Evidence map›Paper›PMID 37849936›Full record

ArticleFrontiers in cardiovascular medicine2023

Segmenting computed tomograms for cardiac ablation using machine learning leveraged by domain knowledge encoding.

Ruibin Feng, Brototo Deb, Prasanth Ganesan, Fleur V Y Tjong, Albert J Rogers, Samuel Ruipérez-Campillo, Sulaiman Somani, Paul Clopton, Tina Baykaner, Miguel Rodrigo and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02997254 (COMparison of Physiological Algorithms for Real-time Evaluation of Atrial Fibrillation), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

NCT02997254 recruitingnot on this map

COMparison of Physiological Algorithms for Real-time Evaluation of Atrial Fibrillation

TypeobservationalSponsorStanford UniversityRan2016 to 2027Enrolled1,000ConditionsAtrial Fibrillation, Abnormal Heart Rhythms
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

14 authors.

Ruibin FengDepartment of Medicine and Cardiovascular Institute, Stanford University, Stanford, CA, United States.
Brototo DebDepartment of Medicine and Cardiovascular Institute, Stanford University, Stanford, CA, United States.
Prasanth GanesanDepartment of Medicine and Cardiovascular Institute, Stanford University, Stanford, CA, United States.
Fleur V Y TjongDepartment of Medicine and Cardiovascular Institute, Stanford University, Stanford, CA, United States.
Albert J RogersDepartment of Medicine and Cardiovascular Institute, Stanford University, Stanford, CA, United States.
Samuel Ruipérez-CampilloDepartment of Medicine and Cardiovascular Institute, Stanford University, Stanford, CA, United States.
Sulaiman SomaniDepartment of Medicine and Cardiovascular Institute, Stanford University, Stanford, CA, United States.
Paul CloptonDepartment of Medicine and Cardiovascular Institute, Stanford University, Stanford, CA, United States.
Tina BaykanerDepartment of Medicine and Cardiovascular Institute, Stanford University, Stanford, CA, United States.
Miguel RodrigoDepartment of Medicine and Cardiovascular Institute, Stanford University, Stanford, CA, United States.
James ZouDepartment of Biomedical Data Science, Stanford University, Stanford, CA, United States.
Francois HaddadDepartment of Medicine and Cardiovascular Institute, Stanford University, Stanford, CA, United States.
Matei ZahariDepartment of Computer Science, Stanford University, Stanford, CA, United States.
Sanjiv M NarayanDepartment of Medicine and Cardiovascular Institute, Stanford University, Stanford, CA, United States.

Funding

The Dynamics of Human Atrial FibrillationR01HL083359 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Sanjiv M Narayan · 2008 to 2026
$7.9M
Machine Learning in Atrial FibrillationR01HL149134 · NHLBI · STANFORD UNIVERSITY · PI NARAYAN, SANJIV M · 2020 to 2024
$3.8M
Machine Learning for Ventricular ArrhythmiasR01HL162260 · NHLBI · STANFORD UNIVERSITY · PI Sanjiv M Narayan · 2023 to 2026
$2.5M
Electrical Mapping Signatures of Adverse Structural and Functional Remodeling in Ventricular ArrhythmiaK23HL166977 · NHLBI · STANFORD UNIVERSITY · PI Albert Joseph Rogers · 2023 to 2026
$680k
NHLBI NIH HHS K23 HL166977NHLBI NIH HHS L30 HL143631NHLBI NIH HHS R01 HL083359NHLBI NIH HHS R01 HL149134NHLBI NIH HHS R01 HL162260
6 · The paper itself

Abstract

Background: Segmentation of computed tomography (CT) is important for many clinical procedures including personalized cardiac ablation for the management of cardiac arrhythmias. While segmentation can be automated by machine learning (ML), it is limited by the need for large, labeled training data that may be difficult to obtain. We set out to combine ML of cardiac CT with domain knowledge, which reduces the need for large training datasets by encoding cardiac geometry, which we then tested in independent datasets and in a prospective study of atrial fibrillation (AF) ablation. Methods: We mathematically represented atrial anatomy with simple geometric shapes and derived a model to parse cardiac structures in a small set of Results: In independent test cohorts ( Conclusions: Encoding cardiac geometry using mathematical models greatly accelerated training of ML to segment CT, reducing the need for large training sets while retaining accuracy in independent test data. Combining ML with domain knowledge may have broad applications.

Indexed as

ablationatrial fibrillationcardiac CT segmentationdomain knowledgemachine learningmathematical modeling

Identifiers

PMID37849936
PMCPMC10577270

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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.