Comprehensive data integration - Toward a more personalized assessment of diastolic function

Znanstveni rad - Izvorni znanstveni rad

• Autor: Filip Loncaric
• Autor: Maja Čikeš
• Autor: Marta Sitges
• Autor: Bart Bijnens
• Autorova ustanova: Sveučilište u Zagrebu; Medicinski fakultet; (KATEDRA ZA INTERNU MEDICINU)
• Znanstveno / umjetničko područje, polje i grana: BIOMEDICINA I ZDRAVSTVO; Kliničke medicinske znanosti; Interna medicina

Sažetak (engleski)

Background and aim: The main challenge of assessing diastolic function is the balance between clinical utility, in the sense of usability and time-efficiency, and overall applicability, in the sense of precision for the patient under investigation. In this review, we aim to explore the challenges of integrating data in the assessment of diastolic function and discuss the perspectives of a more comprehensive data integration approach.
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Methods: Review of traditional and novel approaches regarding data integration in the assessment of diastolic function.
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Results: Comprehensive data integration can lead to improved understanding of disease phenotypes and better relation of these phenotypes to underlying pathophysiological processes-which may help affirm diagnostic reasoning, guide treatment options, and reduce limitations related to previously unaddressed confounders. The optimal assessment of diastolic function should ideally integrate all relevant clinical information with all available structural and functional whole cardiac cycle echocardiographic data-envisioning a personalized approach to patient care, a high-reaching future goal in medicine.
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Conclusion: Complete data integration seems to be a long-lasting goal, the way forward in diastology, and machine learning seems to be one of the tools suited for the challenge. With perpetual evidence that traditional approaches to complex problems may not the optimal solution, there is room for a steady and cautious, and inherently very exciting paradigm shift toward novel diagnostic tools and workflows to reach a more personalized, comprehensive, and integrated assessment of cardiac function.

• Ključne riječi (engleski): diastolic dysfunction; diastolic function
• Jezik: engleski
• Vrsta publikacije: Znanstveni rad - Izvorni znanstveni rad
• Status objave: Objavljen
• Vrsta recenzije: Recenziran - međunarodna recenzija
• Verzija publikacije: Završna verzija rukopisa prihvaćena za objavljivanje (postprint)
• Naslov časopisa: Echocardiography
• Brojčani podaci: vol. 37, br. 11, str. 1926-1935
• p-ISSN: 0742-2822
• e-ISSN: 1540-8175
• DOI: https://doi.org/10.1111/echo.14749
• URN:NBN: urn:nbn:hr:105:055982
• Datum objave publikacije: 2020-06-10
• URL dokumenta: https://onlinelibrary.wiley.com/doi/10.1111/echo.14749
• Vrsta resursa: Tekst
• Prava pristupa: Otvoreni pristup; Datum isteka embarga: 2021-12-01
• Datum i vrijeme pohrane: 2021-04-20 11:18:19