Evidence map›Paper›PMID 42166090›Full record

ArticleJournal of echocardiography2026

Validation of a fully automated workflow for longitudinal strain using artificial intelligence.

Yuka Nomura, Yukina Hirata, Yoshihito Saijo, Masataka Sata, Kenya Kusunose

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Article in Journal of echocardiography, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yuka Nomura *Ultrasound Examination Center, Tokushima University Hospital, Tokushima, Japan.
Yukina Hirata *Ultrasound Examination Center, Tokushima University Hospital, Tokushima, Japan.
Yoshihito SaijoDepartment of Cardiovascular Medicine, Tokushima University Hospital, Tokushima, Japan.
Masataka SataDepartment of Cardiovascular Medicine, Tokushima University Hospital, Tokushima, Japan.
Kenya KusunoseDepartment of Cardiovascular Medicine, Tokushima University Hospital, Tokushima, Japan. kusunok@cs.u-ryukyu.ac.jp.ORCID http://orcid.org/0000-0002-4909-754X

Funding

Japan Agency for Medical Research and Development JP22uk1024007JSPS Kakenhi Grants 21K12706
6 · The paper itself

Abstract

backgroundManual interpretation of echocardiographic data for strain analysis is time-consuming and prone to inter-observer variability. With the advent of artificial intelligence (AI), its potential to streamline echocardiographic interpretation and reduce variability has attracted increasing interest. This study aimed to evaluate the accuracy of AI-derived strain measurements, focusing on left ventricular global longitudinal strain (LVGLS) and left atrial reservoir strain (LASr), compared with expert sonographer measurements. METHODS AND

resultsA total of 150 patients were included regardless of underlying disease. Echocardiographic parameters, including LVGLS and LASr, were independently assessed by an expert sonographer and the fully automated software (Us2.ai). Correlations and agreement were evaluated using intraclass correlation coefficients (ICC) and complementary analyses. Subgroup analyses were also performed for LVGLS stratified by left ventricular ejection fraction (EF) categories, and for LASr stratified by left atrial volume index (LAVi) categories. For LVGLS, the ICC was 0.83 (95% CI: 0.77-0.88) and 0.77 (95% CI: 0.67-0.84) for LASr. The accuracy of both LVGLS and LASr was generally maintained across different EF and LAVi subcategories.

conclusionsThe fully automated software showed reliable correlations with expert sonographer measurements, particularly for LVGLS, while correlation for LASr was not as high. With further investigation, the fully automated software may become a useful tool for echocardiographic analysis in clinical practice.

Indexed as

Artificial intelligenceDeep learningEchocardiographyStrain measurement

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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.