Evidence map›Paper›PMID 36431321›Full record

ReviewJournal of clinical medicine2022

Cardiovascular/Stroke Risk Stratification in Diabetic Foot Infection Patients Using Deep Learning-Based Artificial Intelligence: An Investigative Study.

Narendra N Khanna, Mahesh A Maindarkar, Vijay Viswanathan, Anudeep Puvvula, Sudip Paul, Mrinalini Bhagawati, Puneet Ahluwalia, Zoltan Ruzsa, Aditya Sharma, Raghu Kolluri and 31 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 34 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. 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

41 authors at 20 institutions in 10 countries.

Narendra N KhannaDepartment of Cardiology, Indraprastha APOLLO Hospitals, New Delhi 110001, India.
Mahesh A MaindarkarStroke Monitoring and Diagnostic Division, AtheroPoint™, Roseville, CA 95661, USA.ORCID 0000-0002-0813-4906
Vijay ViswanathanMV Diabetes Centre, Royapuram, Chennai 600013, India.
Anudeep PuvvulaStroke Monitoring and Diagnostic Division, AtheroPoint™, Roseville, CA 95661, USA.ORCID 0000-0002-6367-4067
Sudip PaulDepartment of Biomedical Engineering, North Eastern Hill University, Shillong 793022, India.ORCID 0000-0001-9856-539X
Mrinalini BhagawatiDepartment of Biomedical Engineering, North Eastern Hill University, Shillong 793022, India.ORCID 0000-0001-6804-5000
Puneet AhluwaliaMax Institute of Cancer Care, Max Super Specialty Hospital, New Delhi 110017, India.
Zoltan RuzsaInvasive Cardiology Division, Faculty of Medicine, University of Szeged, 6720 Szeged, Hungary.ORCID 0000-0002-2474-5723
Aditya SharmaDivision of Cardiovascular Medicine, University of Virginia, Charlottesville, VA 22904, USA.
Raghu KolluriOhio Health Heart and Vascular, Columbus, OH 43214, USA.
Padukone R KrishnanNeurology Department, Fortis Hospital, Bangalore 560076, India.
Inder M SinghStroke Monitoring and Diagnostic Division, AtheroPoint™, Roseville, CA 95661, USA.
John R LairdHeart and Vascular Institute, Adventist Health St. Helena, St Helena, CA 94574, USA.
Mostafa FatemiDepartment of Physiology & Biomedical Engineering, Mayo Clinic College of Medicine and Science, Rochester, MN 55905, USA.ORCID 0000-0002-6603-9077
Azra AlizadDepartment of Radiology, Mayo Clinic College of Medicine and Science, Rochester, MN 55905, USA.
Surinder K DhanjilStroke Monitoring and Diagnostic Division, AtheroPoint™, Roseville, CA 95661, USA.
Luca SabaDepartment of Radiology, Azienda Ospedaliero Universitaria, 40138 Cagliari, Italy.
Antonella BalestrieriCardiovascular Prevention and Research Unit, Department of Pathophysiology, National & Kapodistrian University of Athens, 15772 Athens, Greece.
Gavino FaaDepartment of Pathology, Azienda Ospedaliero Universitaria, 09124 Cagliari, Italy.ORCID 0000-0002-0189-8612
Kosmas I ParaskevasDepartment of Vascular Surgery, Central Clinic of Athens, 15772 Athens, Greece.
Durga Prasanna MisraDepartment of Immunology, SGPGIMS, Lucknow 226014, India.ORCID 0000-0002-5035-7396
Vikas AgarwalDepartment of Immunology, SGPGIMS, Lucknow 226014, India.ORCID 0000-0002-4508-1233
Aman SharmaDepartment of Immunology, SGPGIMS, Lucknow 226014, India.
Jagjit S TejiAnn and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611, USA.
Mustafa Al-MainiAllergy, Clinical Immunology and Rheumatology Institute, Toronto, ON L4Z 4C4, Canada.
Andrew NicolaidesVascular Screening and Diagnostic Centre, University of Nicosia Medical School, Egkomi 2408, Cyprus.ORCID 0000-0003-3912-7394
Vijay RathoreAtheroPoint™, Roseville, CA 95661, USA.
Subbaram NaiduElectrical Engineering Department, University of Minnesota, Duluth, MN 55812, USA.ORCID 0000-0001-8544-8397
Kiera LiblikDepartment of Medicine, Division of Cardiology, Queen's University, Kingston, ON K7L 3N6, Canada.
Amer M JohriDepartment of Medicine, Division of Cardiology, Queen's University, Kingston, ON K7L 3N6, Canada.
Monika TurkThe Hanse-Wissenschaftskolleg Institute for Advanced Study, 27753 Delmenhorst, Germany.
