Deep Learning-Based Automated Pressure-Strain Loop Analysis
Noninvasive left ventricular pressure-strain loop analysis estimates myocardial work from longitudinal strain, brachial systolic blood pressure, and cardiac valve-event timing. It provides global work index, constructive work, wasted work, and work efficiency.
This study evaluates a deep-learning method that automates myocardial work and loop-shape analysis. The method may reduce analysis time, improve reproducibility, and identify patterns associated with heart failure.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
- Navn: Håvard Dalen, Professor Havard Dalen, MD, Ph
- Telefonnummer: +4772828027
- E-mail: havard.dalen@ntnu.no
Studiesteder
-
-
-
Trondheim, Norge, 7006
- St. Olavs hospital
-
Kontakt:
- Ingrid Yttervoll, MD
- Telefonnummer: 90741665
- E-mail: ingrid.yttervoll@ntnu.no
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
Heart failure participants:
- Age ≥18 years
- Able to provide informed consent
- Previous myocardial infarction
- Left ventricular ejection fraction ≤40% after myocardial infarction
Healthy volunteers:
- Age ≥18 years
- Able to provide informed consent
Exclusion Criteria:
Heart failure participants:
- Unstable disease
- Contraindication to exercise testing or echocardiography, as judged by an experienced cardiologist
Healthy volunteers:
- Hypertension
- Diabetes mellitus
- Dyslipidemia
- Current smoking
- Pregnancy
- Significant systemic disease
- Cardioactive medication affecting heart rate, myocardial contractility, or vascular tone
- Echocardiographic findings suggesting structural heart disease
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Grundvidenskab
- Tildeling: Ikke-randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Participants With Heart Failure
Participants undergo echocardiography at rest, during sustained handgrip, and during semi-supine bicycle exercise. |
Participants perform sustained isometric handgrip at around 30 % of maximal voluntary contraction for 5 minutes during echocardiography. Participants perform graded semi-supine bicycle exercise during echocardiography. |
|
Eksperimentel: Healthy Volunteers
Healthy volunteers undergo echocardiography at rest, during sustained handgrip, and during semi-supine bicycle exercise. |
Participants perform sustained isometric handgrip at around 30 % of maximal voluntary contraction for 5 minutes during echocardiography. Participants perform graded semi-supine bicycle exercise during echocardiography. |
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Echocardiographic Acquisition Success
Tidsramme: During one study visit: at rest, during the handgrip and bicycle test.
|
Percentage of acquired examinations successfully processed by the deep-learning pipeline to generate myocardial work indices, assessed separately at rest, during handgrip, and during bicycle exercise. |
During one study visit: at rest, during the handgrip and bicycle test.
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Agreement Between Deep Learning- and Expert-Derived Myocardial Work Indices
Tidsramme: Echocardiograms acquired at rest and during handgrip and bicycle exercise at a single study visit.
|
Agreement for myocardial work indices will be assessed using mean bias with 95% limits of agreement, and mean absolute error. |
Echocardiograms acquired at rest and during handgrip and bicycle exercise at a single study visit.
|
Samarbejdspartnere og efterforskere
Samarbejdspartnere
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 2019/1059_1
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Individual participant data sharing is not currently planned. Any future sharing would require appropriate ethical, institutional, and data-protection approvals.
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .