Evidence map›Paper›PMID 40713871›Full record

ArticleCardio-oncology (London, England)2025

Explainable machine learning for neoplasms diagnosis via electrocardiograms: an externally validated study.

Juan Miguel Lopez Alcaraz, Wilhelm Haverkamp, Nils Strodthoff

Abstract read
In one paragraph

Article in Cardio-oncology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

3 authors.

Juan Miguel Lopez AlcarazAI4Health Division, Carl von Ossietzky Universität Oldenburg, Ammerländer Heerstraße 114-118, Oldenburg, Lower Saxony, 26129, Germany.
Wilhelm HaverkampDepartment of Cardiology, Angiology and Intensive Care Medicine, Charité Campus Mitte, German Heart Center of the Charité-University Medicine, Augustenburger Pl. 1, Berlin, 13353, Germany.
Nils StrodthoffAI4Health Division, Carl von Ossietzky Universität Oldenburg, Ammerländer Heerstraße 114-118, Oldenburg, Lower Saxony, 26129, Germany. nils.strodthoff@uol.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeoplasms are a major cause of mortality globally, where early diagnosis is essential for improving outcomes. Current diagnostic methods are often invasive, expensive, and inaccessible in resource-limited settings. This study explores the potential of electrocardiogram (ECG) data, a widely available and non-invasive tool for diagnosing neoplasms through cardiovascular changes linked to neoplastic presence.

methodsA diagnostic pipeline combining tree-based machine learning models with Shapley value analysis for explainability was developed. The model was trained and internally validated on a large dataset and externally validated on an independent cohort to ensure robustness and generalizability. Key ECG features contributing to predictions were identified and analyzed.

resultsThe model achieved high diagnostic accuracy in both internal testing and external validation cohorts. Shapley value analysis highlighted significant ECG features, including novel predictors. The approach is cost-effective, scalable, and suitable for resource-limited settings, offering insights into cardiovascular changes associated with neoplasms and their therapies.

conclusionsThis study demonstrates the feasibility of using ECG signals and machine learning for non-invasive neoplasm diagnosis. By providing interpretable insights into cardio-neoplasm interactions, this method addresses gaps in diagnostics and supports integration into broader diagnostic and therapeutic frameworks.

Indexed as

Electrocardiogram (ECG)Explainable Artificial Intelligence (XAI)Machine LearningNeoplasm diagnosis

Identifiers

PMID40713871
PMCPMC12297791

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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.