David W SobelRheumatology Unit, National Kapodistrian University of Athens, 15772 Athens, Greece.ORCID 0000-0002-0448-4765
Martin MinerMen's Health Centre, Miriam Hospital Providence, Providence, RI 02906, USA.
Klaudija ViskovicDepartment of Radiology and Ultrasound, University Hospital for Infectious Diseases, 10000 Zagreb, Croatia.ORCID 0000-0002-5927-3201
George TsoulfasDepartment of Surgery, Aristoteleion University of Thessaloniki, 54124 Thessaloniki, Greece.ORCID 0000-0001-5043-7962
Athanasios D ProtogerouCardiovascular Prevention and Research Unit, Department of Pathophysiology, National & Kapodistrian University of Athens, 15772 Athens, Greece.ORCID 0000-0002-3825-532X
Sophie MavrogeniCardiology Clinic, Onassis Cardiac Surgery Centre, 17674 Athens, Greece.ORCID 0000-0003-1089-7766
George D KitasAcademic Affairs, Dudley Group NHS Foundation Trust, Dudley DY1 2HQ, UK.
Mostafa M FoudaDepartment of Electrical and Computer Engineering, Idaho State University, Pocatello, ID 83209, USA.ORCID 0000-0003-1790-8640
Mannudeep K KalraDepartment of Radiology, Harvard Medical School, Boston, MA 02115, USA.
Jasjit S SuriStroke Monitoring and Diagnostic Division, AtheroPoint™, Roseville, CA 95661, USA.
Sanjay Gandhi Post Graduate Institute of Medical Sciences · INNational and Kapodistrian University of Athens · GRNorth Eastern Hill University · INAzienda Ospedaliero-Universitaria Cagliari · ITMayo Clinic · USQueen's University · CAAnna University, Chennai · INAristotle University of Thessaloniki · GRDudley Group NHS Foundation Trust · GBFortis Hospital · INHarvard University · USIdaho State University · USInstitute for Advanced Study · DELurie Children's Hospital · USMax Super Speciality Hospital · INM.V. Hospital for Diabetes and Diabetes Research Centre · INOhioHealth · USOnassis Cardiac Surgery Center · GRProvidence College · USSt. Helena Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A diabetic foot infection (DFI) is among the most serious, incurable, and costly to treat conditions. The presence of a DFI renders machine learning (ML) systems extremely nonlinear, posing difficulties in CVD/stroke risk stratification. In addition, there is a limited number of well-explained ML paradigms due to comorbidity, sample size limits, and weak scientific and clinical validation methodologies. Deep neural networks (DNN) are potent machines for learning that generalize nonlinear situations. The objective of this article is to propose a novel investigation of deep learning (DL) solutions for predicting CVD/stroke risk in DFI patients. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) search strategy was used for the selection of 207 studies. We hypothesize that a DFI is responsible for increased morbidity and mortality due to the worsening of atherosclerotic disease and affecting coronary artery disease (CAD). Since surrogate biomarkers for CAD, such as carotid artery disease, can be used for monitoring CVD, we can thus use a DL-based model, namely, Long Short-Term Memory (LSTM) and Recurrent Neural Networks (RNN) for CVD/stroke risk prediction in DFI patients, which combines covariates such as office and laboratory-based biomarkers, carotid ultrasound image phenotype (CUSIP) lesions, along with the DFI severity. We confirmed the viability of CVD/stroke risk stratification in the DFI patients. Strong designs were found in the research of the DL architectures for CVD/stroke risk stratification. Finally, we analyzed the AI bias and proposed strategies for the early diagnosis of CVD/stroke in DFI patients. Since DFI patients have an aggressive atherosclerotic disease, leading to prominent CVD/stroke risk, we, therefore, conclude that the DL paradigm is very effective for predicting the risk of CVD/stroke in DFI patients.

Indexed as

AI biascardiovascular/stroke risk stratificationdeep learningdiabeticsdiabetic’s foot infection

Identifiers

PMID36431321
PMCPMC9693632
OpenAlexW4309786200

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.