Evidence map›Paper›PMID 42241733›Full record

ArticleEBioMedicine2026

Echocardiography-based intelligent diagnosis and risk stratification management for tetralogy of Fallot.

Qiang Gao, Aiqing Wang, Yingshuang Gao, Weichang Xie, Junyao Yang, Mei Yan, Shi Chao, Leisheng Zhao, Hui Lu, Yuqi Zhang and 2 more

Abstract read
In one paragraph

Article in EBioMedicine, 2026. 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. Article
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

12 authors.

Qiang GaoSJTU-Yale Joint Center for Biostatistics and Data Science, Technical Center for Digital Medicine, National Center for Translational Medicine, Shanghai Jiao Tong University, Shanghai, China; Department of Bioinformatics and Biostatistics, School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, China.
Aiqing WangDepartment of Pediatric Cardiology, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yingshuang GaoSJTU-Yale Joint Center for Biostatistics and Data Science, Technical Center for Digital Medicine, National Center for Translational Medicine, Shanghai Jiao Tong University, Shanghai, China; Department of Bioinformatics and Biostatistics, School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, China.
Weichang XieDepartment of Cardiovascular Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Junyao YangDepartment of Cardiology, Institute for Developmental and Regenerative Cardiovascular Medicine, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Mei YanDepartment of Cardiology, Institute for Developmental and Regenerative Cardiovascular Medicine, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Shi ChaoDepartment of pediatrics, Xuzhou City Central Hospital, Xuzhou, Jiangsu, China.
Leisheng ZhaoDepartment of Pediatric Cardiology, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Hui LuSJTU-Yale Joint Center for Biostatistics and Data Science, Technical Center for Digital Medicine, National Center for Translational Medicine, Shanghai Jiao Tong University, Shanghai, China; Department of Bioinformatics and Biostatistics, School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, China. Electronic address: huilu@sjtu.edu.cn.
Yuqi ZhangDepartment of Pediatric Cardiology, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address: changyuqi6812@163.com.
Lijun ChenDepartment of Pediatric Cardiology, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address: cfridayw@hotmail.com.
Siqiong YaoSJTU-Yale Joint Center for Biostatistics and Data Science, Technical Center for Digital Medicine, National Center for Translational Medicine, Shanghai Jiao Tong University, Shanghai, China. Electronic address: yaosiqiong@sjtu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly and accurate detection of Tetralogy of Fallot (TOF), along with proper risk stratification management, is critical for improving patient survival and prognosis. We developed an end-to-end automated framework for TOF, aimed at supporting decisions from preoperative diagnosis through postoperative risk prediction.

methodsA total of 1986 filtered participants (1018 healthy controls, 480 TOF mimics, and 488 patients with TOF) from four centres were recruited for the development and validation of DynaTOF, an integrated diagnostic and predictive system. The DynaTOF system comprises: (1) an echocardiographic view classification module built on ResNet-18; (2) a key diameter localisation and calculation module constructed with HRNet and a custom composite loss combining heatmap loss with geometric constraint loss; (3) a multimodal TOF diagnostic module that integrates a ResNet-LSTM-based video feature extractor for echocardiographic videos and a Transformer-based feature extractor for key diameters; (4) a time-aware postoperative prediction module, implemented with a GNN (Graph Neural Network), which estimates postoperative abnormal score dynamics based on preoperative video data, key diameters, surgical type, and specific postoperative time; and (5) a risk-stratification module that employs a Random Forest classifier to differentiate between high- and low-risk patients using the predicted abnormal score series.

findingsThe view classification module achieved AUC values of 0.999, 0.999, 0.998, and 0.998 for classifying the Apical Four-Chamber (A4C), Apical Five-Chamber (A5C), Parasternal Short-Axis (PSAX), and Parasternal Long-Axis (PLAX) views, respectively. The key diameter localisation and calculation module demonstrated R

interpretationDynaTOF enables efficient diagnosis of TOF and provides personalised abnormal dynamics after operation, facilitating early screening and longitudinal monitoring. This system holds promise for improving comprehensive clinical care for infants with TOF.

fundingThis work was supported by Shanghai Municipal Education Commission (No. 2024AIYB010), Fundamental Research Funds for the Central Universities (YG2025LC03), Shanghai Special Fund for Promoting High-Quality Industrial Development - Pilot Industry Innovation Development (AI Special Topic) Project (No. 2025-GZL-RGZN-02078), National Key Research and Development Program of China (2025YFC2511603), Shenzhen Medical Research Special Project clinical multi-center study (No. C2405001), the Science and Technology Commission of Shanghai Municipality (STCSM) (Grant No. 23JS1400700; 24JS2840200; 25JS2850100), the Innovative Research Team of High-Level Local Universities in Shanghai, and the Sanya Science and Technology Special Fund (No. 2022KJCX41).

Indexed as

EchocardiographyTetralogy of FallotFemaleHumansMaleRisk AssessmentROC CurveCongenital heart diseaseEchocardiographyIntelligent diagnosisRisk StratificationTetralogy of FallotTime-aware prediction

Identifiers

PMID42241733
PMCPMC13266258

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.