Evidence map›Paper›PMID 31658247›Full record

ArticlePLoS computational biology2019

Scar shape analysis and simulated electrical instabilities in a non-ischemic dilated cardiomyopathy patient cohort.

Gabriel Balaban, Brian P Halliday, Wenjia Bai, Bradley Porter, Carlotta Malvuccio, Pablo Lamata, Christopher A Rinaldi, Gernot Plank, Daniel Rueckert, Sanjay K Prasad and 1 more

Open access · goldAbstract read
In one paragraph

Article in PLoS computational biology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

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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

11 authors at 5 institutions in 3 countries.

Gabriel BalabanDepartment of Informatics, University of Oslo, Oslo, Norway.ORCID 0000-0002-6794-9611
Brian P HallidayNational Heart and Lung Institute, Imperial College, London, United Kingdom.ORCID 0000-0002-5876-1748
Wenjia BaiDepartment of Computing, Imperial College, London, United Kingdom.
Bradley PorterSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Carlotta MalvuccioDepartment of Informatics, King's College London, London, United Kingdom.
Pablo LamataSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.ORCID 0000-0002-3097-4928
Christopher A RinaldiDepartment of Cardiology, Guy's and St. Thomas Hospital Trust, London, United Kingdom.
Gernot PlankInstitute of Biophysics, Medical University of Graz, Graz, Austria.
Daniel RueckertDepartment of Computing, Imperial College, London, United Kingdom.ORCID 0000-0002-5683-5889
Sanjay K PrasadNational Heart and Lung Institute, Imperial College, London, United Kingdom.
Martin J BishopSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.ORCID 0000-0002-6237-1902
King's College London · GBImperial College London · GBMedical University of Graz · ATRoyal Brompton Hospital · GBSt Thomas' Hospital · GB

Funding

British Heart Foundation PG/14/66/30927Department of HealthMedical Research Council MR/ N011007/1Medical Research Council MR/N011007/1Wellcome Trust 209450/Z/17/ZWellcome Trust WT 088641/Z/09/Z
6 · The paper itself

Abstract

This paper presents a morphological analysis of fibrotic scarring in non-ischemic dilated cardiomyopathy, and its relationship to electrical instabilities which underlie reentrant arrhythmias. Two dimensional electrophysiological simulation models were constructed from a set of 699 late gadolinium enhanced cardiac magnetic resonance images originating from 157 patients. Areas of late gadolinium enhancement (LGE) in each image were assigned one of 10 possible microstructures, which modelled the details of fibrotic scarring an order of magnitude below the MRI scan resolution. A simulated programmed electrical stimulation protocol tested each model for the possibility of generating either a transmural block or a transmural reentry. The outcomes of the simulations were compared against morphological LGE features extracted from the images. Models which blocked or reentered, grouped by microstructure, were significantly different from one another in myocardial-LGE interface length, number of components and entropy, but not in relative area and transmurality. With an unknown microstructure, transmurality alone was the best predictor of block, whereas a combination of interface length, transmurality and number of components was the best predictor of reentry in linear discriminant analysis.

Indexed as

Arrhythmias, CardiacCardiomyopathy, DilatedCicatrixCohort StudiesComputer SimulationHumansImage Interpretation, Computer-AssistedLinear ModelsMagnetic Resonance ImagingModels, TheoreticalMyocardial InfarctionMyocardial IschemiaMyocardium

Identifiers

PMID31658247
PMCPMC6837623
OpenAlexW2981446128

What OpenQuestion holds

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Registered trials

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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.