Evidence map›Paper›PMID 34837083›Full record

ArticleNature genetics2022

Deep learning enables genetic analysis of the human thoracic aorta.

James P Pirruccello, Mark D Chaffin, Elizabeth L Chou, Stephen J Fleming, Honghuang Lin, Mahan Nekoui, Shaan Khurshid, Samuel F Friedman, Alexander G Bick, Alessandro Arduini and 20 more

Open access · greenAbstract read
In one paragraph

Article in Nature genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 124 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
124citing papers in PubMed, 8 pooled it
21.0field-weighted citation impact, top 1% 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

124 citing papers in PubMed, 8 syntheses or guidelines pooled it, 197 citations in OpenAlex.

  1. Pooled it
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  4. Dissecting the Genetic Architecture of Intracranial Aneurysms.Circulation. Genomic and precision medicine · 2025
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  9. Review
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  11. Observational
  12. Genetic analysis of imaging-derived phenotypes.Nature reviews. Genetics · 2026
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64 more citing papers are in PubMed but not listed here.

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

30 authors at 6 institutions in 2 countries.

James P PirruccelloDivision of Cardiology, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0001-6088-4037
Mark D ChaffinCardiovascular Disease Initiative, Broad Institute, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-1234-5562
Elizabeth L ChouCardiovascular Research Center, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-0997-6785
Stephen J FlemingPrecision Cardiology Laboratory, The Broad Institute & Bayer US LLC, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-1885-4405
Honghuang LinFramingham Heart Study, Boston University and National Heart, Lung, and Blood Institute, Framingham, MA, USA.ORCID http://orcid.org/0000-0003-3043-3942
Mahan NekouiCardiovascular Disease Initiative, Broad Institute, Cambridge, MA, USA.ORCID http://orcid.org/0000-0001-7466-4801
Shaan KhurshidDivision of Cardiology, Massachusetts General Hospital, Boston, MA, USA.
Samuel F FriedmanData Sciences Platform, Broad Institute, Cambridge, MA, USA.
Alexander G BickCardiovascular Disease Initiative, Broad Institute, Cambridge, MA, USA.
Alessandro ArduiniCardiovascular Disease Initiative, Broad Institute, Cambridge, MA, USA.
Lu-Chen WengCardiovascular Research Center, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0003-1475-4930
Seung Hoan ChoiCardiovascular Disease Initiative, Broad Institute, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-2797-3190
Amer-Denis AkkadPrecision Cardiology Laboratory, The Broad Institute & Bayer US LLC, Cambridge, MA, USA.
Puneet BatraData Sciences Platform, Broad Institute, Cambridge, MA, USA.ORCID http://orcid.org/0000-0001-6822-0593
Nathan R TuckerMasonic Medical Research Institute, Utica, NY, USA.
Amelia W HallCardiovascular Disease Initiative, Broad Institute, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-7915-0313
Carolina RoselliCardiovascular Disease Initiative, Broad Institute, Cambridge, MA, USA.ORCID http://orcid.org/0000-0001-5267-6756
Emelia J BenjaminFramingham Heart Study, Boston University and National Heart, Lung, and Blood Institute, Framingham, MA, USA.ORCID http://orcid.org/0000-0003-4076-2336
Shamsudheen K VellarikkalCardiovascular Disease Initiative, Broad Institute, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-6384-2948
Rajat M GuptaDepartment of Medicine, Divisions of Cardiovascular Medicine and Genetics, Brigham and Women's Hospital, Boston, MA, USA.
Christian M StegmannPrecision Cardiology Laboratory, The Broad Institute & Bayer US LLC, Cambridge, MA, USA.
Dejan JuricHarvard Medical School, Boston, MA, USA.
James R StoneHarvard Medical School, Boston, MA, USA.
Ramachandran S VasanFramingham Heart Study, Boston University and National Heart, Lung, and Blood Institute, Framingham, MA, USA.ORCID http://orcid.org/0000-0001-7357-5970
Jennifer E HoDivision of Cardiology, Massachusetts General Hospital, Boston, MA, USA.
Udo HoffmannDepartment of Radiology, Harvard Medical School, Boston, MA, USA.
Steven A LubitzDivision of Cardiology, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-9599-4866
Anthony A PhilippakisData Sciences Platform, Broad Institute, Cambridge, MA, USA.
Mark E LindsayDivision of Cardiology, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0001-6724-7938
Patrick T EllinorDivision of Cardiology, Massachusetts General Hospital, Boston, MA, USA. ellinor@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-2067-0533
Broad Institute · USHarvard University · USBoston University · USBrigham and Women's Hospital · USMasonic Medical Research Laboratory · USMassachusetts General Hospital · US

