Evidence map›Paper›PMID 40924335›Full record

SynthesisThe international journal of cardiovascular imaging2025

Machine learning for myocarditis diagnosis using cardiovascular magnetic resonance: a systematic review, diagnostic test accuracy meta-analysis, and comparison with human physicians.

Paweł Łajczak, Oguz Kagan Sahin, Jakub Matyja, Luis Rene Puglla Sanchez, Iqbal Farhan Sayudo, Ayesha Ayesha, Vitor Lopes, Mir Wajid Majeed, Mrinal Murali Krishna, Meghna Joseph and 5 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis 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

15 authors.

Paweł Łajczak *Medical University of Silesia, Katowice, Poland. pawel.lajczak03@outlook.com.ORCID http://orcid.org/0000-0003-0281-5417
Oguz Kagan SahinEdremit State Hospital, Balikesir, Turkey.ORCID http://orcid.org/0009-0006-0001-0390
Jakub MatyjaTU Delft, Delft, Netherlands.ORCID http://orcid.org/0009-0005-9005-7856
Luis Rene Puglla SanchezClinico Lozano Blesa University Hospital, Zaragoza, Spain.ORCID http://orcid.org/0000-0002-8433-8329
Iqbal Farhan SayudoMedical Research Unit, Universitas Syiah Kuala, Banda Aceh, Indonesia.
Ayesha AyeshaShifa College of Medicine, Islamabad, Pakistan.ORCID http://orcid.org/0009-0003-9155-8471
Vitor LopesFederal University of Amazonas, Manaus, Brazil.
Mir Wajid MajeedGovernment Medical College, Srinagar, India.
Mrinal Murali KrishnaMedical College, Thiruvananthapuram, India.
Meghna JosephMedical College, Thiruvananthapuram, India.
Mable PereiraLincoln American University School of Medicine, Georgetown, Guyana.
Ogechukwu ObiNew York Institute of Technology College of Osteopathic Medicine, Old Westbury, New York, USA.ORCID http://orcid.org/0000-0003-4184-9644
Railla SilvaFederal University of Ceara, Fortaleza, Brazil.
Caterina LecchiUniversity of Svizzera Italiana, Lugano, Switzerland.
Michele Schincariol *Klinikum Fürth, Friedrich-Alexander-University Erlangen- Nürnberg, Fürth, Germany.ORCID http://orcid.org/0000-0002-8093-4502

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myocarditis is an inflammation of heart tissue. Cardiovascular magnetic resonance imaging (CMR) has emerged as an important non-invasive imaging tool for diagnosing myocarditis, however, interpretation remains a challenge for novice physicians. Advancements in machine learning (ML) models have further improved diagnostic accuracy, demonstrating good performance. Our study aims to assess the diagnostic accuracy of ML in identifying myocarditis using CMR. A systematic search was performed using PubMed, Embase, Web of Science, Cochrane, and Scopus to identify studies reporting the diagnostic accuracy of ML in the detection of myocarditis using CMR. The included studies evaluated both image-based and report-based assessments using various ML models. Diagnostic accuracy was estimated using a Random-Effects model (R software). We found a total of 141 ML model results from a total of 12 studies, which were included in the systematic review. The best models achieved 0.93 (95% Confidence Interval (CI) 0.88-0.96) sensitivity and 0.95 (95% CI 0.89-0.97) specificity. Pooled area under the curve was 0.97 (95% CI 0.93-0.98). Comparisons with human physicians showed comparable results for diagnostic accuracy of myocarditis. Quality assessment concerns and heterogeneity were present. CMR augmented using ML models with advanced algorithms can provide high diagnostic accuracy for myocarditis, even surpassing novice CMR radiologists. However, high heterogeneity, quality assessment concerns, and lack of information on cost-effectiveness may limit the clinical implementation of ML. Future investigations should explore cost-effectiveness and minimize biases in their methodologies.

Indexed as

Image Interpretation, Computer-AssistedMachine LearningMagnetic Resonance ImagingMagnetic Resonance Imaging, CineMyocarditisAdultClinical CompetenceFemaleHumansMaleMiddle AgedObserver VariationPredictive Value of TestsReproducibility of ResultsCMRDiagnostic accuracyMachine learningMyocarditis

Identifiers

PMID40924335
PMCPMC12491084

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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.