Evidence map›Paper›PMID 42754524›Full record

ArticleThe Korean journal of internal medicine2026

Prognostic significance of artificial intelligence-quantified late gadolinium enhancement on cardiac magnetic resonance in hypertrophic cardiomyopathy.

Young-Sang Jeong, Jong-Il Park, Kang-Un Choi, Jong-Ho Nam, Chan-Hee Lee, Jang-Won Son, Ung Kim, Jong-Seon Park, Eunjung Kong

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Article in The Korean journal of internal medicine, 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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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Young-Sang JeongDivision of Cardiology, Yeungnam University Medical Center, Daegu, Korea.
Jong-Il ParkDivision of Cardiology, Yeungnam University Medical Center, Daegu, Korea.
Kang-Un ChoiDivision of Cardiology, Yeungnam University Medical Center, Daegu, Korea.
Jong-Ho NamDivision of Cardiology, Yeungnam University Medical Center, Daegu, Korea.
Chan-Hee LeeDivision of Cardiology, Yeungnam University Medical Center, Daegu, Korea. chanheebox@naver.com.
Jang-Won SonDivision of Cardiology, Yeungnam University Medical Center, Daegu, Korea.
Ung KimDivision of Cardiology, Yeungnam University Medical Center, Daegu, Korea.
Jong-Seon ParkDivision of Cardiology, Yeungnam University Medical Center, Daegu, Korea.
Eunjung KongDepartment of Nuclear Medicine, Yeungnam University Medical Center, Daegu, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsThis study aimed to evaluate the prognostic value of artificial intelligence (AI)-based late gadolinium enhancement (LGE) quantification using cardiovascular magnetic resonance (CMR) in patients with hypertrophic cardiomyopathy (HCM).

methodsWe retrospectively analyzed 142 patients with HCM (mean age 58.5 ± 13.7 yr; 72.5% men) who underwent CMR at Yeungnam University Medical Center between 2015 and 2023. LGE was quantified using an AI-based segmentation algorithm with a 6-standard deviation method. Patients were stratified into a high LGE group (≥ 15%) and a low LGE group (< 15%). The primary outcome was a composite of cardiovascular death, including sudden cardiac death (SCD) and SCD-equivalent events.

resultsOver a median follow-up of 59 months, the high LGE group experienced a higher incidence of the primary outcome compared with the low LGE group (21.2% vs. 4.6%, p = 0.0067). After adjustment for age and left ventricular ejection fraction, a high AI-quantified LGE burden (≥ 15%) remained independently associated with the primary outcome (adjusted hazard ratio 4.67, 95% confidence interval 1.43-15.30, p = 0.011). Receiver operating characteristic analysis determined an optimal LGE cutoff of 8% for predicting the primary outcome (area under the curve 0.821). Patients with LGE ≥ 8% exhibited markedly increased rates of the primary outcome (18.2% vs. 0%, p < 0.001) and SCD/SCD-equivalent events (13.6% vs. 0%, p = 0.00074).

conclusionAI-based quantitative assessment of LGE is an independent predictor of adverse cardiovascular outcomes in patients with HCM and may represent a clinically meaningful imaging biomarker for risk stratification.

Indexed as

Artificial IntelligenceCardiomyopathy, HypertrophicContrast MediaGadoliniumMagnetic Resonance Imaging, CineAdultAgedDeath, Sudden, CardiacFemaleHumansMaleMiddle AgedPredictive Value of TestsPrognosisRetrospective StudiesRisk AssessmentContrast MediaGadoliniumArtificial intelligenceGadoliniumHypertrophic cardiomyopathyMagnetic resonance imagingPrognosis

Identifiers

PMID42754524
PMCPMC13585675

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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.