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Synchronized sensor insoles for clinical gait analysis in home-monitoring applications

Current Directions in Biomedical Engineering 2018年第1期4卷 433-437页

作者： Roth, Nils Martindale, Christine F. Gaßner, Heiko Kohl, Zacharias Klucken, Jochen Eskofer, Bjoern M. Machine Learning and Data Analytics Lab. Department of Computer Science Friedrich-Alexander-University Erlangen-Nürnberg (FAU) Erlangen Germany Department of Molecular Neurology University Hospital Erlangen Germany

Wearable sensor systems are of increasing interest in clinical gait analysis. However, little information about gait dynamics of patients under free living conditions is available, due to the challenges of integrating such systems unobtrusively into a patient's everyday live. To address this limitation, new, fully integrated low power sensor insoles are proposed, to target applications particularly in home-monitoring scenarios. The insoles combine inertial as well as pressure sensors and feature wireless synchronization to acquire biomechanical data of both feet with a mean timing offset of 15.0 μs. The proposed system was evaluated on 15 patients with mild to severe gait disorders against the GAITRite® system as reference. Gait events based on the insoles' pressure sensors were manually extracted to calculate temporal gait features such as double support time and double support. Compared to the reference system a mean error of 0.06 s ± 0.06 s and 3.89 % ± 2.61 % was achieved, respectively. The proposed insoles proved their ability to acquire synchronized gait parameters and address the requirements for home-monitoring scenarios, pushing the boundaries of clinical gait analysis. © 2018 Nils Roth et al.

关键词： Synchronization

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Complementary App-Based Yoga Home Exercise Therapy for Patients With Axial Spondyloarthritis: Usability Study

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JMIR Formative Research 2024年 8卷 e57185页

作者： Grube, Lara Petit, Pascal Vuillerme, Nicolas Nitschke, Marlies Nwosu, Obioma Bertrand Knitza, Johannes Krusche, Martin Seifer, Ann-Kristin Eskofier, Bjoern Schett, Georg Morf, Harriet Department of Internal Medicine 3- Rheumatology & Immunology Universitätsklinikum Erlangen Friedrich-Alexander-Universität Erlangen-Nürnberg Erlangen Germany Deutsches Zentrum Immuntherapie Universitätsklinikum Erlangen Friedrich-Alexander-Universität Erlangen-Nürnberg Erlangen Germany AGEIS Université Grenoble Alpes Grenoble France Institut Universitaire de France Paris France LabCom Telecom4Health Orange Labs & Université Grenoble Alpes CNRS Inria Grenoble France Machine Learning and Data Analytics Lab Department Artificial Intelligence in Biomedical Engineering (AIBE) Friedrich-Alexander-Universität Erlangen-Nürnberg Erlangen Germany Institute for Digital Medicine University Hospital of Giessen and Marburg Philipps-University Marburg Marburg Germany III. Department of Medicine University Medical Center Hamburg-Eppendorf Hamburg Germany Translational Digital Health Group Institute of AI for Health German Research Center for Environmental Health Helmholtz Zentrum München Neuherberg Germany

Background: Axial spondyloarthritis (AS) is a chronic inflammatory rheumatic disease characterized by potentially disabling inflammation of the spine and adjacent joints. Regular exercise is a cornerstone of treatment. However, patients with AS currently have little support. YogiTherapy (MaD Lab) is an app developed to support patients with AS by providing instructions for yoga-based home exercise therapy. Objective: This study aimed to evaluate the usability and acceptance of the newly designed YogiTherapy app for patients with AS. Methods: Patients completed the User Version of the Mobile Application Rating Scale (uMARS) and net promoter score (NPS) questionnaires after the app introduction. Wilcoxon Mann-Whitney rank sum test, chi-square test for count data, and correlation analysis were conducted to examine the usability of the app, acceptance, and patient characteristics. Results: A total of 65 patients with AS (33, 51% female;age: mean 43.3, SD 13.6 years) were included in the study from May 2022 to June 2023. Subsequently, the data were analyzed. Usability was rated moderate, with a mean uMARS of 3.35 (SD 0.47) points on a scale from 0 to 5. The highest-rated uMARS dimension was information (mean 3.88, SD 0.63), followed by functionality (mean 3.84, SD 0.87). Females reported a significantly higher uMARS total score than males (mean 3.47, SD 0.48 vs mean 3.23, SD 0.45;P=.03, Vargha and Delaney A [VDA] 0.66, 95% CI 0.53-0.77). The mean average of the NPS was 6.23 (SD 2.64) points (on a scale from 0 to 10), based on 43% (26/65 nonpromoters, 42% (25/65) indifferent, and 15% (9/65) promoters. A total of 7% (5/65) of those surveyed did not answer the question. When applying the NPS formula, the result is –26%. The NPS showed a positive correlation with the usage of mobile apps (r=0.39;P=.02). uMARS functionality was significantly higher rated by patients younger than 41 years (mean 4.17, SD 0.55 vs mean 3.54, SD 1;P<.001;VDA 0.69, 95% CI 0.56-0.80). Patients consi

