Evidence map›Paper›PMID 36713008›Full record

ArticleEuropean heart journal. Digital health2022

Machine learning cardiac-MRI features predict mortality in newly diagnosed pulmonary arterial hypertension.

Samer Alabed, Johanna Uthoff, Shuo Zhou, Pankaj Garg, Krit Dwivedi, Faisal Alandejani, Rebecca Gosling, Lawrence Schobs, Martin Brook, Yousef Shahin and 9 more

Open access · goldAbstract read
In one paragraph

Article in European heart journal. Digital health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
4.7field-weighted citation impact, top 4% of its field
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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. A Non-Invasive Approach to Pulmonary Hypertension.Journal of clinical medicine · 2025
    Review
  11. Review
  12. Review
  13. Adopting artificial intelligence in cardiovascular medicine: a scoping review.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
  14. Article
  15. Article
  16. Review
  17. On the Analyses of Medical Images Using Traditional Machine Learning Techniques and Convolutional Neural Networks.Archives of computational methods in engineering : state of the art reviews · 2023
    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

19 authors at 5 institutions in 2 countries.

Samer AlabedDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0002-9960-7587
Johanna UthoffDepartment of Computer Science, University of Sheffield, Sheffield, UK.
Shuo ZhouDepartment of Computer Science, University of Sheffield, Sheffield, UK.
Pankaj GargDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
Krit DwivediDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
Faisal AlandejaniDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
Rebecca GoslingDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0001-7465-3563
Lawrence SchobsDepartment of Computer Science, University of Sheffield, Sheffield, UK.
Martin BrookDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
Yousef ShahinDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0001-7425-7798
Dave CapenerDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
Christopher S JohnsDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
Jim M WildDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0002-7246-8660
Alexander M K RothmanDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
Rob J van der GeestLeiden University Medical Center, Leiden, The Netherlands.
Robin CondliffeDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
David G KielyDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
Haiping LuINSIGNEO, Institute for in silico medicine, University of Sheffield, UK.
Andrew J SwiftDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
University of Sheffield · GBSheffield Teaching Hospitals NHS Foundation Trust · GBInsigneo · GBRoyal Hallamshire Hospital · GBLeiden University Medical Center · NL

Funding

British Heart Foundation SP/14/6/31350Medical Research Council MR/M008894/1
6 · The paper itself

Abstract

Aims: Pulmonary arterial hypertension (PAH) is a rare but serious disease associated with high mortality if left untreated. This study aims to assess the prognostic cardiac magnetic resonance (CMR) features in PAH using machine learning. Methods and results: Seven hundred and twenty-three consecutive treatment-naive PAH patients were identified from the ASPIRE registry; 516 were included in the training, and 207 in the validation cohort. A multilinear principal component analysis (MPCA)-based machine learning approach was used to extract mortality and survival features throughout the cardiac cycle. The features were overlaid on the original imaging using thresholding and clustering of high- and low-risk of mortality prediction values. The 1-year mortality rate in the validation cohort was 10%. Univariable Cox regression analysis of the combined short-axis and four-chamber MPCA-based predictions was statistically significant (hazard ratios: 2.1, 95% CI: 1.3, 3.4, Conclusion: The MPCA-based machine learning is an explainable time-resolved approach that allows visualization of prognostic cardiac features throughout the cardiac cycle at the population level, making this approach transparent and clinically interpretable. In addition, the added prognostic value over the REVEAL risk score and CMR volumetric measurements allows for a more accurate prediction of 1-year mortality risk in PAH.

Indexed as

Artificial IntelligenceCardiac MRIMachine learningMortalityPrognosisPulmonary hypertension

Identifiers

PMID36713008
PMCPMC9708011
OpenAlexW4229054563

What Socratic holds

Textmetadata
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 Socratic graph.