Evidence map›Paper›PMID 41438088›Full record

ArticleiScience2025

Explainable-enhanced AI for diagnosing coronary microvascular dysfunction with multimodal imaging.

Guodong Wang, Lina Guan, Shiyu Li, Yongde Qin, Yunling Wang, Xiaohong Li, Jie Chen, Yuming Mu

Abstract read
In one paragraph

Article in iScience, 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

8 authors.

Guodong WangDepartment of Echocardiography, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China.
Lina GuanDepartment of Echocardiography, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China.
Shiyu LiThe School of Electronic and Computer Engineering, Peking University, Shenzhen 518055, China.
Yongde QinDepartment of Nuclear Medicine, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China.
Yunling WangDepartment of Imaging Center, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China.
Xiaohong LiDepartment of Nuclear Medicine, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China.
Jie ChenThe Peng Cheng Laboratory, Shenzhen 518055, China.
Yuming MuDepartment of Echocardiography, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study develops a clinically applicable, explainability-enhanced AI model, CMVD_MDAS, to improve the diagnosis of coronary microvascular Dysfunction (CMVD) by integrating deep learning and multimodal machine learning. The model was trained and internally validated on 592 myocardial segments and externally validated on 352 clinical patient segments. The architecture includes automated myocardial segmentation, convolutional neural network-based feature extraction, and multimodal diagnostic modeling with SHAP-based feature ranking to enhance explainability. The CMVD_MDAS demonstrated excellent internal performance (AUC: 0.999) and robust external performance (AUC: 0.79), surpassing physician assessments and commercial software. This explainability-enhanced AI solution significantly improves the accuracy and efficiency of CMVD assessment, reducing diagnostic time by approximately 90% and offering a potential diagnostic tool for clinical practice.

Indexed as

artificial intelligencecardiovascular medicine

Identifiers

PMID41438088
PMCPMC12721181

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.