Evidence map›Paper›PMID 42340636›Full record

ArticleInternational journal of computer assisted radiology and surgery2026

Model-guided medicine for early diagnosis of transthyretin-associated cardiac amyloidosis using multimodal data integration and standardized interoperable models (the CRONOS-ATTR study).

Raúl Ramos-Polo, Sergi Yun, Lorena Herrador, Fernando de Frutos, Sílvia Jovells-Vaqué, Andreea Eunice Cosa, Alejandro Espinosa, Adrian Ricarte Marin, Hugo Herrero Antón de Vez, Oriol Guardia and 5 more

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In one paragraph

Article in International journal of computer assisted radiology and surgery, 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. 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.

Raúl Ramos-PoloBio-Heart Cardiovascular Diseases Research Group, Bellvitge Biomedical Research Institute (IDIBELL), 08907, L'Hospitalet de Llobregat, Spain.
Sergi YunBio-Heart Cardiovascular Diseases Research Group, Bellvitge Biomedical Research Institute (IDIBELL), 08907, L'Hospitalet de Llobregat, Spain.
Lorena HerradorCardiology Department, Bellvitge University Hospital, 08907, L'Hospitalet de Llobregat, Spain.
Fernando de FrutosBio-Heart Cardiovascular Diseases Research Group, Bellvitge Biomedical Research Institute (IDIBELL), 08907, L'Hospitalet de Llobregat, Spain.
Sílvia Jovells-VaquéBio-Heart Cardiovascular Diseases Research Group, Bellvitge Biomedical Research Institute (IDIBELL), 08907, L'Hospitalet de Llobregat, Spain.
Andreea Eunice CosaBio-Heart Cardiovascular Diseases Research Group, Bellvitge Biomedical Research Institute (IDIBELL), 08907, L'Hospitalet de Llobregat, Spain.
Alejandro EspinosaFunctional Data Management Unit, Territorial Management of the Southern Metropolitan Area, Hospital Universitari de Bellvitge, Catalan Health Institute (ICS), L'Hospitalet de Llobregat, Barcelona, Spain.
Adrian Ricarte MarinFunctional Data Management Unit, Territorial Management of the Southern Metropolitan Area, Hospital Universitari de Bellvitge, Catalan Health Institute (ICS), L'Hospitalet de Llobregat, Barcelona, Spain.
Hugo Herrero Antón de VezDepartment of Medicine, Universitat Internacional de Catalunya (UIC), Barcelona, Spain.
Oriol GuardiaDepartment of Medicine, Universitat Internacional de Catalunya (UIC), Barcelona, Spain.
Carlos CasasnovasMultidisciplinary Familial Amyloidosis Unit, Cardiology Department, Bellvitge University Hospital, 08907, L'Hospitalet de Llobregat, Spain.
Cristina EnjuanesBio-Heart Cardiovascular Diseases Research Group, Bellvitge Biomedical Research Institute (IDIBELL), 08907, L'Hospitalet de Llobregat, Spain.
Jaime Reventós PuigjanerDepartment of Medicine, Universitat Internacional de Catalunya (UIC), Barcelona, Spain.
Jose González-CostelloBio-Heart Cardiovascular Diseases Research Group, Bellvitge Biomedical Research Institute (IDIBELL), 08907, L'Hospitalet de Llobregat, Spain.
Josep Comín-ColetBio-Heart Cardiovascular Diseases Research Group, Bellvitge Biomedical Research Institute (IDIBELL), 08907, L'Hospitalet de Llobregat, Spain. jcomin@bellvitgehospital.cat.ORCID http://orcid.org/0000-0001-8780-720X

Funding

Departament de Salut, Generalitat de Catalunya SLT028/23/000018
6 · The paper itself

Abstract

backgroundEarly diagnosis of transthyretin cardiac amyloidosis (ATTR-CM) is essential for timely intervention but remains challenging due to its subtle and nonspecific clinical presentation. The CRONOS-ATTR study aimed to improve early detection of ATTR-CM by integrating multimodal data (clinical, electrocardiographic, and echocardiographic) within a model-guided medicine framework.

methodsUsing artificial intelligence (AI) algorithms from CardiolyseECGSoftware and Ligence Heart, along with human intelligence (multidimensional interpretable models), we standardized and harmonized heterogeneous data sources into a unified patient-specific model (PSM).

resultsA machine learning model based on XGBoost was trained on a cohort of 124 patients and achieved strong diagnostic performance (AUC 0.84), with high sensitivity and precision. The model provided interpretable outputs using SHAP values, facilitating clinical understanding and trust. This approach not only enabled accurate early detection of ATTR-CM but also demonstrated feasibility for integration into real-world clinical workflows.

conclusionsOur findings support the use of explainable AI to enhance screening strategies for cardiac amyloidosis and establish a foundation for scalable, automated tools that can be embedded within healthcare systems.

Indexed as

Artificial IntelligenceCardiac AmyloidosisCardiomyopathyHeart FailureTranstiretin

Identifiers

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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.