Evidence map›Paper›PMID 40790953›Full record

ArticleMedical physics2025

Machine-learning-based prediction of respiratory flow and lung volume from real-time cardiac MRI using MR-compatible spirometry.

Halima Malik, Tobias Uelwer, Lena Maria Röwer, Janina Hußmann, Pablo Emilio Verde, Stefan Harmeling, Dirk Voit, Jens Frahm, Dirk Klee, Frank Pillekamp

Abstract read
In one paragraph

Article in Medical physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

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4 · The record

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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.

Halima MalikDepartment of Diagnostic and Interventional Radiology, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University, Düsseldorf, North Rhine-Westphalia, Germany.
Tobias UelwerDepartment of Computer Science, Technical University of Dortmund, Dortmund, North Rhine-Westphalia, Germany.
Lena Maria RöwerDepartment of Diagnostic and Interventional Radiology, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University, Düsseldorf, North Rhine-Westphalia, Germany.
Janina HußmannDepartment of Diagnostic and Interventional Radiology, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University, Düsseldorf, North Rhine-Westphalia, Germany.
Pablo Emilio VerdeCoordination Centre for Clinical Trials, Heinrich Heine University, Düsseldorf, North Rhine-Westphalia, Germany.
Stefan HarmelingDepartment of Computer Science, Technical University of Dortmund, Dortmund, North Rhine-Westphalia, Germany.
Dirk VoitBiomedical NMR, Max Planck Institute for Multidisciplinary Sciences, Göttingen, Lower Saxony, Germany.
Jens FrahmBiomedical NMR, Max Planck Institute for Multidisciplinary Sciences, Göttingen, Lower Saxony, Germany.
Dirk KleeDepartment of Diagnostic and Interventional Radiology, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University, Düsseldorf, North Rhine-Westphalia, Germany.
Frank PillekampDepartment of Diagnostic and Interventional Radiology, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University, Düsseldorf, North Rhine-Westphalia, Germany.

Funding

Elterninitiative Krebsklinik e.V.
6 · The paper itself

Abstract

backgroundCardiac real-time MRI (RT-MRI) in combination with MR-compatible spirometry (MRcS) offers unique opportunities to study heart-lung interactions. In contrast to other techniques that monitor respiration during MRI, MRcS provides quantitative respiratory data. Though MRcS is well tolerated, shortening of the scanning time with MRcS would be desirable, especially in young and sick patients. PURPOSE: The aim of the study was to predict airflow and lung volume based on RT-MR images after a short learning phase of combined RT-MRI and MRcS to provide respiratory data for subsequent short axis stack-based volumetries.

methodsCardiac RT-MRI (1.5 T; short axis; 30 frames/s) was acquired during free breathing in combination with MRcS in adult healthy subjects (n = 10). MR images with MRcS were recorded during a learning phase to collect training data. The iterative Lucas-Kanade method was applied to estimate optical flow from the captured MR images. A ridge regression model was fitted to predict airflow and thus also the lung volume from the estimated optical flow. Hyperparameters were estimated using leave-one-out cross validation and the performance was assessed on a held-out test dataset. Different durations and compositions of the learning phase were investigated to develop the most efficient measurement protocol. Coefficient of determination (R

resultsMRI combined with MRcS can train a machine learning algorithm to provide excellent predictive quantitative respiratory volume and flow for the remaining study. The optimal trade-off between predictive power and time necessary for training was reached with a shortened cardiac volumetry protocol covering only about two breaths per slice and every second slice (airflow: mean R

conclusionMachine-learning-based prediction of respiratory flow and lung volume from cardiac RT-MR images after a short training phase with MRcS is feasible and can help to shorten the time with MRcS while providing accurate respiratory data during RT-MRI.

Indexed as

HeartLungMachine LearningPulmonary VentilationAdultCardiac VolumeDatasets as TopicFemaleHumansLung Volume MeasurementsMagnetic Resonance ImagingMaleSpirometryYoung Adultcardiac MRImachine learningreal‐time MRIrespiration

Identifiers

PMID40790953
PMCPMC12340473

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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.