Cardiac function evaluation necessitates continuous, non-invasive monitoring, a capability limited in MRI. Millimeter-wave (mmWave) radar and its Synthetic Aperture Radar (SAR) mode offer a privacy-preserving and portable point-of-care clinical applications. However, reconstructing high-fidelity 3D cardiac geometry from SAR remains an open challenge. Traditional radar methods generate sparse point clouds that lack continuous surface topology. Meanwhile, direct application of optical reconstruction networks performs poorly due to the severe speckle noise and ambiguous boundaries inherent in SAR images. To bridge this gap, we propose SAR2Mesh, a novel framework that reformulates the task as a coarse-to-fine mesh deformation process. By initializing with a topological template, our approach explicitly preserves anatomical connectivity through progressive mesh deformation.We introduce a geometry-aware feature projection module to extract multi-view features via 3D-to-2D sampling, and a physics-informed radar loss to enforce consistency between the predicted geometry and raw radar echoes. Furthermore, we present Cardiac Mesh-SAR, the first large-scale paired SAR-mesh dataset. Extensive experiments demonstrate that SAR2Mesh significantly outperforms existing image-based baselines, achieving accurate and physically consistent cardiac reconstructions.
Building patient-specific cardiac models sits at the heart of precision cardiology, yet getting those models into clinical use keeps running into the same wall: mesh generation is slow, messy, and frustrating. The standard workflow -- segmenting the image, running Marching Cubes, and then manually cleaning up the result -- is time-consuming, inconsistent across operators, and demands specialist knowledge most clinical teams do not have. We take a fundamentally different approach. Instead of treating segmentation and mesh generation as two separate problems, we train a single end-to-end network that goes directly from a raw 3D medical image to a smooth, simulation-ready cardiac surface mesh. The core is a 3D Swin Transformer encoder-decoder that extracts volumetric features from CT or MRI volumes, paired with a Graph Attention Network (GAT) head that iteratively deforms a template mesh to fit the patient's cardiac boundary. We tested on the MM-WHS 2017 benchmark using both CT and MRI. Segmentation scores were competitive (Dice of 0.84 on CT, 0.83 on MRI), but the primary focus is mesh quality: mean Chamfer distance of 1.8 mm, with 95th-percentile surface distance below 5 mm. Every mesh is produced in a single forward pass -- no Marching Cubes, no smoothing filters, no manual cleanup. We argue that for cardiac digital twin pipelines, geometric fidelity and topological correctness matter more than pixel-level Dice scores. By removing the post-processing bottleneck, this approach makes patient-specific cardiac simulation substantially more accessible for clinical use.
Abhishek H S, Akash Ganamukhi, Abhimanyu Suresh +3
Cardiovascular diseases (CVDs) remain a leading cause of death globally, necessitating continuous, accurate non-invasive cardiac monitoring. While non-contact radar-based approaches show great promise, they often employ a single "distortion-driven" or "perception-driven" paradigm, frequently facing a trade-off between "low distortion but weak semantic information" and "high perceptual fidelity but poor interpretability." To address this, we propose a Three-stage Distortion-Perception Pre-Training Model (TriDP-PTM), a radar-based multi-scale fusion dual-path framework that systematically compares the "direct radar-to-task" path against an "indirect radar-to-ECG-to-task" path. By integrating an ECG generator with a feature discriminator to form a composite loss function, our approach effectively incorporates medical priors - such as ECG morphology and rhythm - into downstream tasks. Through empirical analysis, we reveal that this trade-off manifests in three distinct phases (Positive-Sum, Coopetitive, and Negative-Sum), showing optimal downstream clinical accuracy typically emerges in the coopetitive stage. Extensive experiments on a dataset involving 30 subjects across 5 physiological states reveal that the indirect path consistently outperforms the direct path in diverse tasks, achieving 0.80 mean IoU in waveform segmentation, 98.3% average classification accuracy across four tasks, and a 56% MAE reduction in blood pressure regression compared to the strongest baselines. These findings validate our framework and indicate that, within the indirect radar-to-ECG pathway, appropriately weighting distortion and perception losses to operate in the coopetitive regime is critical for achieving both clinically interpretable ECG morphology and strong downstream accuracy in non-contact cardiac monitoring.
Reconstructing 4D (3D+t) cardiac geometry from sparse 2D echocardiography is highly desirable yet fundamentally challenged by geometric ambiguity and temporal discontinuity. To tackle these issues, we propose Echo4DIR, a novel test-time 4D implicit reconstruction framework. Specifically, we learn robust 3D shape priors from statistical shape models (SSMs) via a cardiac conditional SDF, constructing an Epipolar Mask Encoder module with epipolar cross attention to effectively fuse multi-view features. To bridge the synthetic-to-real domain gap, we introduce a self-supervised SDF-tailored differentiable rendering strategy for patient-specific 3D shape adaptation using uncalibrated clinical masks without requiring 3D ground truth. Crucially, the inherent continuity of implicit representation overcomes sparse observations, enabling anatomically reliable geometry at arbitrary resolutions. Furthermore, to empower our framework with physically continuous 4D extension, we introduce a Radial SDF Alignment strategy that strictly locks shape evolution to the predicted velocity field, fundamentally eliminating mesh drift. Extensive experiments on synthetic benchmarks and real clinical datasets demonstrate that Echo4DIR achieves state-of-the-art 4D cardiac mesh reconstruction, notably yielding an impressive clinical overlap of up to 98.35% Dice and 96.75% IoU.