Machine Learning–Driven Risk Prediction Model in Transthyretin Amyloid Cardiomyopathy - Summary - MDSpire
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A Machine Learning Model for Predicting Risk in Transthyretin Amyloid Cardiomyopathy

  • By

  • Giovanni Baj

  • Nicola Ciocca

  • Pooya Mohammadi Kazaj

  • Xuan Ma

  • Annina A. Studer Bruengger

  • Simon F. Stämpfli

  • Niklas F. Ehl

  • Sarah Hugelshofer

  • Otmar Pfister

  • Joëlle Lehmann

  • Christoph Ryffel

  • Lukas Hunziker

  • Michael Poledniczek

  • Andreas Kammerlander

  • George C. M. Siontis

  • Stephan Windecker

  • Moritz J. Hundertmark

  • Christian Nitsche

  • Isaac Shiri

  • Christoph Gräni

  • October 1, 2026

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Objective:

To develop and validate an AI-based model predicting all-cause mortality or heart-failure hospitalization in patients with transthyretin cardiac amyloidosis (ATTR-CM).

Approach:
  • Study population: Patients with confirmed ATTR-CM were prospectively recruited from six Swiss tertiary centers and the Medical University of Vienna.
  • Outcome and data: The primary outcome was all-cause mortality or hospitalization for heart failure. Baseline clinical, laboratory, imaging, and genetic data were collected.
  • Model development and validation: A random survival forest was evaluated using internal-external cross-validation, successively reserving each center as a test set. Training included MissForest imputation, LASSO feature selection, and hyperparameter optimization.
Interpretation:

The provided context describes the study rationale and methods but does not report model performance or outcome results.

Limitations:
  • The supplied article context ends before reporting validation metrics or other results.

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