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Heart Rhythm
Article . 2025 . Peer-reviewed
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Comparison of the characteristics between machine learning and deep learning algorithms for ablation site classification in a novel cloud-based system

Authors: Masataka Narita; Daisuke Kawano; Naomichi Tanaka; Tsukasa Naganuma; Wataru Sasaki; Kazuhisa Matsumoto; Kazuhiko Kuinose; +4 Authors

Comparison of the characteristics between machine learning and deep learning algorithms for ablation site classification in a novel cloud-based system

Abstract

CARTONET is a cloud-based system for the analysis of ablation procedures using the CARTO system. The current CARTONET R14 model employs deep learning, but its accuracy and positive predictive value (PPV) remain underevaluated.This study aimed to compare the characteristics of the CARTONET system between the R12.1 and the R14 models.Data from 396 atrial fibrillation ablation cases were analyzed. Using a CARTONET R14 model, the sensitivity and PPV of the automated anatomic location model were investigated. The distribution of potential reconnection sites and confidence level for each site were investigated. We also compared the difference in the data between the CARTONET R12.1, the previous CARTONET version, and the CARTONET R14 models.We analyzed the overall tags of 39,169 points and the gap prediction of 625 segments using the CARTONET R14 model. The sensitivity and PPV of the R14 model significantly improved compared with the R12.1 model (R12.1 vs R14: sensitivity, 71.2% vs 77.5% [P < .0001]; PPV, 85.6% vs 86.2% [P = .0184]). The incidence of reconnections was highly observed in the posterior area of the right pulmonary veins (98/238 [41.2%]) and left pulmonary veins (190/387 [49.1%]). In contrast, the possibility of reconnection was highest in the roof area for the right pulmonary veins (14% [5.5%-41%]) and left pulmonary veins (16% [8%-22%]).The R14 model significantly improved sensitivity and PPV compared with the R12.1 model. The tendency for predicting potential reconnection sites was similar to that of the previous version, the R12 model.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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