Evidence map›Paper›PMID 33211237›Full record

ArticleThe international journal of cardiovascular imaging2021

Automated estimation of echocardiogram image quality in hospitalized patients.

Christina Luong, Zhibin Liao, Amir Abdi, Hany Girgis, Robert Rohling, Kenneth Gin, John Jue, Darwin Yeung, Elena Szefer, Darby Thompson and 5 more

Abstract read
PubMed Publisher
In one paragraph

Article in The international journal of cardiovascular imaging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 23 citations in OpenAlex.

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  11. Assisted probe guidance in cardiac ultrasound: A review.Frontiers in cardiovascular medicine · 2023
    Review
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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

15 authors at 1 institution in 1 country.

Christina Luong *Division of Cardiology, University of British Columbia, Vancouver, BC, Canada.
Zhibin Liao *Department of Electrical and Computer Engineering, University of British Columbia, Vancouver, BC, Canada.
Amir Abdi *Department of Electrical and Computer Engineering, University of British Columbia, Vancouver, BC, Canada.
Hany GirgisDivision of Cardiology, University of British Columbia, Vancouver, BC, Canada.
Robert RohlingDepartment of Electrical and Computer Engineering, University of British Columbia, Vancouver, BC, Canada.
Kenneth GinDivision of Cardiology, University of British Columbia, Vancouver, BC, Canada.
John JueDivision of Cardiology, University of British Columbia, Vancouver, BC, Canada.
Darwin YeungDivision of Cardiology, University of British Columbia, Vancouver, BC, Canada.
Elena SzeferEmmes Canada, Burnaby, BC, Canada.
Darby ThompsonEmmes Canada, Burnaby, BC, Canada.
Michael Yin-Cheung TsangDivision of Cardiology, University of British Columbia, Vancouver, BC, Canada.
Pui Kee LeeDivision of Cardiology, University of British Columbia, Vancouver, BC, Canada.
Parvathy NairDivision of Cardiology, University of British Columbia, Vancouver, BC, Canada.
Purang Abolmaesumi *Department of Electrical and Computer Engineering, University of British Columbia, Vancouver, BC, Canada.
Teresa S M Tsang *Division of Cardiology, University of British Columbia, Vancouver, BC, Canada. t.tsang@ubc.ca.
University of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We developed a machine learning model for efficient analysis of echocardiographic image quality in hospitalized patients. This study applied a machine learning model for automated transthoracic echo (TTE) image quality scoring in three inpatient groups. Our objectives were: (1) Assess the feasibility of a machine learning model for echo image quality analysis, (2) Establish the comprehensiveness of real-world TTE reporting by clinical group, and (3) Determine the relationship between machine learning image quality and comprehensiveness of TTE reporting. A machine learning model was developed and applied to TTEs from three matched cohorts for image quality of nine standard views. Case TTEs were comprehensive studies in mechanically ventilated patients between 01/01/2010 and 12/31/2015. For each case TTE, there were two matched spontaneously breathing controls (Control 1: Inpatients scanned in the lab and Control 2: Portable studies). We report the overall mean maximum and view specific quality scores for each TTE. The comprehensiveness of an echo report was calculated as the documented proportion of 12 standard parameters. An inverse probability weighted regression model was fit to determine the relationship between machine learning quality score and the completeness of a TTE report. 175 mechanically ventilated TTEs were included with 350 non-intubated samples (175 Control 1: Lab and 175 Control 2: Portable). In total, the machine learning model analyzed 14,086 echo video clips for quality. The overall accuracy of the model with regard to the expert ground truth for the view classification was 87.0%. The overall mean maximum quality score was lower for mechanically ventilated TTEs (0.55 [95% CI 0.54, 0.56]) versus 0.61 (95% CI 0.59, 0.62) for Control 1: Lab and 0.64 (95% CI 0.63, 0.66) for Control 2: Portable; p = 0.002. Furthermore, mechanically ventilated TTE reports were the least comprehensive, with fewer reported parameters. The regression model demonstrated the correlation of echo image quality and completeness of TTE reporting regardless of the clinical group. Mechanically ventilated TTEs were of inferior quality and clinical utility compared to spontaneously breathing controls and machine learning derived image quality correlates with completeness of TTE reporting regardless of the clinical group.

Indexed as

EchocardiographyHospitalizationImage Interpretation, Computer-AssistedMachine LearningAdultAgedAged, 80 and overAutomationCase-Control StudiesFeasibility StudiesFemaleHumansInpatientsMaleMiddle AgedPredictive Value of TestsArtificial intelligenceEchocardiographyMachine learning

Identifiers

PMID33211237
OpenAlexW3102448571

What OpenQuestion holds

Textmetadata
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.