Evidence map›Paper›PMID 33850245›Full record

ArticleScientific reports2021

Accessory pathway analysis using a multimodal deep learning model.

Makoto Nishimori, Kunihiko Kiuchi, Kunihiro Nishimura, Kengo Kusano, Akihiro Yoshida, Kazumasa Adachi, Yasutaka Hirayama, Yuichiro Miyazaki, Ryudo Fujiwara, Philipp Sommer and 8 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. [Wolff-Parkinson-White syndrome : Comparison of different algorithms].Herzschrittmachertherapie & Elektrophysiologie · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. Beyond traditional orthopaedic data analysis: AI, multimodal models and continuous monitoring.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Review
  9. A computational study on the influence of antegrade accessory pathway location on the 12-lead electrocardiogram in Wolff-Parkinson-White syndrome.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Article
  10. Review of multimodal machine learning approaches in healthcare.An international journal on information fusion · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. EASY-WPW: a novel ECG-algorithm for easy and reliable localization of manifest accessory pathways in children and adults.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. 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

18 authors at 7 institutions in 2 countries.

Makoto NishimoriDivision of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Hospital, 7-5-2, Kusunoki-Cho, Chuo-Ku, Kobe, Japan.
Kunihiko KiuchiDivision of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Hospital, 7-5-2, Kusunoki-Cho, Chuo-Ku, Kobe, Japan. kiuchi@med.kobe-u.ac.jp.
Kunihiro NishimuraPreventive Medicine and Epidemiology, National Cerebral and Cardiovascular Center Research Institute, Suita, Japan.
Kengo KusanoDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Japan.
Akihiro YoshidaKita-Harima Medical Center, Ono, Japan.
Kazumasa AdachiAkashi Medical Center, Akashi, Japan.
Yasutaka HirayamaAkashi Medical Center, Akashi, Japan.
Yuichiro MiyazakiAkashi Medical Center, Akashi, Japan.
Ryudo FujiwaraSaiseikai Nakatsu Hospital, Osaka, Japan.
Philipp SommerClinic of Electrophysiology, Heart and Diabetes Center NRW, University Hospital of Ruhr-University Bochum, Bochum, Germany.
Mustapha El HamritiClinic of Electrophysiology, Heart and Diabetes Center NRW, University Hospital of Ruhr-University Bochum, Bochum, Germany.
Hiroshi ImadaAko City Hospital, Ako, Japan.
Makoto TakemotoDivision of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Hospital, 7-5-2, Kusunoki-Cho, Chuo-Ku, Kobe, Japan.
Mitsuru TakamiDivision of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Hospital, 7-5-2, Kusunoki-Cho, Chuo-Ku, Kobe, Japan.
Masakazu ShinoharaDivision of Epidemiology, Kobe University Graduate School of Medicine, Kobe, Japan.
Ryuji TohDivision of Evidence-Based Labolatory Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
Koji FukuzawaDivision of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Hospital, 7-5-2, Kusunoki-Cho, Chuo-Ku, Kobe, Japan.
Ken-Ichi HirataDivision of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Hospital, 7-5-2, Kusunoki-Cho, Chuo-Ku, Kobe, Japan.
Kobe University Hospital · JPAkashi Medical Center · JPKobe University · JPNational Cerebral and Cardiovascular Center · JPRuhr University Bochum · DESaiseikai Nakatsu Hospital · JPTokyo-Kita Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac accessory pathways (APs) in Wolff-Parkinson-White (WPW) syndrome are conventionally diagnosed with decision tree algorithms; however, there are problems with clinical usage. We assessed the efficacy of the artificial intelligence model using electrocardiography (ECG) and chest X-rays to identify the location of APs. We retrospectively used ECG and chest X-rays to analyse 206 patients with WPW syndrome. Each AP location was defined by an electrophysiological study and divided into four classifications. We developed a deep learning model to classify AP locations and compared the accuracy with that of conventional algorithms. Moreover, 1519 chest X-ray samples from other datasets were used for prior learning, and the combined chest X-ray image and ECG data were put into the previous model to evaluate whether the accuracy improved. The convolutional neural network (CNN) model using ECG data was significantly more accurate than the conventional tree algorithm. In the multimodal model, which implemented input from the combined ECG and chest X-ray data, the accuracy was significantly improved. Deep learning with a combination of ECG and chest X-ray data could effectively identify the AP location, which may be a novel deep learning model for a multimodal model.

Indexed as

Deep LearningElectrocardiographyWolff-Parkinson-White SyndromeAccessory Atrioventricular BundleAdolescentAdultAlgorithmsFemaleHumansMaleMiddle AgedNeural Networks, ComputerRadiography, ThoracicRetrospective StudiesYoung Adult

Identifiers

PMID33850245
PMCPMC8044112
OpenAlexW3153585807

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.