Artificial intelligence-derived left ventricular strain in echocardiography in patients treated with chemotherapy

被引:2
作者
Kuwahara, Asuka [1 ]
Iwasaki, Yoichi [1 ]
Kobayashi, Masatake [2 ]
Takagi, Ryu [1 ]
Yamada, Satoshi [1 ]
Kubo, Takashi [1 ]
Satomi, Kazuhiro [2 ]
Tanaka, Nobuhiro [1 ]
机构
[1] Tokyo Med Univ, Dept Cardiol, Hachioji Med Ctr, Tokyo, Japan
[2] Tokyo Med Univ Hosp, Dept Cardiol, 6-7-1 Nishi Shinjuku, Tokyo, Tokyo, Japan
关键词
Echocardiography; Global longitudinal strain; Artificial intelligence; Cancer therapy-related cardiovascular dysfunction; Heart failure; EACVI/ASE/INDUSTRY TASK-FORCE; GLOBAL LONGITUDINAL STRAIN; EUROPEAN ASSOCIATION; CONSENSUS DOCUMENT; AMERICAN SOCIETY; CANCER-TREATMENT; COMMON STANDARD; CARDIOTOXICITY; 2D; REPRODUCIBILITY;
D O I
10.1007/s10554-024-03178-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Global longitudinal strain (GLS) is an echocardiographic measure to detect chemotherapy-related cardiovascular dysfunction. However, its limited availability and the needed expertise may restrict its generalization. Artificial intelligence (AI)-based GLS might overcome these challenges. Our aims are to explore the agreements between AI-based GLS and conventional GLS, and to assess whether the agreements were influenced by expertise levels, cardiac remodeling and cardiovascular diseases/risks. Echocardiographic images in the apical four-chamber view of left ventricle were retrospectively analyzed based on AI-based GLS in patients treated with chemotherapy, and correlation between AI-based GLS (Caas Qardia, Pie Medical Imaging) and conventional GLS (Vivid E9/VividE95, GE Healthcare) were assessed. The agreement between unexperienced physicians ("GLS beginner") and experienced echocardiographer were also assessed. Among 94 patients (mean age 69 +/- 12 years, 73% female), mean left ventricular ejection fraction was 64 +/- 6%, 14% of patients had left ventricular hypertrophy, and 21% had left atrial enlargement. Mean GLS was - 15.9 +/- 3.4% and - 19.0 +/- 3.7% for the AI and conventional method, respectively. There was a moderate correlation between these methods (rho = 0.74; p < 0.01), and bias was - 3.1% (95% limits of agreement: -8.1 to 2.0). The reproducibility between GLS beginner and an experienced echocardiographer was numerically better in the AI method than the conventional method (inter-observer agreement = 0.82 vs. 0.68). The agreements were consistent across abnormal cardiac structure and function categories (p-for-interaction > 0.10). In patients treated with chemotherapy. AI-based GLS was moderately correlated with conventional GLS and provided a numerically better reproducibility compared with conventional GLS, regardless of different levels of expertise.
引用
收藏
页码:1903 / 1910
页数:8
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