Publications by authors named "Amey Vrudhula"

Article Synopsis
  • Recent studies indicate that cardiac amyloidosis (CA) is often underdiagnosed, raising the question of how best to select cases and controls for training artificial intelligence (AI) models intended for screening CA.
  • This study examines the effectiveness of AI models using ECG waveforms for CA detection, analyzing how different definitions for cases and controls can influence model performance.
  • Results show variable performance of models based on training data, with higher accuracy associated with well-defined cases, but all models perform similarly in diverse patient populations, suggesting that less curated cases can still lead to useful screening tools.
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  • A deep learning pipeline was developed to automatically identify videos of the heart's apical 4-chamber view and assess the severity of mitral regurgitation (MR) using transthoracic echocardiograms.
  • The pipeline was trained and validated on over 58,000 echocardiograms, achieving high accuracy in recognizing color Doppler images and determining MR severity, with AUC values exceeding 0.9 in different test cohorts.
  • The automated model showed strong sensitivity and specificity for detecting clinically significant MR, indicating its potential as an effective tool for echocardiographic evaluation in clinical settings.
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  • Researchers created an automated deep learning system to assess tricuspid regurgitation (TR) from echocardiography data, aiming for accurate diagnosis without manual evaluation.
  • The study analyzed over 47,000 echocardiogram studies, achieving high accuracy in detecting TR, with an area under the curve (AUC) indicating excellent performance for both moderate and severe cases in various datasets.
  • This automation could enhance clinical practice by providing reliable, consistent TR assessments, potentially improving screening and monitoring for patients.
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Article Synopsis
  • The study compares the outcomes of transcarotid artery revascularization (TCAR) and transfemoral carotid artery stenting (tfCAS) over a 3-year period, finding TCAR has significantly lower mortality rates, especially in the first 6 months.
  • It analyzed data from over 70,000 patients and adjusted for various demographic and clinical factors, revealing that TCAR patients had higher comorbidities and were older.
  • The results indicate that TCAR is associated with a 24% reduction in mortality hazard compared to tfCAS, suggesting it may be the better option for patients needing carotid artery interventions.
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Bias in health care has been well documented and results in disparate and worsened outcomes for at-risk groups. Medical imaging plays a critical role in facilitating patient diagnoses but involves multiple sources of bias including factors related to access to imaging modalities, acquisition of images, and assessment (ie, interpretation) of imaging data. Machine learning (ML) applied to diagnostic imaging has demonstrated the potential to improve the quality of imaging-based diagnosis and the precision of measuring imaging-based traits.

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Background: Assessment of regional aortic wall deformation (RAWD) might better predict for abdominal aortic aneurysm (AAA) rupture than the maximal aortic diameter or growth rate. Using sequential computed tomography angiograms (CTAs), we developed a streamlined, semiautomated method of computing RAWD using deformable image registration (dirRAWD).

Methods: Paired sequential CTAs performed 1 to 2 years apart of 15 patients with AAAs of various shapes and sizes were selected.

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Background: The misuse of opioids stems, in part, from inadequate knowledge of molecular interactions between opioids and opioid receptors. It is still unclear why some opioids are far more addictive than others. The κ-opioid receptor (KOR) plays a critical role in modulating pain, addiction, and many other physiological and pathological processes.

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This study tests the hypothesis that middle school and high school students can improve their stroke knowledge using Stroke 1-2-0, a stroke educational tool, and pass this knowledge on to their family members. A total of 625 students and 198 parents/grandparents participated in learning about stroke using Stroke 1-2-0. After a group training session for the students by a neurologist at school, the students took educational material to home and educated their parents/grandparents.

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This editorial discusses the importance of improving awareness of stroke in young individuals. Stoke can occur in any age group and is not restricted to elderly populations. Today, the average age of the first-time stroke patient continues to decrease.

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Advances in techniques for monitoring pH in complex fluids can have a significant impact on analytical and biomedical applications. This study develops flexible graphene microelectrodes (GEs) for rapid (<5 s), very-low-power (femtowatt) detection of the pH of complex biofluids by measuring real-time Faradaic charge transfer between the GE and a solution at zero electrical bias. For an idealized sample of phosphate buffer solution (PBS), the Faradaic current is varied monotonically and systematically with the pH, with a resolution of ≈0.

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Scalable production of all-electronic DNA biosensors with high sensitivity and selectivity is a critical enabling step for research and applications associated with detection of DNA hybridization. We have developed a scalable and very reproducible (>90% yield) fabrication process for label-free DNA biosensors based upon graphene field effect transistors (GFETs) functionalized with single-stranded probe DNA. The shift of the GFET sensor Dirac point voltage varied systematically with the concentration of target DNA.

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