Evidence map›Paper›PMID 36826967›Full record

ArticleJournal of imaging2023

Developing an Echocardiography-Based, Automatic Deep Learning Framework for the Differentiation of Increased Left Ventricular Wall Thickness Etiologies.

James Li, Chieh-Ju Chao, Jiwoong Jason Jeong, Juan Maria Farina, Amith R Seri, Timothy Barry, Hana Newman, Megan Campany, Merna Abdou, Michael O'Shea and 18 more

Open access · goldAbstract read
In one paragraph

Article in Journal of imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 18 citations in OpenAlex.

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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

28 authors at 2 institutions in 1 country.

James LiMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Chieh-Ju ChaoMayo Clinic Rochester, Rochester, MN 55905, USA.ORCID 0000-0001-6155-0266
Jiwoong Jason JeongMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Juan Maria FarinaMayo Clinic Arizona, Scottsdale, AZ 85054, USA.ORCID 0000-0002-5824-8485
Amith R SeriMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Timothy BarryMayo Clinic Arizona, Scottsdale, AZ 85054, USA.ORCID 0000-0002-0576-2990
Hana NewmanMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Megan CampanyMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Merna AbdouMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Michael O'SheaMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Sean SmithMayo Clinic Arizona, Scottsdale, AZ 85054, USA.ORCID 0000-0002-7796-4313
Bishoy AbrahamMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Seyedeh Maryam HosseiniMayo Clinic Arizona, Scottsdale, AZ 85054, USA.ORCID 0000-0003-3614-7154
Yuxiang WangMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Steven LesterMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Said AlsidawiMayo Clinic Arizona, Scottsdale, AZ 85054, USA.ORCID 0000-0001-8750-7880
Susan WilanskyMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Eric SteidleyMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Julie RosenthalMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Chadi AyoubMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Christopher P AppletonMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Win-Kuang ShenMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Martha GroganMayo Clinic Rochester, Rochester, MN 55905, USA.
Garvan C KaneMayo Clinic Rochester, Rochester, MN 55905, USA.
Jae K OhMayo Clinic Rochester, Rochester, MN 55905, USA.
Bhavik N PatelMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Reza ArsanjaniMayo Clinic Arizona, Scottsdale, AZ 85054, USA.ORCID 0000-0001-7081-4286
Imon BanerjeeMayo Clinic Arizona, Scottsdale, AZ 85054, USA.
Mayo Clinic in Arizona · USMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsIncreased left ventricular (LV) wall thickness is frequently encountered in transthoracic echocardiography (TTE). While accurate and early diagnosis is clinically important, given the differences in available therapeutic options and prognosis, an extensive workup is often required to establish the diagnosis. We propose the first echo-based, automated deep learning model with a fusion architecture to facilitate the evaluation and diagnosis of increased left ventricular (LV) wall thickness. METHODS AND

resultsPatients with an established diagnosis of increased LV wall thickness (hypertrophic cardiomyopathy (HCM), cardiac amyloidosis (CA), and hypertensive heart disease (HTN)/others) between 1/2015 and 11/2019 at Mayo Clinic Arizona were identified. The cohort was divided into 80%/10%/10% for training, validation, and testing sets, respectively. Six baseline TTE views were used to optimize a pre-trained InceptionResnetV2 model. Each model output was used to train a meta-learner under a fusion architecture. Model performance was assessed by multiclass area under the receiver operating characteristic curve (AUROC). A total of 586 patients were used for the final analysis (194 HCM, 201 CA, and 191 HTN/others). The mean age was 55.0 years, and 57.8% were male. Among the individual view-dependent models, the apical 4-chamber model had the best performance (AUROC: HCM: 0.94, CA: 0.73, and HTN/other: 0.87). The final fusion model outperformed all the view-dependent models (AUROC: HCM: 0.93, CA: 0.90, and HTN/other: 0.92).

conclusionThe echo-based InceptionResnetV2 fusion model can accurately classify the main etiologies of increased LV wall thickness and can facilitate the process of diagnosis and workup.

Indexed as

deep learningechocardiographyLV wall thickness

Identifiers

PMID36826967
PMCPMC9964852
OpenAlexW4321371936

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.