in the training phase of any kind of machine learning-based framework, including a deep learning one. This initial stage includes the use of the Higher Order Dynamic Mode Decomposition (HODMD) algorithm for both data augmentation and feature extraction. The second stage is focused on building and training a Vision Transformer (ViT). Self-supervised learning (SSL) methods, which have been so far barely explored in the literature about heart failure prediction, are applied to effectively train the ViT from scratch, even with scarce databases of echocardiograms. The designed neural network analyses images from echocardiography sequences to estimate the time in which a heart failure will happen. The results obtained show the efficacy of the HODMD algorithm and the superiority of the proposed system with respect to several established ViT and Convolutional Neural Network (CNN) architectures.