关键词： adjacent joints ankylosing spondylitis app apps axial spondylarthritis chronic correlation analysis DHA digital health application digital therapeutics DTx eHealth exercise home exercise joint joints patient patient acceptance patients physical exercise rheumatic disease self-assessment spine spondyloarthritis therapy usability usability study Yoga YogiTherapy

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A Digital Twin to overcome long-time challenges in Photovoltaics

arXiv

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arXiv 2023年

作者： Lüer, Larry Peters, Marius Smith, Ana Sunčana Dorschky, Eva Eskofier, Bjoern M. Liers, Frauke Franke, Jörg Sjarov, Martin Brossog, Matthias Guldi, Dirk Maier, Andreas Brabec, Christoph J. Friedrich-Alexander-Universität Erlangen-Nürnberg Martensstrasse 7 Erlangen91058 Germany Immerwahrstraße 2 Erlangen91058 Germany PULS Group Department of Physics Friedrich-Alexander-Universität Erlangen-Nürnberg IZNF Erlangen Germany Division of Physical Chemistry Ruđer Bošković Institute Bijenička cesta 54 Zagreb Croatia Machine Learning and Data Analytics Lab Friedrich-Alexander-Universität Erlangen-Nürnberg Carl-Thiersch-Straße 2b Bayern Erlangen91052 Germany Friedrich-Alexander-Universität Erlangen-Nürnberg Cauerstr. 11 Erlangen91058 Germany Friedrich-Alexander-Universität Erlangen-Nürnberg Egerlandstr. 7 Erlangen91058 Germany Department of Chemistry and Pharmacy Friedrich-Alexander-Universität Erlangen-Nürnberg Egerlandstr. 3 Erlangen91058 Germany Informatics Department Friedrich-Alexander-Universität Erlangen-Nürnberg Martenstr. 3 Erlangen91058 Germany

The recent successes of emerging photovoltaics (PV) such as organic and perovskite solar cells are largely driven by innovations in material science. However, closing the gap to commercialization still requires significant innovation to match contradicting requirements such as performance, longevity and recyclability. The rate of innovation, as of today, is limited by a lack of design principles linking chemical motifs to functional microscopic structures, and by an incapacity to experimentally access microscopic structures from investigating macroscopic device properties. Both limitations in turn are caused by an individualist approach to learning, not being able to produce consistent datasets large enough to find patterns and physical laws leading us to breakthrough innovations. In this work, we envision a layout of a Digital Twin for PV materials aimed at removing both limitations. The layout combines machine learning approaches, as performed in materials acceleration platforms (MAPs), with mathematical models derived from the underlying physics and digital twin concepts from the engineering world. This layout will allow using high-throughput (HT) experimentation in MAPs to improve the parametrization of quantum chemical and solid-state models. In turn, the improved and generalized models can be used to obtain the crucial structural parameters from HT data. HT experimentation will thus yield a detailed understanding of generally valid structure-property relationships, enabling inverse molecular design, that is, predicting the optimal chemical structure and process conditions to build PV devices satisfying a multitude of requirements at the same time. After motivating our proposed layout of the digital twin with causal relationships in material science, we discuss the current state of the enabling technologies such as model-based inference of hidden parameters, already being able to yield insight from HT data today. However, we identify the multiscale nature of PV

