Evidence map›Paper›PMID 38362960›Full record

ArticleJournal of veterinary internal medicine

Automated echocardiographic left ventricular dimension assessment in dogs using artificial intelligence: Development and validation.

Catherine C Stowell, Valeria Kallassy, Beth Lane, Jonathan Abbott, Kieran Borgeat, David Connolly, Oriol Domenech, Joanna Dukes-McEwan, Luca Ferasin, Josefa Fernández Del Palacio and 9 more

Open access · goldAbstract read
In one paragraph

Article in Journal of veterinary internal medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
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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

19 authors at 12 institutions in 6 countries.

Catherine C StowellNational Heart and Lung Institute (NHLI), Imperial College, London, UK.ORCID https://orcid.org/0000-0003-3005-8636
Valeria KallassyClinical Science and Services, Royal Veterinary College, London, UK.
Beth LaneNational Heart and Lung Institute (NHLI), Imperial College, London, UK.
Jonathan AbbottDepartment of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, Tennessee, USA.ORCID https://orcid.org/0000-0001-6981-8968
Kieran BorgeatDepartment of Cardiology, Eastcott Veterinary Referrals, Swindon, UK.ORCID https://orcid.org/0000-0001-9199-4941
David ConnollyClinical Science and Services, Royal Veterinary College, London, UK.
Oriol DomenechCardiology Department, Istituto Veterinario di Novara, Novara, Italy.
Joanna Dukes-McEwanDepartment of Small Animal Clinical Science, School of Veterinary Science, University of Liverpool, Liverpool, UK.ORCID https://orcid.org/0000-0002-0326-8251
Luca FerasinSpecialist Veterinary Cardiology Consultancy, Four Marks, Newbury, UK.ORCID https://orcid.org/0000-0002-6898-7900
Josefa Fernández Del PalacioDepartment of Animal Medicine and Surgery, University of Murcia, Murcia, Spain.
Chris LinneyCardiology Department, Paragon Veterinary Referrals, Wakefield, UK.ORCID https://orcid.org/0000-0002-9126-8605
Jose Novo MatosDepartment of Veterinary Medicine, University of Cambridge, Cambridge, UK.ORCID https://orcid.org/0000-0001-8128-8111
Ilaria SpallaCardiology Department, Ospedale Veterinario San Francesco, Milan, Italy.ORCID https://orcid.org/0000-0003-0039-1438
Nuala SummerfieldCardiology Service, Virtual Veterinary Specialists, Harrow, UK.
Tommaso VezzosiDepartment of Veterinary Sciences, University of Pisa, Pisa, Italy.ORCID https://orcid.org/0000-0001-8301-6582
James P HowardNational Heart and Lung Institute (NHLI), Imperial College, London, UK.
Matthew J Shun-ShinNational Heart and Lung Institute (NHLI), Imperial College, London, UK.
Darrel P FrancisNational Heart and Lung Institute (NHLI), Imperial College, London, UK.
Virginia Luis FuentesClinical Science and Services, Royal Veterinary College, London, UK.ORCID https://orcid.org/0000-0001-8076-3806
Lung Institute · USRoyal Veterinary College · GBWillows Veterinary Centre and Referral Service · GBDermatology Specialists · USNewbury College · USNovamont (Italy) · ITOspedale San Paolo · ITUniversidad de Murcia · ESUniversity of Cambridge · GBUniversity of Liverpool · GBUniversity of Pisa · ITUniversity of Tennessee at Knoxville · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArtificial intelligence (AI) could improve accuracy and reproducibility of echocardiographic measurements in dogs. HYPOTHESIS: A neural network can be trained to measure echocardiographic left ventricular (LV) linear dimensions in dogs. ANIMALS: Training dataset: 1398 frames from 461 canine echocardiograms from a single specialist center. VALIDATION: 50 additional echocardiograms from the same center.

methodsTraining dataset: a right parasternal 4-chamber long axis frame from each study, labeled by 1 of 18 echocardiographers, marking anterior and posterior points of the septum and free wall. VALIDATION DATASET: End-diastolic and end-systolic frames from 50 studies, annotated twice (blindly) by 13 experts, producing 26 measurements of each site from each frame. The neural network also made these measurements. We quantified its accuracy as the deviation from the expert consensus, using the individual-expert deviation from consensus as context for acceptable variation. The deviation of the AI measurement away from the expert consensus was assessed on each individual frame and compared with the root-mean-square-variation of the individual expert opinions away from that consensus.

resultsFor the septum in end-diastole, individual expert opinions deviated by 0.12 cm from the consensus, while the AI deviated by 0.11 cm (P = .61). For LVD, the corresponding values were 0.20 cm for experts and 0.13 cm for AI (P = .65); for the free wall, experts 0.20 cm, AI 0.13 cm (P < .01). In end-systole, there were no differences between individual expert and AI performances. CONCLUSIONS AND CLINICAL IMPORTANCE: An artificial intelligence network can be trained to adequately measure linear LV dimensions, with performance indistinguishable from that of experts.

Indexed as

Artificial IntelligenceEchocardiographyAnimalsDiastoleDogsHeart VentriclesReproducibility of Resultsartificial intelligenceechocardiographyvendor-neutral

Identifiers

PMID38362960
PMCPMC10937473
OpenAlexW4391884035

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.