Evidence map›Paper›PMID 36711176›Full record

ArticleEuropean heart journal. Digital health2021

Artificial intelligence-assisted auscultation in detecting congenital heart disease.

Jingjing Lv, Bin Dong, Hao Lei, Guocheng Shi, Hansong Wang, Fang Zhu, Chen Wen, Qian Zhang, Lijun Fu, Xiaorong Gu and 5 more

Open access · goldAbstract read
In one paragraph

Article in European heart journal. Digital health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
6.5field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  3. A review on deep learning methods for heart sound signal analysis.Frontiers in artificial intelligence · 2024
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  18. A Noise-Robust Heart Sound Segmentation Algorithm Based on Shannon Energy.IEEE access : practical innovations, open solutions · 2024
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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

15 authors at 1 institution in 1 country.

Jingjing LvDepartment of Cardiothoracic Surgery, Heart Center, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, NO.1678 Dongfang Road, Pudong New District, Shanghai 200127, PR China.ORCID https://orcid.org/0000-0003-4133-7702
Bin DongPediatric AI Clinical Application and Research Center, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, NO.1678 Dongfang Road, Pudong New District, Shanghai 200127, PR China.
Hao LeiShanghai FitGreat Network Technology Co. Ltd, Room 402, Building 32, No. 680 Guiping Road, Xuhui District, Shanghai 200233, PR China.
Guocheng ShiDepartment of Cardiothoracic Surgery, Heart Center, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, NO.1678 Dongfang Road, Pudong New District, Shanghai 200127, PR China.
Hansong WangPediatric AI Clinical Application and Research Center, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, NO.1678 Dongfang Road, Pudong New District, Shanghai 200127, PR China.
Fang ZhuDepartment of Cardiothoracic Surgery, Heart Center, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, NO.1678 Dongfang Road, Pudong New District, Shanghai 200127, PR China.
Chen WenDepartment of Cardiothoracic Surgery, Heart Center, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, NO.1678 Dongfang Road, Pudong New District, Shanghai 200127, PR China.
Qian ZhangDepartment of Cardiothoracic Surgery, Heart Center, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, NO.1678 Dongfang Road, Pudong New District, Shanghai 200127, PR China.
Lijun FuDepartment of Cardiothoracic Surgery, Heart Center, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, NO.1678 Dongfang Road, Pudong New District, Shanghai 200127, PR China.
Xiaorong GuDepartment of Cardiothoracic Surgery, Heart Center, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, NO.1678 Dongfang Road, Pudong New District, Shanghai 200127, PR China.
Jiajun YuanDepartment of Cardiothoracic Surgery, Heart Center, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, NO.1678 Dongfang Road, Pudong New District, Shanghai 200127, PR China.
Yongmei GuanDepartment of Cardiothoracic Surgery, Heart Center, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, NO.1678 Dongfang Road, Pudong New District, Shanghai 200127, PR China.
Yuxian XiaDepartment of Cardiothoracic Surgery, Heart Center, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, NO.1678 Dongfang Road, Pudong New District, Shanghai 200127, PR China.
Liebin ZhaoPediatric AI Clinical Application and Research Center, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, NO.1678 Dongfang Road, Pudong New District, Shanghai 200127, PR China.
Huiwen ChenDepartment of Cardiothoracic Surgery, Heart Center, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, NO.1678 Dongfang Road, Pudong New District, Shanghai 200127, PR China.
Shanghai Children's Medical Center · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Computer-assisted auscultation has become available to assist clinicians with physical examinations to detect congenital heart disease (CHD). However, its accuracy and effectiveness remain to be evaluated. This study seeks to evaluate the accuracy of auscultations of abnormal heart sounds of an artificial intelligence-assisted auscultation (AI-AA) platform we create. Methods and results: Initially, 1397 patients with CHD were enrolled in the study. The samples of their heart sounds were recorded and uploaded to the platform using a digital stethoscope. By the platform, both remote auscultation by a team of experienced cardiologists from Shanghai Children's Medical Center and automatic auscultation of the heart sound samples were conducted. Samples of 35 patients were deemed unsuitable for the analysis; therefore, the remaining samples from 1362 patients (mean age-2.4 ± 3.1 years and 46% female) were analysed. Sensitivity, specificity, and accuracy were calculated for remote auscultation compared to experts' face-to-face auscultation and for artificial intelligence automatic auscultation compared to experts' face-to-face auscultation. Kappa coefficients were measured. Compared to face-to-face auscultation, remote auscultation detected abnormal heart sound with 98% sensitivity, 91% specificity, 97% accuracy, and kappa coefficient 0.87. AI-AA demonstrated 97% sensitivity, 89% specificity, 96% accuracy, and kappa coefficient 0.84. Conclusions: The remote auscultations and automatic auscultations, using the AI-AA platform, reported high auscultation accuracy in detecting abnormal heart sound and showed excellent concordance to experts' face-to-face auscultation. Hence, the platform may provide a feasible way to screen and detect CHD.

Indexed as

Artificial intelligence-assisted auscultationCongenital heart diseaseHeart murmurRemote auscultation

Identifiers

PMID36711176
PMCPMC9708038
OpenAlexW3119045155

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.