The objective of this study is to establish AI algorithm based on the deep learning to strengthen the ability to classify the heart murmurs of healthy people and different major or other subdivided congenital heart diseases(CHDs) and to evaluate the effectiveness of artificial intelligence technology-assisted heart sound recognition system (referred to as: Heart sound AI recognition system) for multi-center CHD screening.
This is a multi-center cluster cross-sectional study in CHINA. Heart sounds will be collected by auscultation using an electronic stethoscope in children (0 \~ 18 years old) confirmed with or without CHDs by echocardiography during outpatient or hospitalization in 10 pediatric medical centers. Heart sounds will be visualized as phonocardiogram, and feature extraction will be done after classification of normal and abnormal heart sounds and labeling the characteristics of heart murmurs by pediatric cardiovascular specialists. Artificial intelligence algorithm (machine learning, deep learning, etc.) will be trained to build a heart sounds recognition system with the data mentioned above.We will use the receiver operating characteristic (ROC) curve to compare the ability of recognition and classification of abnormal heart sounds between different artificial intelligence algorithm. Taken the results of echocardiography as the gold standard, we will use the evaluation indexes,such as sensitivity, specificity, accuracy, positive predictive value, negative predictive value, etc, to compare the diagnostic capacity of CHD screening between the AI recognition system and human cardiovascular pediatricians. Our target is to use artificial intelligence technology to assist heart auscultation for CHD screening.
Study Type
OBSERVATIONAL
Enrollment
9,370
Heart auscultation will be done by cardiovascular pediatrician and echocardiography by echocardiologist
Beijing Anzhen Hospital
Beijing, China
Children's Hospital Affiliated to Chongqing Medical University
Chongqing, China
The First Affiliated Hospital of Guangxi Medical University
Receiver operating characteristic (ROC) of sensitivity
ROC of sensitivity in CHD screening by different artificial intelligence algorithm and auscultation
Time frame: July 2020 to December 2021
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Guangxi, China
Guangzhou Women and Children's Medical Center
Guangzhou, China
Children's Hospital Affiliated to Zhejiang Medical University
Hangzhou, China
Hunan Children's Hospital
Hunan, China
Shandong Provincial Hospital
Jinan, China
Kunming Children's Hospital
Kunming, China
Lanzhou University Second Hospital
Lanzhou, China
Linyi Hospital for Women and Children
Linyi, China
...and 6 more locations