Echocardiographic Evaluation in Children with Post-Acute Sequelae of SARS-CoV-2 Infection Using Deep Learning

Yi-Chin Peng1, Yi-Jen Huang2, Xiao-Ling Liu3

  • 1Department of Pediatric Cardiology, China Medical University Children's Hospital, China Medical University, Taichung, 404327, Taiwan.

Insights

Deep learning effectively detects subtle cardiac changes in children with post-acute sequelae of SARS-CoV-2 infection (PASC). AI-assisted echocardiography shows high accuracy in identifying PASC-related cardiac differences, though clinical significance requires further study.

Area of Science:

  • Cardiology
  • Artificial Intelligence
  • Pediatrics

Background:

  • Post-acute sequelae of SARS-CoV-2 infection (PASC) can lead to cardiac complications in children.
  • Echocardiography is crucial for detecting cardiac abnormalities, but subtle changes may be missed by standard analysis.

Purpose of the Study:

  • To apply deep learning to enhance the detection and understanding of echocardiographic changes in children with PASC.
  • To evaluate the performance of an AI model in distinguishing cardiac function between children with PASC and controls.

Main Methods:

  • A case-control study involving 270 children with PASC and 400 age-matched controls.
  • Echocardiographic images were analyzed using a ResNet-50-based deep learning model.
  • Exclusion criteria included congenital heart disease, inflammatory conditions, or arrhythmias.

Main Results:

  • Standard echocardiographic parameters showed no significant abnormalities in the PASC group.
  • The deep learning model achieved high accuracy (96.6%), sensitivity (96.7%), and specificity (96.2%).
  • AI-assisted analysis effectively distinguished cardiac function between PASC and control groups.

Conclusions:

  • Deep learning models can enhance the detection of subtle cardiac changes in children with PASC.
  • AI-assisted echocardiography demonstrates high performance in identifying PASC-related cardiac differences.
  • Further large-scale studies are needed to determine the clinical significance of these AI-detected differences.