Evidence map›Paper›PMID 35054236›Full record

ArticleDiagnostics (Basel, Switzerland)2021

Deep Learning Supplants Visual Analysis by Experienced Operators for the Diagnosis of Cardiac Amyloidosis by Cine-CMR.

Philippe Germain, Armine Vardazaryan, Nicolas Padoy, Aissam Labani, Catherine Roy, Thomas Hellmut Schindler, Soraya El Ghannudi

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

7 authors.

Philippe GermainDepartment of Radiology, Nouvel Hopital Civil, University Hospital, 67000 Strasbourg, France.
Armine VardazaryanICube, University of Strasbourg, CNRS, 67000 Strasbourg, France.
Nicolas PadoyICube, University of Strasbourg, CNRS, 67000 Strasbourg, France.
Aissam LabaniDepartment of Radiology, Nouvel Hopital Civil, University Hospital, 67000 Strasbourg, France.
Catherine RoyDepartment of Radiology, Nouvel Hopital Civil, University Hospital, 67000 Strasbourg, France.
Thomas Hellmut SchindlerMallinckrodt Institute of Radiology, Division of Nuclear Medicine, Washington University School of Medicine, Saint Louis, MO 63110, USA.
Soraya El GhannudiDepartment of Radiology, Nouvel Hopital Civil, University Hospital, 67000 Strasbourg, France.

Funding

French state funds managed by the ANR under reference ANR-10-IAHU-02 ANR-10-IAHU-02
6 · The paper itself

Abstract

backgroundDiagnosing cardiac amyloidosis (CA) from cine-CMR (cardiac magnetic resonance) alone is not reliable. In this study, we tested if a convolutional neural network (CNN) could outperform the visual diagnosis of experienced operators.

method119 patients with cardiac amyloidosis and 122 patients with left ventricular hypertrophy (LVH) of other origins were retrospectively selected. Diastolic and systolic cine-CMR images were preprocessed and labeled. A dual-input visual geometry group (VGG ) model was used for binary image classification. All images belonging to the same patient were distributed in the same set. Accuracy and area under the curve (AUC) were calculated per frame and per patient from a 40% held-out test set. Results were compared to a visual analysis assessed by three experienced operators.

resultsframe-based comparisons between humans and a CNN provided an accuracy of 0.605 vs. 0.746 (

conclusionbased on cine-CMR images alone, a CNN is able to discriminate cardiac amyloidosis from LVH of other origins better than experienced human operators (15 to 20 points more in absolute value for accuracy and AUC), demonstrating a unique capability to identify what the eyes cannot see through classical radiological analysis.

Indexed as

AL/TTR amyloidosiscardiac amyloidosisconvolutional neural networkdeep learninghypertrophic cardiomyopathyleft ventricular hypertrophy

Identifiers

PMID35054236
PMCPMC8774777

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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.