Evidence map›Paper›PMID 35464150›Full record

ArticleNature cardiovascular research2022

Arrhythmic sudden death survival prediction using deep learning analysis of scarring in the heart.

Dan M Popescu, Julie K Shade, Changxin Lai, Konstantinos N Aronis, David Ouyang, M Vinayaga Moorthy, Nancy R Cook, Daniel C Lee, Alan Kadish, Christine M Albert and 3 more

Erratum issued Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Nature cardiovascular research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT01076660 (Left Ventricular Structural Predictors of Sudden Cardiac Death [Substudy of), which is not on this map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
11.8field-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.

NCT01076660 recruitingnot on this map

Left Ventricular Structural Predictors of Sudden Cardiac Death [Substudy of: Functional Energetics and Imaging for Phenotypic Characterization of Patients at Risk for Sudden Cardiac Death, See Also NCT000181233]

TypeobservationalSponsorJohns Hopkins UniversityRan2003 to 2030Enrolled400ConditionsIschemic Cardiomyopathy, Nonischemic Cardiomyopathy
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 90 citations in OpenAlex.

  1. Pooled it
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  6. Review
  7. A generalizable deep learning system for cardiac MRI.Nature biomedical engineering · 2026
    Article
  8. Article
  9. Materials and System Design for Self-Decision Bioelectronic Systems.Advanced materials (Deerfield Beach, Fla.) · 2026
    Review
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  16. State of the Art of Artificial Intelligence in Clinical Electrophysiology in 2025: A Scientific Statement of the European Heart Rhythm Association (EHRA) of the ESC, the Heart Rhythm Society (HRS), and the ESC Working Group on E-Cardiology.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
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 1 country.

Dan M PopescuAlliance for Cardiovascular Diagnostic and Treatment Innovation (ADVANCE), Johns Hopkins University, Baltimore, 21224, USA.
Julie K ShadeAlliance for Cardiovascular Diagnostic and Treatment Innovation (ADVANCE), Johns Hopkins University, Baltimore, 21224, USA.
Changxin LaiJohns Hopkins University School of Medicine, Department of Biomedical Engineering, Baltimore, 21224, USA.
Konstantinos N AronisUniversity of Pittsburgh Medical Center, Heart and Vascular Institute, Pittsburgh, 15237, USA.
David OuyangCedar-Sinai Medical Center, Department of Cardiology, Los Angeles, 90048, USA.
M Vinayaga MoorthyBrigham and Women's Hospital, Harvard Medical School, Boston, 02115, USA.
Nancy R CookBrigham and Women's Hospital, Harvard Medical School, Boston, 02115, USA.
Daniel C LeeNorthwestern University, Feinberg School of Medicine, Chicago, 60611, USA.
Alan KadishTouro College and University System, Valhalla, 10595, USA.
Christine M AlbertCedar-Sinai Medical Center, Department of Cardiology, Los Angeles, 90048, USA.
Katherine C WuAlliance for Cardiovascular Diagnostic and Treatment Innovation (ADVANCE), Johns Hopkins University, Baltimore, 21224, USA.
Mauro MaggioniAlliance for Cardiovascular Diagnostic and Treatment Innovation (ADVANCE), Johns Hopkins University, Baltimore, 21224, USA.
Natalia A TrayanovaAlliance for Cardiovascular Diagnostic and Treatment Innovation (ADVANCE), Johns Hopkins University, Baltimore, 21224, USA.
Johns Hopkins University · USBrigham and Women's Hospital · USCedars-Sinai Medical Center · USNorthwestern University · USTouro College · USUniversity of Pittsburgh Medical Center · US

Funding

PRE-DETERMINE: Biologic Markers and MRI SCD Cohort StudyR01HL091069 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI ALBERT, CHRISTINE M · 2008 to 2020
$12.9M
Infarct-related Ventricular Tachycardia Mechanisms: From Micro to ClinicalR01HL142496 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI TRAYANOVA, NATALIA A. · 2019 to 2022
$3.1M
Cardiac MR to Improve Clinical Risk Prediction in Defibrilator PatientsR01HL132181 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI TOMASELLI, GORDON FRANK, WU, KATHERINE C · 2017 to 2020
$3.1M
Exploration of Arrhythmogenic Triggers and Substrates in Heart FailureR01HL126802 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI EFIMOV, IGOR R, GORELIK, JULIA · 2016 to 2019
$2.8M
LV Structural Predictors of Sudden Cardiac DeathR01HL103812 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI WU, KATHERINE C · 2010 to 2013
$1.4M
NHLBI NIH HHS R01 HL091069NHLBI NIH HHS R01 HL103812NHLBI NIH HHS R01 HL126802NHLBI NIH HHS R01 HL132181NHLBI NIH HHS R01 HL142496
6 · The paper itself

Abstract

Sudden cardiac death from arrhythmia is a major cause of mortality worldwide. Here, we develop a novel deep learning (DL) approach that blends neural networks and survival analysis to predict patient-specific survival curves from contrast-enhanced cardiac magnetic resonance images and clinical covariates for patients with ischemic heart disease. The DL-predicted survival curves offer accurate predictions at times up to 10 years and allow for estimation of uncertainty in predictions. The performance of this learning architecture was evaluated on multi-center internal validation data and tested on an independent test set, achieving concordance index of 0.83 and 0.74, and 10-year integrated Brier score of 0.12 and 0.14. We demonstrate that our DL approach with only raw cardiac images as input outperforms standard survival models constructed using clinical covariates. This technology has the potential to transform clinical decision-making by offering accurate and generalizable predictions of patient-specific survival probabilities of arrhythmic death over time.

Identifiers

PMID35464150
PMCPMC9022904
OpenAlexW4224867983

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Registered trials

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.