Evidence map›Paper›PMID 38260274›Full record

ArticleResearch square2024

Artificial Intelligence to derive aligned strain in cine CMR to detect patients with myocardial fibrosis: an open and scrutinizable approach.

Sven Koehler, Julian Kuhm, Tyler Huffaker, Daniel Young, Animesh Tandon, Florian André, Norbert Frey, Gerald Greil, Tarique Hussain, Sandy Engelhardt

Open access · greenAbstract readPreprint
In one paragraph

Article in Research square, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

10 authors at 3 institutions in 2 countries.

Sven KoehlerDepartment of Internal Medicine III, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0003-4989-8766
Julian KuhmDepartment of Internal Medicine III, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0003-1980-276X
Tyler HuffakerDivision of Pediatric Cardiology, Department of Pediatrics, UT Southwestern /Children's Health, 1935 Medical District Drive B3.09, Dallas, TX 75235, USA.
Daniel YoungDivision of Pediatric Cardiology, Department of Pediatrics, UT Southwestern /Children's Health, 1935 Medical District Drive B3.09, Dallas, TX 75235, USA.
Animesh TandonDepartment of Heart, Vascular, and Thoracic, Children's Institute; Cleveland Clinic Children's Center for Artificial Intelligence (C4AI); and Cardiovascular Innovation Research Center, Cleveland Clinic Children's, Cleveland, Ohio, USA.ORCID 0000-0001-9769-8801
Florian AndréDepartment of Internal Medicine III, Heidelberg University Hospital, Heidelberg, Germany.
Norbert FreyDepartment of Internal Medicine III, Heidelberg University Hospital, Heidelberg, Germany.
Gerald GreilDivision of Pediatric Cardiology, Department of Pediatrics, UT Southwestern /Children's Health, 1935 Medical District Drive B3.09, Dallas, TX 75235, USA.
Tarique HussainDivision of Pediatric Cardiology, Department of Pediatrics, UT Southwestern /Children's Health, 1935 Medical District Drive B3.09, Dallas, TX 75235, USA.
Sandy EngelhardtDepartment of Internal Medicine III, Heidelberg University Hospital, Heidelberg, Germany.
Heidelberg University · DEThe University of Texas Southwestern Medical Center · USCleveland Clinic · US

Funding

Novel Cardiac MRI-Based Predictors for Tetralogy of Fallot: Deformation, Kinematic, and Geometric AnalysesK23HL150279 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI TANDON, ANIMESH · 2021 to 2025
$847k
NHLBI NIH HHS K23 HL150279
6 · The paper itself

Abstract

Cine Cardiac Magnetic Resonance (CMR) is the gold standard for cardiac function evaluation, incorporating ejection fraction (EF) and strain as vital indicators of abnormal deformation. Rare pathologies like Duchenne muscular dystrophies (DMD) are monitored with repeated late gadolinium-enhanced (LGE) CMR for identification of myocardial fibrosis. However, it is judicious to reduce repeated gadolinium exposure and rather employ strain analysis from cine CMR. This solution is limited so far since full strain curves are not comparable between individual cardiac cycles and current practice mainly neglects diastolic deformation patterns. Our novel Deep Learning-based approach derives strain values aligned by key frames throughout the cardiac cycle. In a reproducibility scenario (57+82 patients), our results reveal five times more significant differences (22 vs. 4) between patients with scar and without, enhancing scar detection by +30%, improving detection of patients with preserved EF by +61%, with an overall sensitivity/specificity of 82/81%.

Identifiers

PMID38260274
PMCPMC10802696
OpenAlexW4390613590

What OpenQuestion holds

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LicenceCC BY
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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.