关键词： machine learning

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Lessons Learned from Assessing Trustworthy AI in Practice

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Digital Society 2023年第3期2卷 1-25页

作者： Vetter, Dennis Amann, Julia Bruneault, Frédérick Coffee, Megan Düdder, Boris Gallucci, Alessio Gilbert, Thomas Krendl Hagendorff, Thilo van Halem, Irmhild Hickman, Eleanore Hildt, Elisabeth Holm, Sune Kararigas, Georgios Kringen, Pedro Madai, Vince I. Wiinblad Mathez, Emilie Tithi, Jesmin Jahan Westerlund, Magnus Wurth, Renee Zicari, Roberto V. Computational Vision and Artificial Intelligence Lab Goethe University Frankfurt Frankfurt Am Main Germany Z-Inspection® Initiative Venice Italy Health Ethics and Policy Lab ETH Zurich Zurich Switzerland Strategy and Innovation Careum Foundation Zurich Switzerland Philosophie Departement Collège André-Laurendeau Montréal Canada École Des Médias Université du Québec À Montréal Montréal Canada Department of Medicine Division of Infectious Diseases and Immunology New York University Grossman School of Medicine New York City USA Department of Computer Science University of Copenhagen Copenhagen Denmark Digital Life Initiative Cornell Tech New York City USA Cluster of Excellence “Machine Learning: New Perspectives for Science” University of Tuebingen Tuebingen Germany School of Law University of Bristol Bristol UK Center for the Study of Ethics in the Professions Illinois Institute of Technology Chicago USA Department of Business Management and Analytics Arcada University of Applied Sciences Helsinki Finland Department of Food & Resource Economics University of Copenhagen Copenhagen Denmark Department of Physiology Faculty of Medicine University of Iceland Reykjavik Iceland QUEST Centre for Responsible Research Berlin Institute of Health Charité Universitätsmedizin Berlin Berlin Germany Faculty of Computing Engineering and the Built Environment School of Computing and Digital Technology Birmingham City University Birmingham UK Parallel Computing Labs Intel Santa Clara USA School of Economics Innovation and Technology Kristiania University College Oslo Norway Data Science Graduate School Seoul National University Seoul South Korea

Building artificial intelligence (AI) systems that adhere to ethical standards is a complex problem. Even though a multitude of guidelines for the design and development of such trustworthy AI systems exist, these guidelines focus on high-level and abstract requirements for AI systems, and it is often very difficult to assess if a specific system fulfills these requirements. The Z-Inspection® process provides a holistic and dynamic framework to evaluate the trustworthiness of specific AI systems at different stages of the AI lifecycle, including intended use, design, and development. It focuses, in particular, on the discussion and identification of ethical issues and tensions through the analysis of socio-technical scenarios and a requirement-based framework for ethical and trustworthy AI. This article is a methodological reflection on the Z-Inspection® process. We illustrate how high-level guidelines for ethical and trustworthy AI can be applied in practice and provide insights for both AI researchers and AI practitioners. We share the lessons learned from conducting a series of independent assessments to evaluate the trustworthiness of real-world AI systems, as well as key recommendations and practical suggestions on how to ensure a rigorous trustworthiness assessment throughout the lifecycle of an AI system. The results presented in this article are based on our assessments of AI systems in the healthcare sector and environmental monitoring, where we used the framework for trustworthy AI proposed in the Ethics Guidelines for Trustworthy AI by the European Commission’s High-Level Expert Group on AI. However, the assessment process and the lessons learned can be adapted to other domains and include additional frameworks.

