Evidence map›Paper›PMID 40301202›Full record

Trial reportThe international journal of cardiovascular imaging2025

Artificial intelligence-assisted left ventricular global longitudinal strain assessment in patients with acute myocardial infarction: a RESUS-AMI trial sub-analysis.

Demeke Mekonnen, Ernest Spitzer, Eugene P McFadden, Noel M Caplice, Claire B Ren

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in The international journal of cardiovascular imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

5 authors.

Demeke MekonnenCardialysis, Rotterdam, The Netherlands.
Ernest SpitzerCardialysis, Rotterdam, The Netherlands.
Eugene P McFaddenCardiology Department, Cork University Hospital, Cork, Ireland.
Noel M CapliceCardiology Department, Cork University Hospital, Cork, Ireland.
Claire B RenCardialysis, Rotterdam, The Netherlands. cren@cardialysis.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this sub-analysis of the RESUS-AMI trial was to evaluate the correlation of artificial intelligence (AI)-assisted echocardiographic global longitudinal strain (GLS) assessments with infarct size, left ventricular ejection fraction (LVEF) and volumes from cardiac magnetic resonance (CMR) imaging, in patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction. The reproducibility of GLS and other echocardiographic parameters derived with the AI-assisted software were also assessed.

methodsThis is a post-hoc imaging sub-analysis of the RESUS-AMI trial. Echocardiographic LVEF, volumes and GLS were measured with AI-assisted software (CAAS Qardia 2.0) using automated and semi-automated methods. The CMR LVEF, LV dimensions and infarct size were obtained from a CMR core lab with an off-line workstation (CAAS MRV 4.1).

resultsIn total 169 echocardiograms were analysed and the GLS showed moderate correlation with the CMR infarct size (r = 0.58 automated and 0.64 semi-automated, both p < 0.001) and LVEF (r=-0.63 automated and - 0.65 semi-automated, both p < 0.001) from 81 CMR recordings. GLS also showed moderate correlation with the LVEF (r= -0.51 automated and - 0.67 semi-automated, both p < 0.001) from echocardiography. The inter-observer reproducibility was excellent in GLS from both the automated (intraclass correlation (ICC) = 0.94, bias = 0.08, limit of agreement (LOA) = 1.75) and semi-automated analysis (ICC = 0.93, bias=-0.68, LOA = 1.44). The intra-observer reproducibility was excellent in all echocardiographic measurements.

conclusionGLS derived from the AI-assisted software (automated or semi-automated) could be used as a marker of LV systolic function as it correlates well the infarct size and LVEF assessed with CMR and LVEF with echocardiography.

Indexed as

Artificial IntelligenceEchocardiographyImage Interpretation, Computer-AssistedMagnetic Resonance Imaging, CineMyocardial ContractionST Elevation Myocardial InfarctionStroke VolumeVentricular Function, LeftAgedFemaleGlobal Longitudinal StrainHumansMaleMiddle AgedObserver VariationPercutaneous Coronary InterventionArtificial intelligenceGlobal longitudinal strainInfarct sizeLeft ventricular functionMyocardial infarction

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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.