Key result
AI-enhanced echocardiography automates systolic function extraction to cut inter-observer variability and post-processing time.
Why the study?
Human assessment of cardiac systolic function via echocardiography suffers from inter-observer variability, and GLS post-processing is time-consuming and variable across devices.
This review highlights the potential of artificial intelligence to improve the accuracy, efficiency, and reliability of echocardiographic assessment of left ventricular systolic function.
May reduce interobserver variability in echocardiography; leaves open prospective validation before routine adoption.
The accurate assessment of left ventricular systolic function is crucial in the diagnosis and treatment of cardiovascular diseases. Left ventricular ejection fraction (LVEF) and global longitudinal strain (GLS) are the most critical indexes of cardiac systolic function. Echocardiography has become the mainstay of cardiac imaging for measuring LVEF and GLS because it is non-invasive, radiation-free, and allows for bedside operation and real-time processing. However, the human assessment of cardiac function depends on the sonographer's experience, and despite their years of training, inter-observer variability exists. In addition, GLS requires post-processing, which is time consuming and shows variability across different devices. Researchers have turned to artificial intelligence (AI) to address these challenges. The powerful learning capabilities of AI enable feature extraction, which helps to achieve accurate identification of cardiac structures and reliable estimation of the ventricular volume and myocardial motion. Hence, the automatic output of systolic function indexes can be achieved based on echocardiographic images. This review attempts to thoroughly explain the latest progress of AI in assessing left ventricular systolic function and differential diagnosis of heart diseases by echocardiography and discusses the challenges and promises of this new field.
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Zhang et al. (2022) conducted a review in Cardiovascular diseases. Artificial intelligence-enhanced echocardiography vs. Human assessment was evaluated. Artificial intelligence-enhanced echocardiography enables automatic extraction of systolic function indexes, addressing human inter-observer variability and time-consuming post-processing.
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