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Correction: contactless radar-based heart rate Estimation in palliative care- a feasibility study and possible use in symptom management

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BMC palliative care 2025年第1期24卷 113页

作者： Stefan G Grießhammer Anke Malessa Hui Lu Julia Yip Julie Leuschner Florian Christgau Nils C Albrecht Marie Oesten Thanh Truc Tran Robert Richer Maria Heckel Bjoern M Eskofier Alexander Koelpin Tobias Steigleder Christoph Ostgathe Department of Palliative Medicine Universitätsklinikum Erlangen Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) Erlangen Germany. stefan.griesshammer@uk-erlangen.de. Department of Palliative Medicine Universitätsklinikum Erlangen Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) Erlangen Germany. Institute of High-Frequency Technology Hamburg University of Technology (TUHH) Hamburg Germany. Chair of Electronics and Sensor Systems Brandenburg University of Technology Cottbus-Senftenberg Cottbus Germany. Machine Learning and Data Analytics Lab Friedrich-Alexander- Universität Erlangen-Nürnberg (FAU) Erlangen Germany.

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Harnessing multimodal approaches for depression detection using large language models and facial expressions

npj Mental Health Research

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npj Mental Health Research 2024年第1期3卷 1-14页

作者： Sadeghi, Misha Richer, Robert Egger, Bernhard Schindler-Gmelch, Lena Rupp, Lydia Helene Rahimi, Farnaz Berking, Matthias Eskofier, Bjoern M. Machine Learning and Data Analytics Lab (MaD Lab) Department Artificial Intelligence in Biomedical Engineering (AIBE) Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) Erlangen 91052 Germany Chair of Visual Computing (LGDV) Department of Computer Science Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) Erlangen 91058 Germany Chair of Clinical Psychology and Psychotherapy (KliPs) Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) Erlangen 91052 Germany Translational Digital Health Group Institute of AI for Health Helmholtz Zentrum München - German Research Center for Environmental Health Neuherberg 85764 Germany

Detecting depression is a critical component of mental health diagnosis, and accurate assessment is essential for effective treatment. This study introduces a novel, fully automated approach to predicting depression severity using the E-DAIC dataset. We employ Large Language Models (LLMs) to extract depression-related indicators from interview transcripts, utilizing the Patient Health Questionnaire-8 (PHQ-8) score to train the prediction model. Additionally, facial data extracted from video frames is integrated with textual data to create a multimodal model for depression severity prediction. We evaluate three approaches: text-based features, facial features, and a combination of both. Our findings show the best results are achieved by enhancing text data with speech quality assessment, with a mean absolute error of 2.85 and root mean square error of 4.02. This study underscores the potential of automated depression detection, showing text-only models as robust and effective while paving the way for multimodal analysis. © The Author(s) 2024.

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Unsupervised harmonic frequency-based gait sequence detection for Parkinson's disease

Unsupervised harmonic frequency-based gait sequence detectio...

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IEEE EMBS International Conference on Information Technology Applications in Biomedicine (ITAB)

作者： Martin Ullrich Julius Hannink Heiko Gaßner Jochen Klucken Bjoern M. Eskofier Felix Kluge Machine Learning and Data Analytics Lab University of Erlangen-Nürnberg (FAU) Erlangen Germany Portabiles HealthCare Technologies GmbH Erlangen Germany Department of Molecular Neurology University Hospital Erlangen Erlangen Germany

Sensor-based gait analysis is a valuable tool in diagnosis and assessment of Parkinson's disease. Especially for large data sets, efficient analysis pipelines are required. Pre-segmentation of long time series into chunks of interest is a possible approach to increase efficiency. Therefore, we developed an unsupervised algorithm for the detection of gait sequences from continuous sensor signals. In the proposed method, gyroscope signals representing the angular rate of the feet are analyzed in the frequency domain using moving windows. A gait sequence was detected, if the frequency spectrum of a given window contained harmonic frequencies. The approach was tested on two data sets that differed in the ratio of clinical gait and cyclic movement tests. Sensitivity in both data sets was higher than 99% in a stride-to-stride comparison with ground truth. The specificity was measured with 76.1% (data set 1) and 94.5% (data set 2) for tests against sequences of other cyclic movements. In conclusion, the algorithm offers a reliable and efficient approach for the detection of gait sequences in time series data and is also promising for the application in long-term home-monitoring scenarios.

