Evidence map›Paper›PMID 32268274›Full record

ArticleEBioMedicine2020

A low-cost texture-based pipeline for predicting myocardial tissue remodeling and fibrosis using cardiac ultrasound.

Nobuyuki Kagiyama, Sirish Shrestha, Jung Sun Cho, Muhammad Khalil, Yashbir Singh, Abhiram Challa, Grace Casaclang-Verzosa, Partho P Sengupta

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06062316 (Early Warning Model of Myocardial Remodeling After Acute Myocardial Infarction Based on Multimodal Feature Structure Technology), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.9field-weighted citation impact, top 5% 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.

NCT06062316 unknown statusnot on this mapstarted 2022, after this paper: background citation

Early Warning Model of Myocardial Remodeling After Acute Myocardial Infarction Based on Multimodal Feature Structure Technology

TypeobservationalSponsorXuanwu Hospital, BeijingRan2022 to 2024Enrolled4,000ConditionsMyocardial Infarction
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 52 citations in OpenAlex.

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  20. Echocardiographic Advances in Dilated Cardiomyopathy.Journal of clinical medicine · 2021
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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

8 authors at 1 institution in 1 country.

Nobuyuki KagiyamaWest Virginia University Heart and Vascular Institute, 1 Medical Center Drive, Morgantown, WV 26506, USA.
Sirish ShresthaWest Virginia University Heart and Vascular Institute, 1 Medical Center Drive, Morgantown, WV 26506, USA.
Jung Sun ChoWest Virginia University Heart and Vascular Institute, 1 Medical Center Drive, Morgantown, WV 26506, USA.
Muhammad KhalilWest Virginia University Heart and Vascular Institute, 1 Medical Center Drive, Morgantown, WV 26506, USA.
Yashbir SinghWest Virginia University Heart and Vascular Institute, 1 Medical Center Drive, Morgantown, WV 26506, USA.
Abhiram ChallaWest Virginia University Heart and Vascular Institute, 1 Medical Center Drive, Morgantown, WV 26506, USA.
Grace Casaclang-VerzosaWest Virginia University Heart and Vascular Institute, 1 Medical Center Drive, Morgantown, WV 26506, USA.
Partho P SenguptaWest Virginia University Heart and Vascular Institute, 1 Medical Center Drive, Morgantown, WV 26506, USA. Electronic address: partho.sengupta@wvumedicine.org.
West Virginia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaturation of ultrasound myocardial tissue characterization may have far-reaching implications as a widely available alternative to cardiac magnetic resonance (CMR) for risk stratification in left ventricular (LV) remodeling.

methodsWe extracted 328 texture-based features of myocardium from still ultrasound images. After we explored the phenotypes of myocardial textures using unsupervised similarity networks, global LV remodeling parameters were predicted using supervised machine learning models. Separately, we also developed supervised models for predicting the presence of myocardial fibrosis using another cohort who underwent cardiac magnetic resonance (CMR). For the prediction, patients were divided into a training and test set (80:20).

findingsTexture-based tissue feature extraction was feasible in 97% of total 534 patients. Interpatient similarity analysis delineated two patient groups based on the texture features: one group had more advanced LV remodeling parameters compared to the other group. Furthermore, this group was associated with a higher incidence of cardiac deaths (p = 0.001) and major adverse cardiac events (p < 0.001). The supervised models predicted reduced LV ejection fraction (<50%) and global longitudinal strain (<16%) with area under the receiver-operator-characteristics curves (ROC AUC) of 0.83 and 0.87 in the hold-out test set, respectively. Furthermore, the presence of myocardial fibrosis was predicted from only ultrasound myocardial texture with an ROC AUC of 0.84 (sensitivity 86.4% and specificity 83.3%) in the test set.

interpretationUltrasound texture-based myocardial tissue characterization identified phenotypic features of LV remodeling from still ultrasound images. Further clinical validation may address critical barriers in the adoption of ultrasound techniques for myocardial tissue characterization.

fundingNone.

Indexed as

AgedCosts and Cost AnalysisEchocardiographyFemaleFibrosisHeart DiseasesHumansMaleMiddle AgedMyocardiumSensitivity and SpecificityUnsupervised Machine LearningVentricular RemodelingClusteringEchocardiographyMachine learningRadiomicsTissue characterization

Identifiers

PMID32268274
PMCPMC7139137
OpenAlexW3014163460

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.