Arrhythmias & electrophysiology

Comparison of the characteristics between machine learning and deep learning algorithms for ablation site classification in a novel cloud-based system

Heart RhythmPublished Comparison of the characteristics of the CARTONET system between the R12.1 and the R14 models

Authors' conclusion

The R14 model significantly improved sensitivity and PPV compared with the R12.1 model. The tendency for predicting potential reconnection sites was similar to that of the previous version, the R12 model.

Study context

Population
Atrial fibrillation ablation cases analysed with the cloud-based CARTONET systematrial fibrillation ablation cases, overall tags of 39,169 points and gap prediction of 625 segments
Participants
396 cases
Index test or model
CARTONET R12.1 vs CARTONET R14 models
Target condition
automated anatomic location (ablation site classification)

Performance

As reported in the abstract

Test or modelSensitivityPPV
R12.171.2%85.6%
R1477.5%86.2%

Sensitivity

R12.171.2%
R1477.5%

PPV

R12.185.6%
R1486.2%

Further findings

Incidence of reconnections

Posterior area of the right pulmonary veins
98/238 [41.2%]
Posterior area of the left pulmonary veins
190/387 [49.1%]

Possibility of reconnection (highest in the roof area)

Roof area, right pulmonary veins
14% [5.5%-41%]
Roof area, left pulmonary veins
16% [8%-22%]

Original publication

Comparison of the characteristics between machine learning and deep learning algorithms for ablation site classification in a novel cloud-based system. Heart Rhythm. Published 17 March 2025. doi:10.1016/j.hrthm.2025.03.1955

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