Evidence map›Paper›PMID 33591476›Full record

ArticleThe international journal of cardiovascular imaging2021

Deep-learning-based cardiac amyloidosis classification from early acquired pet images.

Maria Filomena Santarelli, Dario Genovesi, Vincenzo Positano, Michele Scipioni, Giuseppe Vergaro, Brunella Favilli, Assuero Giorgetti, Michele Emdin, Luigi Landini, Paolo Marzullo

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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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Article
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  10. 2022 Artificial intelligence primer for the nuclear cardiologist.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Review
  11. Article
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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

10 authors.

Maria Filomena SantarelliCNR Institute of Clinical Physiology, CNR Research Area-Via Moruzzi, 1, 56124, Pisa, Italy. mariafilomena.santarelli@cnr.it.ORCID http://orcid.org/0000-0001-8332-7006
Dario GenovesiFondazione Toscana "G. Monasterio", Pisa, Italy.ORCID http://orcid.org/0000-0002-8958-4385
Vincenzo PositanoFondazione Toscana "G. Monasterio", Pisa, Italy.ORCID http://orcid.org/0000-0001-6955-9572
Michele ScipioniAthinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-7625-7502
Giuseppe VergaroScuola Universitaria Superiore 'S. Anna", Pisa, Italy.
Brunella FavilliFondazione Toscana "G. Monasterio", Pisa, Italy.
Assuero GiorgettiFondazione Toscana "G. Monasterio", Pisa, Italy.ORCID http://orcid.org/0000-0001-5016-3826
Michele EmdinScuola Universitaria Superiore 'S. Anna", Pisa, Italy.ORCID http://orcid.org/0000-0002-8541-1962
Luigi LandiniDipartimento di Ingegneria Dell'Informazione: DII, Pisa University, Pisa, Italy.ORCID http://orcid.org/0000-0002-2534-2651
Paolo MarzulloFondazione Toscana "G. Monasterio", Pisa, Italy.ORCID http://orcid.org/0000-0002-8612-1422

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of the present work was to evaluate the potential of deep learning tools for characterizing the presence of cardiac amyloidosis from early acquired PET images, i.e. 15 min after [18F]-Florbetaben tracer injection. 47 subjects were included in the study: 13 patients with transthyretin-related amyloidosis cardiac amyloidosis (ATTR-CA), 15 patients with immunoglobulin light-chain amyloidosis (AL-CA), and 19 control-patients (CTRL). [18F]-Florbetaben PET/CT images were acquired in list mode and data was sorted into a sinogram, covering a time interval of 5 min starting 15 min after the injection. The resulting sinogram was reconstructed using OSEM iterative algorithm. A deep convolutional neural network (CAclassNet) was designed and implemented, consisting of five 2D convolutional layers, three fully connected layers and a final classifier returning AL, ATTR and CTRL scores. A total of 1107 2D images (375 from AL-subtype patients, 312 from ATTR-subtype, and 420 from Controls) have been considered in the study and used to train, validate and test the proposed network. CAclassNet cross-validation resulted with train error mean ± sd of 2.001% ± 0.96%, validation error of 4.5% ± 2.26%, and net accuracy of 95.49% ± 2.26%. Network test error resulted in a mean ± sd values of 10.73% ± 0.76%. Sensitivity, specificity, and accuracy evaluated on the test dataset were respectively for AL-CA sub-type: 1, 0.912, 0.936; for ATTR-CA: 0.935, 0.897, 0.972; for control subjects: 0.809, 0.971, 0.909. In conclusion, the proposed CAclassNet model seems very promising as an aid for the clinician in the diagnosis of CA from cardiac [18F]-Florbetaben PET images acquired a few minutes after the injection.

Indexed as

AmyloidosisDeep LearningImmunoglobulin Light-chain AmyloidosisHumansPositron Emission Tomography Computed TomographyPredictive Value of Tests[18F]-florbetabenAmyloid light chain (AL)Amyloid transthyretin (ATTR)Cardiac amyloidosisConvolutional neural networkDeep learning

Identifiers

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.