Cardiac magnetic resonance imaging (CMR) is the gold standard for cardiac function assessment and plays a crucial role in diagnosing cardiovascular disease (CVD). However, its widespread application has been limited by the heavy resource burden of CMR interpretation. Here, to address this challenge, we developed and validated computerized CMR interpretation for screening and diagnosis of 11 types of CVD in 9,719 patients. We propose a two-stage paradigm consisting of noninvasive cine-based CVD screening followed by cine and late gadolinium enhancement-based diagnosis. The screening and diagnostic models achieved high performance (area under the curve of 0.988 +/- 0.3% and 0.991 +/- 0.0%, respectively) in both internal and external datasets. Furthermore, the diagnostic model outperformed cardiologists in diagnosing pulmonary arterial hypertension, demonstrating the ability of artificial intelligence-enabled CMR to detect previously unidentified CMR features. This proof-of-concept study holds the potential to substantially advance the efficiency and scalability of CMR interpretation, thereby improving CVD screening and diagnosis. A two-step, video-based deep learning model is developed to first screen for cardiac anomalies using noncontrast magnetic resonance imaging, followed by diagnosis of 11 types of cardiovascular disease using gadolinium enhancement-based imaging.
基金:
National Key R&D Program of China [2021YFF0501400, 2021YFF0501404]
语种:
外文
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2023]版:
大类|1 区医学
小类|1 区生化与分子生物学1 区细胞生物学1 区医学:研究与实验
最新[2025]版:
大类|1 区医学
小类|1 区生化与分子生物学1 区细胞生物学1 区医学:研究与实验
JCR分区:
出版当年[2022]版:
Q1BIOCHEMISTRY & MOLECULAR BIOLOGYQ1CELL BIOLOGYQ1MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q1BIOCHEMISTRY & MOLECULAR BIOLOGYQ1CELL BIOLOGYQ1MEDICINE, RESEARCH & EXPERIMENTAL
第一作者单位:[1]Stanford Univ, Sch Med, Stanford, CA 94305 USA
通讯作者:
通讯机构:[2]Chinese Acad Med Sci & Peking Union Med Coll, Fuwai Hosp, Dept Magnet Resonance Imaging, Beijing, Peoples R China[3]Chinese Acad Med Sci & Peking Union Med Coll, Natl Ctr Cardiovasc Dis, Beijing, Peoples R China
推荐引用方式(GB/T 7714):
Wang Yan-Ran (Joyce),Yang Kai,Wen Yi,et al.Screening and diagnosis of cardiovascular disease using artificial intelligence-enabled cardiac magnetic resonance imaging[J].NATURE MEDICINE.2024,doi:10.1038/s41591-024-02971-2.
APA:
Wang, Yan-Ran (Joyce),Yang, Kai,Wen, Yi,Wang, Pengcheng,Hu, Yuepeng...&Zhao, Shihua.(2024).Screening and diagnosis of cardiovascular disease using artificial intelligence-enabled cardiac magnetic resonance imaging.NATURE MEDICINE,,
MLA:
Wang, Yan-Ran (Joyce),et al."Screening and diagnosis of cardiovascular disease using artificial intelligence-enabled cardiac magnetic resonance imaging".NATURE MEDICINE .(2024)