Evidence map›Paper›PMID 34830612›Full record

ArticleJournal of clinical medicine2021

Artificial Intelligence Supports Decision Making during Open-Chest Surgery of Rare Congenital Heart Defects.

Francesco Paolo Lo Muzio, Giacomo Rozzi, Stefano Rossi, Giovanni Battista Luciani, Ruben Foresti, Aderville Cabassi, Lorenzo Fassina, Michele Miragoli

Abstract read
In one paragraph

Article in Journal of clinical medicine, 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. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Video analysis ofFrontiers in cardiovascular medicine · 2023
    Article
  12. Article
  13. Article
  14. The future of Cardiothoracic surgery in Artificial intelligence.Annals of medicine and surgery (2012) · 2022
    Review
  15. Article
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.

Francesco Paolo Lo MuzioDepartment of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, 37134 Verona, Italy.ORCID 0000-0002-4730-2458
Giacomo RozziDepartment of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, 37134 Verona, Italy.ORCID 0000-0002-5085-4819
Stefano RossiDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.ORCID 0000-0003-0346-8410
Giovanni Battista LucianiDepartment of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, 37134 Verona, Italy.
Ruben ForestiDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.ORCID 0000-0002-1060-978X
Aderville CabassiDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Lorenzo FassinaDepartment of Electrical, Computer and Biomedical Engineering (DIII), University of Pavia, 27100 Pavia, Italy.ORCID 0000-0002-5587-4632
Michele MiragoliDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.ORCID 0000-0002-4058-4368

Funding

Ministry of Education, Universities and Research 2017AXL54F_002University of Parma FIL 2018-2021
6 · The paper itself

Abstract

The human right ventricle is barely monitored during open-chest surgery due to the absence of intraoperative imaging techniques capable of elaborating its complex function. Accordingly, artificial intelligence could not be adopted for this specific task. We recently proposed a video-based approach for the real-time evaluation of the epicardial kinematics to support medical decisions. Here, we employed two supervised machine learning algorithms based on our technique to predict the patients' outcomes before chest closure. Videos of the beating hearts were acquired before and after pulmonary valve replacement in twelve Tetralogy of Fallot patients and recordings were properly labeled as the "unhealthy" and "healthy" classes. We extracted frequency-domain-related features to train different supervised machine learning models and selected their best characteristics via 10-fold cross-validation and optimization processes. Decision surfaces were built to classify two additional patients having good and unfavorable clinical outcomes. The k-nearest neighbors and support vector machine showed the highest prediction accuracy; the patients' class was identified with a true positive rate ≥95% and the decision surfaces correctly classified the additional patients in the "healthy" (good outcome) or "unhealthy" (unfavorable outcome) classes. We demonstrated that classifiers employed with our video-based technique may aid cardiac surgeons in decision making before chest closure.

Indexed as

prognosis predictionright ventricle kinematicssupervised machine learningsurgery decision makingTetralogy of Fallot

Identifiers

PMID34830612
PMCPMC8623430

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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.