Machine Learning–Driven Risk Prediction Model in Transthyretin Amyloid Cardiomyopathy - Takeaways - 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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  • 1

    The study developed and validated an artificial intelligence model to predict all-cause mortality or heart failure hospitalization in patients with transthyretin cardiac amyloidosis.

  • 2

    Patients with confirmed transthyretin cardiac amyloidosis were prospectively recruited from 6 Swiss centers and the Medical University of Vienna.

  • 3

    The primary outcome was all-cause mortality or hospitalization for heart failure, documented during structured follow-up beginning 6 months after diagnosis.

  • 4

    A random survival forest used clinical, laboratory, imaging, and genetic data, with missing-value imputation and LASSO feature selection.

  • 5

    Internal-external cross-validation successively reserved each center as an untouched test set while the model was developed using data from the remaining centers.

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