Heart failure & cardiomyopathiesDiagnostic or prognostic study

Digital profile of children’s hearts: automated echocardiogram strain analysis facilitates earlier detection of cardiac dysfunction

Eur Heart JPublished

  • Diagnostic accuracy study
  • semi-supervised deep learning

Authors' conclusion

Leveraging a large-scale paediatric dataset, Motion-Echo provided a reliable and generalizable framework for myocardial strain analysis, demonstrating potential to facilitate earlier detection of cardiac dysfunction and generate digital cardiac function profiles of children.

Study context

Population
Paediatric and adult echocardiograms spanning diverse image qualities and vendors11,096 paediatric + 11,297 adult echocardiograms

Performance

As reported in the abstract

Automated global strain assessment
Test or modelGLS mean absolute errorGlobal circumferential strain mean absolute errorGLS Pearson correlationGlobal circumferential strain Pearson correlation
Motion-Echo2.099% (95% CI 1.803-2.401)2.665% (95% CI 2.339-3.026)0.799 (95% CI 0.715-0.871)0.781 (95% CI 0.687-0.844)

Further findings

Cancer therapy-related cardiac dysfunction risk prediction (automated strain values)

AUC
0.906 (95% CI 0.816-0.981)

Late gadolinium enhancement detection (automated GLS)

AUC
0.782 (95% CI 0.666-0.885)

LVEF decline forecasting

System outperformed manual strain values (DeLong)
P < 0.001

MI detection (incorporating estimated motion flows)

AUC improvement to
0.952 (95% CI 0.917-0.980)

Original publication

Digital profile of children’s hearts: automated echocardiogram strain analysis facilitates earlier detection of cardiac dysfunction. Eur Heart J. Published 5 December 2025. doi:10.1093/eurheartj/ehaf952

Summarised from the published abstract; every number is checked against it