Evidence map›Paper›PMID 38786284›Full record

ArticleDiagnostics (Basel, Switzerland)2024

Clinical Validation of a Machine-Learned, Point-of-Care System to IDENTIFY Functionally Significant Coronary Artery Disease.

Thomas D Stuckey, Frederick J Meine, Thomas R McMinn, Jeremiah P Depta, Brett A Bennett, Thomas F McGarry, William S Carroll, David D Suh, John A Steuter, Michael C Roberts and 8 more

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2024. 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

18 authors.

Thomas D StuckeyCone Health Heart and Vascular Center, Greensboro, NC 27401, USA.
Frederick J MeineNovant Health New Hanover Regional Medical Center, Wilmington, NC 28401, USA.
Thomas R McMinnAustin Heart, Austin, TX 78705, USA.
Jeremiah P DeptaRochester General Hospital, Rochester, NY 14621, USA.
Brett A BennettJackson Heart Clinic, Jackson, MS 39216, USA.
Thomas F McGarryOklahoma Heart Hospital, Oklahoma City, OK 73120, USA.
William S CarrollCardiology Associates of North Mississippi, Tupelo, MS 38801, USA.
David D SuhAtlanta Heart Specialists, Tucker, GA 30084, USA.
John A SteuterBryan Heart, Lincoln, NE 68506, USA.
Michael C RobertsLexington Medical Center Heart & Vascular, West Columbia, SC 29169, USA.
Horace R GillinsCorVista Health, Inc., Bethesda, MD 20814, USA.
Farhad FathiehAnalytics for Life, Inc., Toronto, ON M5X 1C9, Canada.ORCID 0000-0001-8123-3145
Timothy BurtonAnalytics for Life, Inc., Toronto, ON M5X 1C9, Canada.ORCID 0000-0002-5492-9304
Navid NematiAnalytics for Life, Inc., Toronto, ON M5X 1C9, Canada.
Ian P ShadforthCorVista Health, Inc., Bethesda, MD 20814, USA.
Shyam RamchandaniAnalytics for Life, Inc., Toronto, ON M5X 1C9, Canada.
Charles R BridgesCorVista Health, Inc., Bethesda, MD 20814, USA.
Mark G RabbatLoyola University Medical Center, Maywood, IL 60153, USA.

Funding

Analytics for Life NA
6 · The paper itself

Abstract

Many clinical studies have shown wide performance variation in tests to identify coronary artery disease (CAD). Coronary computed tomography angiography (CCTA) has been identified as an effective rule-out test but is not widely available in the USA, particularly so in rural areas. Patients in rural areas are underserved in the healthcare system as compared to urban areas, rendering it a priority population to target with highly accessible diagnostics. We previously developed a machine-learned algorithm to identify the presence of CAD (defined by functional significance) in patients with symptoms without the use of radiation or stress. The algorithm requires 215 s temporally synchronized photoplethysmographic and orthogonal voltage gradient signals acquired at rest. The purpose of the present work is to validate the performance of the algorithm in a frozen state (i.e., no retraining) in a large, blinded dataset from the IDENTIFY trial. IDENTIFY is a multicenter, selectively blinded, non-randomized, prospective, repository study to acquire signals with paired metadata from subjects with symptoms indicative of CAD within seven days prior to either left heart catheterization or CCTA. The algorithm's sensitivity and specificity were validated using a set of unseen patient signals (

Indexed as

artificial intelligencecoronary artery diseasedigital healthfront-line testingmachine learning

Identifiers

PMID38786284
PMCPMC11120588

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.