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Content archived on 2024-04-16

Assessment of the diagnostic performance of ECG computer programs

Objective

The main objectives of the CSE diagnostic study were as follows:

a. comparative assessment and evaluation of diagnostic ECG computer programs,
b. comparison of different diagnostic ECG computer programs with independent validated clinical data (the 'truth') and with the interpretation of a group of cardiologists,
c. establishment of a validated diagnostic database to carry out these objectives.
Research has been carried out to assess various computer programmes used to interpret electrocardiographs (ECG). The project has yielded comparative results on 15 different programmes, 9 of which are commercially available. The participants first constituted a database of ECG and vectorcardiograph (VCG) recordings for 1220 clinically validated cases. This provided a reference for assessing the diagnostic accuracy of each programme, as compared with that of nine cardiologists. The diagnositic entities included in the database were: normals, left and right ventricular hypertrophy, anterior, inferior, and combined myocardial infarction, and infarction plus hypertrophy. Some of the ECG computer programmes were found to perform almost as well as the best cardiologists, while others require considerable improvement. The best results were obtained with programmes using a statistical rather than a deterministic approach, but the possibility that the study design may have been biased in this direction could not be excluded. The participants suggest broadening the database, notably to include different degrees of disease severity and a larger proportion of cases presenting more than one disease.
The current project is the second study of the project known as 'Common Standards for Quantitative Computerized Electrocardiography' (CSE).

Computerized ECG interpretation is among the oldest applications of computers in medicine and at the same time is probably the earliest illustration of a medical decision support system. Increasingly in recent years, relatively inexpensive electrocardiographs with automatic interpretive capabilities are used in clinical practice. However, no systematic assessment has been performed of the programs incorporated in these systems, mainly due to the lack of an objective yardstick, ie a common reference database.

Fields of science (EuroSciVoc)

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Programme(s)

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Topic(s)

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Call for proposal

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Funding Scheme

Funding scheme (or “Type of Action”) inside a programme with common features. It specifies: the scope of what is funded; the reimbursement rate; specific evaluation criteria to qualify for funding; and the use of simplified forms of costs like lump sums.

CON - Coordination of research actions

Coordinator

UZ Gasthuisberg
EU contribution
No data
Address
Herestraat 49
3000 Leuven
Belgium

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Total cost

The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.

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