关键词： Harmonic analysis Sensitivity Foot Legged locomotion Frequency measurement Parkinson's disease Hospitals

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Increasing the robustness of the automatic IMU calibration for lower Extremity Motion Analysis

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Current Directions in Biomedical Engineering 2018年第1期4卷 439-442页

作者： Küderle, Arne Becker, Sebastian Disselhorst-Klug, Catherine Machine Learning and Data Analytics Lab. University of Erlangen-Nürnberg (FAU) Carl-Thiersch-Strasse 2b Erlangen Germany Department of Rehabilitation and Prevention Engineering Institute of Applied Medical Engineering RWTH Aachen University Aachen Germany

With the advances of IMU-based human motion tracking, joint angle tracking in an home environment has become a realistic goal. Achieving it, could enable novel applications in rehabilitation and sports medicine. However, in existing systems the process of aligning the mounted sensors with the body coordinate system is either not robust enough or to complicated for fully unsupervised usage. In this publication the performance of a promising existing algorithm is evaluated with a range of different calibration motions. Further, an extension to this implementation is proposed, aiming to improve its stability when only non-ideal calibration data is available. It could be validated that the modification of the algorithm can increase the stability and reduce the dependency of the calibration on specific calibration motions. Based on these results, we recommend the proposed extension of the algorithm as a drop-in replacement for the existing implementation. © 2018 Arne Küderle et al.

关键词： Calibration

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Epitopedia: identifying molecular mimicry between pathogens and known immune epitopes

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ImmunoInformatics 2023年 9卷

作者： Christian A Balbin Janelle Nunez-Castilla Vitalii Stebliankin Prabin Baral Masrur Sobhan Trevor Cickovski Ananda Mohan Mondal Giri Narasimhan Prem Chapagain Kalai Mathee Jessica Siltberg-Liberles Department of Biological Sciences College of Arts Science and Education Florida International University Miami United States Bioinformatics Research Group (BioRG) Knight Foundation School of Computing and Information Sciences Florida International University Miami United States Department of Physics College of Arts Science and Education Florida International University Miami United States Machine Learning and Data Analytics Group (MLDAG) Knight Foundation School of Computing and Information Sciences Florida International University Miami United States Biomolecular Sciences Institute Florida International University Miami United States Department of Human and Molecular Genetics Herbert Wertheim College of Medicine Florida International University Miami United States

Upon infection, foreign antigenic proteins stimulate the host's immune system to produce antibodies targeting the pathogen. These antibodies bind to regions on the antigen called epitopes. Structural similarity (molecular mimicry) of epitopes between an infecting pathogen and host proteins or other pathogenic proteins the host has previously encountered can impact the host immune response to the pathogen and may lead to cross-reactive antibodies. The ability to identify potential regions of molecular mimicry in a pathogen can illuminate immune effects which are especially important to pathogen treatment and vaccine design. Here we present Epitopedia, a software pipeline that facilitates the identification of regions that may exhibit potential three-dimensional molecular mimicry between an antigenic pathogen protein and known immune epitopes as catalogued by the Immune Epitope database (IEDB). Epitopedia is open-source software released under the MIT license and is freely available on GitHub, including a Docker container with all other software dependencies preinstalled. We performed an analysis describing how various secondary structure states, identity between pentapeptide pairs, and identity between the parent sequences of pentapeptide pairs affects RMSD. We found that pentapeptides pairs in a helical conformation had considerably lower RMSD values than those in extended or coil conformations. We also found that RMSD is significantly increased when pentapeptide pairs are from non-homologous sequences.

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The state-of-the-art in Cardiac MRI Reconstruction: Results of the CMRxRecon Challenge in MICCAI 2023

