Cardio-oncology & otherDiagnostic or prognostic study

Echocardiography-Based Deep Learning Model to Differentiate Constrictive Pericarditis and Restrictive Cardiomyopathy

JACC Cardiovasc ImagingPublished

  • Diagnostic accuracy study
  • single-centre
  • retrospective
  • 60:20:20 training/validation/held-out test split

Authors' conclusion

With a standard apical 4-chamber view, our artificial intelligence model provides a platform to facilitate the detection of CP, allowing for improved workflow efficiency and prompt referral for more advanced evaluation and intervention of CP.

Study context

Population
Patients with confirmed constrictive pericarditis (CP) or cardiac amyloidosis (CA, representative of restrictive cardiomyopathy), Mayo Clinic Rochester, January 2003 to December 2021184 CP, 197 CA
Participants
381 patients
Comparison
ResNet50 deep learning model on TTE apical 4-chamber view to differentiate CP vs CA
Outcome
AUC for differentiating CP and CA in the held-out test set

Performance

As reported in the abstract

Differentiation of CP vs CA (test set)
Test or modelAUC
ResNet500.97

Further findings

GradCAM model interpretation

GradCAM heatmap showed activation around the ventricular septal area

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Echocardiography-Based Deep Learning Model to Differentiate Constrictive Pericarditis and Restrictive Cardiomyopathy. JACC Cardiovasc Imaging. Published 8 November 2023. doi:10.1016/j.jcmg.2023.09.011

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