Evidence map›Paper›PMID 31308376›Full record

ArticleNature communications2019

Weakly supervised classification of aortic valve malformations using unlabeled cardiac MRI sequences.

Jason A Fries, Paroma Varma, Vincent S Chen, Ke Xiao, Heliodoro Tejeda, Priyanka Saha, Jared Dunnmon, Henry Chubb, Shiraz Maskatia, Madalina Fiterau and 4 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
10.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Deep learning with noisy labels in medical prediction problems: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Adaptation of Autoencoder for Sparsity Reduction From Clinical Notes Representation Learning.IEEE journal of translational engineering in health and medicine · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Weakly Supervised Classification of Vital Sign Alerts as Real or Artifact.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022
    Article
  20. AI in health and medicine.Nature medicine · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Jason A FriesDepartment of Computer Science, Stanford University, Stanford, CA, 94305, USA. jason-fries@stanford.edu.ORCID http://orcid.org/0000-0001-9316-5768
Paroma VarmaDepartment of Electrical Engineering, Stanford University, Palo Alto, CA, 94305, USA.ORCID http://orcid.org/0000-0002-9035-2506
Vincent S ChenDepartment of Computer Science, Stanford University, Stanford, CA, 94305, USA.ORCID http://orcid.org/0000-0003-1320-120X
Ke XiaoDepartment of Pediatrics, Stanford University, Stanford, CA, 94304, USA.ORCID http://orcid.org/0000-0001-6453-0420
Heliodoro TejedaDepartment of Pediatrics, Stanford University, Stanford, CA, 94304, USA.
Priyanka SahaDepartment of Pediatrics, Stanford University, Stanford, CA, 94304, USA.
Jared DunnmonDepartment of Computer Science, Stanford University, Stanford, CA, 94305, USA.
Henry ChubbDepartment of Pediatrics, Stanford University, Stanford, CA, 94304, USA.
Shiraz MaskatiaDepartment of Pediatrics, Stanford University, Stanford, CA, 94304, USA.
Madalina FiterauDepartment of Computer Science, Stanford University, Stanford, CA, 94305, USA.
Scott DelpDepartment of Bioengineering, Stanford University, Palo Alto, CA, 94305, USA.
Euan AshleyDepartment of Medicine, Stanford University, Stanford, CA, 94304, USA.ORCID http://orcid.org/0000-0001-9418-9577
Christopher RéDepartment of Computer Science, Stanford University, Stanford, CA, 94305, USA.
James R PriestDepartment of Pediatrics, Stanford University, Stanford, CA, 94304, USA.ORCID http://orcid.org/0000-0002-8349-4784
Stanford University · USChan Zuckerberg Biohub San Francisco · USPalo Alto University · US

Funding

Training CoreU54EB020405 · NIBIB · STANFORD UNIVERSITY · PI DELP, SCOTT L · 2014 to 2018
$11.6M
Medical Research Council MC_PC_17228Medical Research Council MC_QA137853NIBIB NIH HHS U54 EB020405
6 · The paper itself

Abstract

Biomedical repositories such as the UK Biobank provide increasing access to prospectively collected cardiac imaging, however these data are unlabeled, which creates barriers to their use in supervised machine learning. We develop a weakly supervised deep learning model for classification of aortic valve malformations using up to 4,000 unlabeled cardiac MRI sequences. Instead of requiring highly curated training data, weak supervision relies on noisy heuristics defined by domain experts to programmatically generate large-scale, imperfect training labels. For aortic valve classification, models trained with imperfect labels substantially outperform a supervised model trained on hand-labeled MRIs. In an orthogonal validation experiment using health outcomes data, our model identifies individuals with a 1.8-fold increase in risk of a major adverse cardiac event. This work formalizes a deep learning baseline for aortic valve classification and outlines a general strategy for using weak supervision to train machine learning models using unlabeled medical images at scale.

Indexed as

Machine LearningAortic ValveHeart DiseasesHeart Valve DiseasesHumansMagnetic Resonance ImagingNeural Networks, ComputerSupervised Machine Learning

Identifiers

PMID31308376
PMCPMC6629670
OpenAlexW2957824372

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.