Evidence map›Paper›PMID 38226515›Full record

ArticleJournal of the American Heart Association2024

Using Artificial Intelligence for Rheumatic Heart Disease Detection by Echocardiography: Focus on Mitral Regurgitation.

Kelsey Brown, Pooneh Roshanitabrizi, Joselyn Rwebembera, Emmy Okello, Andrea Beaton, Marius George Linguraru, Craig A Sable

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
19.0field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 35 citations in OpenAlex.

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  7. From innovation to implementation: Addressing the AI adoption gap in cardiac surgery.American heart journal plus : cardiology research and practice · 2026
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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

7 authors at 3 institutions in 2 countries.

Kelsey BrownDepartment of Pediatric Cardiology Children's National Hospital Washington DC USA.ORCID 0000-0001-6791-3355
Pooneh RoshanitabriziSheikh Zayed Institute for Pediatric Surgical Innovation Children's National Hospital Washington DC USA.ORCID 0000-0002-8853-2786
Joselyn RwebemberaUganda Heart Institute Kampala Uganda.ORCID 0000-0001-8453-818X
Emmy OkelloUganda Heart Institute Kampala Uganda.ORCID 0000-0002-6109-0092
Andrea BeatonDepartment of Pediatric Cardiology Cincinnati Children's Hospital Medical Center Cincinnati OH USA.ORCID 0000-0002-4963-355X
Marius George LinguraruSheikh Zayed Institute for Pediatric Surgical Innovation Children's National Hospital Washington DC USA.ORCID 0000-0001-6175-8665
Craig A SableDepartment of Pediatric Cardiology Children's National Hospital Washington DC USA.ORCID 0000-0002-6798-2737
Children's National · USUganda Management Institute · UGCincinnati Children's Hospital Medical Center · US

Funding

Accelerating Delivery of rheumatic heart disease preventive iNterventions in Uganda (ADUNU)R01HL164615 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI Andrea Zawacki Beaton, David A Watkins · 2022 to 2026
$3.0M
American Heart Association-American Stroke Association 20SFRN35360185 - ANDREA BEATONNHLBI NIH HHS R01 HL164615
6 · The paper itself

Abstract

backgroundIdentification of children with latent rheumatic heart disease (RHD) by echocardiography, before onset of symptoms, provides an opportunity to initiate secondary prophylaxis and prevent disease progression. There have been limited artificial intelligence studies published assessing the potential of machine learning to detect and analyze mitral regurgitation or to detect the presence of RHD on standard portable echocardiograms. METHODS AND

resultsWe used 511 echocardiograms in children, focusing on color Doppler images of the mitral valve. Echocardiograms were independently reviewed by an expert adjudication panel. Among 511 cases, 229 were normal, and 282 had RHD. Our automated method included harmonization of echocardiograms to localize the left atrium during systole using convolutional neural networks and RHD detection using mitral regurgitation jet analysis and deep learning models with an attention mechanism. We identified the correct view with an average accuracy of 0.99 and the correct systolic frame with an average accuracy of 0.94 (apical) and 0.93 (parasternal long axis). It localized the left atrium with an average Dice coefficient of 0.88 (apical) and 0.9 (parasternal long axis). Maximum mitral regurgitation jet measurements were similar to expert manual measurements (

conclusionsArtificial intelligence has the potential to detect RHD as accurately as expert cardiologists and to improve with more data. These innovative approaches hold promise to scale echocardiography screening for RHD.

Indexed as

Mitral Valve InsufficiencyRheumatic Heart DiseaseArtificial IntelligenceChildEchocardiographyHumansSensitivity and Specificityartificial intelligencedeep learningechocardiographymachine learningmitral regurgitationrheumatic heart diseasescreening

Identifiers

PMID38226515
PMCPMC10926790
OpenAlexW4390918092

What OpenQuestion holds

Textmetadata
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.