arXiv

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arXiv 2024年

作者： Lyu, Jun Qin, Chen Wang, Shuo Wang, Fanwen Li, Yan Wang, Zi Guo, Kunyuan Ouyang, Cheng Tänzer, Michael Liu, Meng Sun, Longyu Sun, Mengting Li, Qin Shi, Zhang Hua, Sha Li, Hao Chen, Zhensen Zhang, Zhenlin Xin, Bingyu Metaxas, Dimitris N. Yiasemis, George Teuwen, Jonas Zhang, Liping Chen, Weitian Pang, Yanwei Liu, Xiaohan Razumov, Artem Dylov, Dmitry V. Dou, Quan Yan, Kang Xue, Yuyang Du, Yuning Dietlmeier, Julia Garcia-Cabrera, Carles Hemidi, Ziad Al-Haj Vogt, Nora Xu, Ziqiang Zhang, Yajing Chu, Ying-Hua Chen, Weibo Bai, Wenjia Zhuang, Xiahai Qin, Jing Wu, Lianmin Yang, Guang Qu, Xiaobo Wang, He Wang, Chengyan Psychiatry Neuroimaging Laboratory Brigham and Women’s Hospital Harvard Medical School 399 Revolution Drive BostonMA02215 United States Department of Electrical and Electronic Engineering & I-X Imperial College London United Kingdom Digital Medical Research Center School of Basic Medical Sciences Fudan University Shanghai China Department of Bioengineering & I-X Imperial College London LondonW12 7SL United Kingdom Cardiovascular Magnetic Resonance Unit Royal Brompton Hospital Guy’s and St Thomas’ NHS Foundation Trust LondonSW3 6NP United Kingdom Department of Radiology Ruijin Hospital Shanghai Jiao Tong University School of Medicine Shanghai China Department of Electronic Science Fujian Provincial Key Laboratory of Plasma and Magnetic Resonance National Institute for Data Science in Health and Medicine Institute of Artificial Intelligence Xiamen University Xiamen361102 China Department of Computing Department of Brain Sciences Imperial College London LondonSW7 2AZ United Kingdom Human Phenome Institute Fudan University 825 Zhangheng Road Pudong New District Shanghai201203 China Department of Radiology Zhongshan Hospital Fudan University Shanghai China Department of Cardiovascular Medicine Ruijin Hospital Lu Wan Branch Shanghai Jiao Tong University School of Medicine Shanghai China Institute of Science and Technology for Brain-Inspired Intelligence Fudan University Shanghai200433 China Department of Computer Science Rutgers University PiscatawayNJ08854 United States AI for Oncology Netherlands Cancer Institute Plesmanlaan 121 Amsterdam1066 CX Netherlands Department of Imaging and Interventional Radiology The Chinese University of Hong Kong Hong Kong TJK-BIIT Lab School of Electrical and Information Engineering Tianjin University Tianjin300072 China Skolkovo Institute Of Science And Technology Center for Artificial Intelligence Technology 30/1 Bolshoy blvd. Moscow121205 Russia Department of Biomedical Engineering University of Virginia

Cardiac magnetic resonance imaging (MRI) provides detailed and quantitative evaluation of the heart’s structure, function, and tissue characteristics with high-resolution spatial-temporal imaging. However, its slow imaging speed and motion artifacts are notable limitations. Undersampling reconstruction, especially data-driven algorithms, has emerged as a promising solution to accelerate scans and enhance imaging performance using highly under-sampled data. Nevertheless, the scarcity of publicly available cardiac k-space datasets and evaluation platform hinder the development of data-driven reconstruction algorithms. To address this issue, we organized the Cardiac MRI Reconstruction Challenge (CMRxRecon) in 2023, in collaboration with the 26th International Conference on Medical Image Computing and Computer-Assisted Intervention (MICCAI). CMRxRecon presented an extensive k-space dataset comprising cine and mapping raw data, accompanied by detailed annotations of cardiac anatomical structures. With overwhelming participation, the challenge attracted more than 285 teams and over 600 participants. Among them, 22 teams successfully submitted Docker containers for the testing phase, with 7 teams submitted for both cine and mapping tasks. All teams use deep learning based approaches, indicating that deep learning has predominately become a promising solution for the problem. The first-place winner of both tasks utilizes the E2E-VarNet architecture as backbones. In contrast, U-Net is still the most popular backbone for both multi-coil and single-coil reconstructions. This paper provides a comprehensive overview of the challenge design, presents a summary of the submitted results, reviews the employed methods, and offers an in-depth discussion that aims to inspire future advancements in cardiac MRI reconstruction models. The summary emphasizes the effective strategies observed in Cardiac MRI reconstruction, including backbone architecture, loss function, pre-processing techn

关键词： Mapping

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