Evidence map›Paper›PMID 37538145›Full record

ArticleEuropean heart journal. Digital health2023

Development of artificial intelligence tools for invasive Doppler-based coronary microvascular assessment.

Henry Seligman, Sapna B Patel, Anissa Alloula, James P Howard, Christopher M Cook, Yousif Ahmad, Guus A de Waard, Mauro Echavarría Pinto, Tim P van de Hoef, Haseeb Rahman and 16 more

Abstract read
In one paragraph

Article in European heart journal. Digital health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Microbubble Contrast Agent Use During Invasive Coronary Microvascular Assessment.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  3. Review
  4. Review
  5. 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

26 authors.

Henry SeligmanNational Heart and Lung Institute, Imperial College London, B Block, Hammersmith Hospital, London W12 0HS, UK.
Sapna B PatelNational Heart and Lung Institute, Imperial College London, B Block, Hammersmith Hospital, London W12 0HS, UK.
Anissa AlloulaNational Heart and Lung Institute, Imperial College London, B Block, Hammersmith Hospital, London W12 0HS, UK.
James P HowardNational Heart and Lung Institute, Imperial College London, B Block, Hammersmith Hospital, London W12 0HS, UK.
Christopher M CookEssex Cardiothoracic Centre, Basildon, Essex, UK.
Yousif AhmadYale School of Medicine, Yale University, New Haven, Connecticut, USA.
Guus A de WaardHeart Centre, Amsterdam University Medical Centre, Amsterdam, The Netherlands.
Mauro Echavarría PintoHospital General ISSSTE Queretaro, Faculty of Medicine, Autonomous University of Queretaro, Querétaro, Mexico.
Tim P van de HoefHeart Centre, Amsterdam University Medical Centre, Amsterdam, The Netherlands.
Haseeb RahmanThe British Heart Foundation Centre of Excellence and the National Institute for Health and Care Research Biomedical Research Centre at the School of Cardiovascular Medicine and Sciences, Kings College Medical School, St Thomas Hospital, London, UK.
Mihir A KelshikerNational Heart and Lung Institute, Imperial College London, B Block, Hammersmith Hospital, London W12 0HS, UK.
Christopher A RajkumarNational Heart and Lung Institute, Imperial College London, B Block, Hammersmith Hospital, London W12 0HS, UK.
Michael FoleyNational Heart and Lung Institute, Imperial College London, B Block, Hammersmith Hospital, London W12 0HS, UK.
Alexandra N NowbarNational Heart and Lung Institute, Imperial College London, B Block, Hammersmith Hospital, London W12 0HS, UK.
Samay MehtaNational Heart and Lung Institute, Imperial College London, B Block, Hammersmith Hospital, London W12 0HS, UK.
Mathieu ToulemondeDepartment of Engineering, Imperial College London, London, UK.
Meng-Xing TangDepartment of Engineering, Imperial College London, London, UK.
Rasha Al-LameeNational Heart and Lung Institute, Imperial College London, B Block, Hammersmith Hospital, London W12 0HS, UK.
Sayan SenNational Heart and Lung Institute, Imperial College London, B Block, Hammersmith Hospital, London W12 0HS, UK.
Graham ColeNational Heart and Lung Institute, Imperial College London, B Block, Hammersmith Hospital, London W12 0HS, UK.
Sukhjinder NijjerNational Heart and Lung Institute, Imperial College London, B Block, Hammersmith Hospital, London W12 0HS, UK.ORCID https://orcid.org/0000-0001-9146-1037
Javier EscanedHospital Clínico San Carlos IDISSC and Universidad Complutense de Madrid, Madrid, Spain.ORCID https://orcid.org/0000-0003-4932-0112
Niels Van RoyenRadboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0001-6136-8640
Darrel P FrancisNational Heart and Lung Institute, Imperial College London, B Block, Hammersmith Hospital, London W12 0HS, UK.
Matthew J Shun-ShinNational Heart and Lung Institute, Imperial College London, B Block, Hammersmith Hospital, London W12 0HS, UK.
Ricardo PetracoNational Heart and Lung Institute, Imperial College London, B Block, Hammersmith Hospital, London W12 0HS, UK.ORCID https://orcid.org/0000-0002-7912-5492

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
British Heart Foundation FS/11/46/28861British Heart Foundation FS/14/27/30752British Heart Foundation FS/ICRF/22/26039British Heart Foundation RG/F/22/110059Medical Research Council MR/S021108/1Medical Research Council MR/V001620/1NCATS NIH HHS UL1 TR001863Wellcome Trust
6 · The paper itself

Abstract

Aims: Coronary flow reserve (CFR) assessment has proven clinical utility, but Doppler-based methods are sensitive to noise and operator bias, limiting their clinical applicability. The objective of the study is to expand the adoption of invasive Doppler CFR, through the development of artificial intelligence (AI) algorithms to automatically quantify coronary Doppler quality and track flow velocity. Methods and results: A neural network was trained on images extracted from coronary Doppler flow recordings to score signal quality and derive values for coronary flow velocity and CFR. The outputs were independently validated against expert consensus. Artificial intelligence successfully quantified Doppler signal quality, with high agreement with expert consensus (Spearman's rho: 0.94), and within individual experts. Artificial intelligence automatically tracked flow velocity with superior numerical agreement against experts, when compared with the current console algorithm [AI flow vs. expert flow bias -1.68 cm/s, 95% confidence interval (CI) -2.13 to -1.23 cm/s, Conclusion: An AI-based system, trained by experts and independently validated, could assign a quality score to Doppler traces and derive coronary flow velocity and CFR. By making Doppler CFR more automated, precise, and operator-independent, AI could expand the clinical applicability of coronary microvascular assessment.

Indexed as

AnginaArtificial intelligenceCoronaryDiagnosisDopplerInvasive

Identifiers

PMID37538145
PMCPMC10393887

What OpenQuestion holds

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LicenceCC BY-NC
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.