Arrhythmias & electrophysiology

Clinical Applications, Methodology, and Scientific Reporting of Electrocardiogram Deep-Learning Models: A Systematic Review

JACC AdvPublished Systematic review

Authors' conclusion

While ECG deep-learning models are increasingly clinically relevant, their reporting is highly variable, and few publications provide sufficient detail for methodologic reproduction or model validation by external groups.

Study context

Population
Clinically relevant electrocardiogram (ECG) deep-learning models published through July 1, 2022 (PubMed, EMBASE)44 manuscripts
Participants
53 participants
Outcome
Clinical applications and reporting practices of ECG deep-learning models

Pooled result

As reported in the abstract

Cardiomyopathy identification (most common application)
14/53 [26%]
Arrhythmia detection
9/53 [17%]
Publications with model architecture diagrams
33/44 (75%)
Complete information to reproduce models
10/44 (23%)
Saliency analysis performed
20/44 (46%)
Models tested in external validation cohorts
18/53 (34%)
Model code or resources available for external implementation
5/44 (11%)

Original publication

Clinical Applications, Methodology, and Scientific Reporting of Electrocardiogram Deep-Learning Models: A Systematic Review. JACC Adv. Published 8 November 2023. doi:10.1016/j.jacadv.2023.100686

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