Evidence map›Paper›PMID 41360622›Full record

Trial reportOpen heart2025

Real-time deep learning-based image guiding and automated left ventricular measurements to reduce test-retest variability.

Håkon Pettersen, Sigbjorn Sabo, David Pasdeloup, Erik Smistad, Sindre Olaisen, Andreas Østvik, Stian Stølen, Bjørnar Leangen Grenne, Lasse Løvstakken, Havard Dalen and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Open heart, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04580095 (Technology Revisiting Ultrasound Solutions of Tomorrow - Artificial Intelligence for Improved Echocardiography), which is not on this 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.

NCT04580095 nacompletednot on this map

Technology Revisiting Ultrasound Solutions of Tomorrow - Artificial Intelligence for Improved Echocardiography

TypeinterventionalSponsorHelse Nord-Trøndelag HFRan2020 to 2021Enrolled88ConditionsHeart DiseasesArmsAI algorithm for apical foreshortening in echocardiography
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

11 authors.

Håkon PettersenDepartment of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Trøndelag, Norway.ORCID http://orcid.org/0009-0000-1173-4032
Sigbjorn SaboDepartment of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Trøndelag, Norway.
David PasdeloupDepartment of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Trøndelag, Norway.
Erik SmistadDepartment of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Trøndelag, Norway.
Sindre OlaisenDepartment of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Trøndelag, Norway.
Andreas ØstvikDepartment of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Trøndelag, Norway.
Stian StølenClinic of Cardiology, St Olav's Hospital HF, Trondheim, Trøndelag, Norway.
Bjørnar Leangen GrenneDepartment of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Trøndelag, Norway.
Lasse LøvstakkenDepartment of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Trøndelag, Norway.
Havard DalenDepartment of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Trøndelag, Norway.ORCID http://orcid.org/0000-0003-1192-3663
Espen HolteDepartment of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Trøndelag, Norway espen.holte@ntnu.no.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo evaluate the effect of combining real-time deep learning (DL)-based guiding and automated measurements of left ventricular (LV) volumetric measurements and strain. METHODS AND

resultsPatients (n=47) with mixed cardiac pathology were examined by two sonographers and one reference cardiologist. A real-time DL guiding tool to avoid LV foreshortening was used by one sonographer only per patient. Automated DL-based measurements from the sonographer using the guiding tool were paired with automated measurements from the reference cardiologist (artificial intelligence (AI)-assisted echocardiography), while manual measurements from the sonographer not using the guiding tool were paired with manual measurements from the reference cardiologist (standard echocardiography). The variability of LV EDV, LV ESV, ejection fraction (LV EF) and global longitudinal strain (LV GLS) was compared for standard echocardiography versus AI-assisted echocardiography. Coefficients of variation were lower for AI-assisted echocardiography compared with standard echocardiography (6% vs 15% for LV EDV (p<0.001), 10% vs 19% for ESV (p<0.001) and 7% vs 11% for GLS (p=0.047), respectively). For LV EF, the coefficients of variation were similar across groups (8% vs 9%, p=0.503, respectively). In exploratory analyses, automated measurements alone (all p≤0.002) but not the guiding tool (all ≥0.199) explained the improved variability for LV EDV, ESV and GLS.

conclusionsAI-assisted echocardiography combining DL-based real-time guiding and automated measurements significantly reduced the variability of LV EDV, ESV and GLS when compared to standard echocardiography. Among experienced operators, automated measurements were more beneficial than real-time guiding. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov, ID: NCT04580095.

Indexed as

Deep LearningEchocardiographyHeart VentriclesImage Interpretation, Computer-AssistedStroke VolumeVentricular Dysfunction, LeftVentricular Function, LeftAgedFemaleHumansMaleMiddle AgedPredictive Value of TestsReproducibility of ResultsDiagnostic ImagingEchocardiographyHeart Failure

Identifiers

PMID41360622
PMCPMC12699943

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Registered trials

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.