Funding

IDENTIFICATION OF COMMON GENETIC VARIANTS FOR ATRIAL FIBRILLATION AND PR INTERVALR01HL092577 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI BENJAMIN, EMELIA J., ELLINOR, PATRICK THOMAS · 2009 to 2025
$20.6M
ConProject-006U54HL120163 · NHLBI · AMERICAN HEART ASSOCIATION · PI BHATNAGAR, ARUNI, ROBERTSON, ROSE MARIE · 2018 to 2022
$18.8M
MULTIDISCIPLINARY RESEARCH TRAINING IN CARDIOLOGYT32HL007208 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Patrick Thomas Ellinor, David E Sosnovik · 1985 to 2026
$16.1M
Genomics of Cardiac ArrhythmiasR01HL139731 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ELLINOR, PATRICK THOMAS · 2018 to 2022
$3.3M
AFGen Consortium: Atrial Fibrillation Genomics to Functional AnalysesR01HL128914 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J., ELLINOR, PATRICK THOMAS · 2015 to 2018
$3.1M
Eicosanoid Profiles as Determinants of HFpEFR01HL140224 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HO, JENNIFER E · 2018 to 2021
$3.1M
Using Electrocardiogram Genetics to Inform Arrhythmia RiskR01HL157635 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ELLINOR, PATRICK THOMAS, MIRSHAHI, TOORAJ · 2022 to 2025
$2.9M
The Association of Metabolic Disease and Pulmonary HypertensionR01HL134893 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HO, JENNIFER E · 2017 to 2021
$2.9M
FHS-NEXT - Framingham Novel EXam using TechnologyR01HL141434 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J., MCMANUS, DAVID D. · 2019 to 2022
$2.5M
Mentoring in Arrhythmia ResearchK24HL105780 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ELLINOR, PATRICK THOMAS · 2011 to 2020
$1.2M
Defining the functional variation underlying atrial fibrillation riskK01HL140187 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI TUCKER, NATHAN R · 2018 to 2022
$858k
Deep learning to enable the genetic analysis of aortaK08HL159346 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PIRRUCCELLO, JAMES · 2021 to 2025
$827k
American Heart Association-American Stroke Association 18SFRN34250007Medical Research Council MC_PC_17228Medical Research Council MC_QA137853NHLBI NIH HHS K01 HL140187NHLBI NIH HHS K08 HL159346NHLBI NIH HHS K24 HL105780NHLBI NIH HHS K24 HL153669NHLBI NIH HHS R01 HL092577NHLBI NIH HHS R01 HL128914NHLBI NIH HHS R01 HL134893NHLBI NIH HHS R01 HL139731NHLBI NIH HHS R01 HL140224NHLBI NIH HHS R01 HL141434NHLBI NIH HHS R01 HL157635NHLBI NIH HHS T32 HL007208NHLBI NIH HHS U54 HL120163
6 · The paper itself

Abstract

Enlargement or aneurysm of the aorta predisposes to dissection, an important cause of sudden death. We trained a deep learning model to evaluate the dimensions of the ascending and descending thoracic aorta in 4.6 million cardiac magnetic resonance images from the UK Biobank. We then conducted genome-wide association studies in 39,688 individuals, identifying 82 loci associated with ascending and 47 with descending thoracic aortic diameter, of which 14 loci overlapped. Transcriptome-wide analyses, rare-variant burden tests and human aortic single nucleus RNA sequencing prioritized genes including SVIL, which was strongly associated with descending aortic diameter. A polygenic score for ascending aortic diameter was associated with thoracic aortic aneurysm in 385,621 UK Biobank participants (hazard ratio = 1.43 per s.d., confidence interval 1.32-1.54, P = 3.3 × 10

Indexed as

Deep LearningMagnetic Resonance ImagingAdultAgedAorta, ThoracicAortic AneurysmBiological Variation, PopulationFemaleGenome-Wide Association StudyHumansImage Processing, Computer-AssistedMaleMiddle AgedQuantitative Trait LociTranscriptome

Identifiers

PMID34837083
PMCPMC8758523
OpenAlexW3216026604

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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.