{"id":"https://openalex.org/W4409464300","doi":"https://doi.org/10.1016/j.bj.2025.100853","title":"Navigating AI in cardiology: A scoping review of integration through clinical decision support systems for acute coronary syndrome","display_name":"Navigating AI in cardiology: A scoping review of integration through clinical decision support systems for acute coronary syndrome","publication_year":2025,"publication_date":"2025-04-15","ids":{"openalex":"https://openalex.org/W4409464300","doi":"https://doi.org/10.1016/j.bj.2025.100853","pmid":"https://pubmed.ncbi.nlm.nih.gov/40246284","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12517078"},"language":"en","primary_location":{"id":"doi:10.1016/j.bj.2025.100853","doi":"https://doi.org/10.1016/j.bj.2025.100853","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.bj.2025.100853","pdf_url":null,"source":{"id":"https://openalex.org/S2764530560","display_name":"Biomedical Journal","issn_l":"2319-4170","issn":["2319-4170","2320-2890"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","ki-jl-1","medline","norway-1","oarl","poland-70","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Biomedical Journal","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.bj.2025.100853","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5053674695","display_name":"Shuhui Chen","orcid":"https://orcid.org/0000-0001-7413-8174","observed_orcids":["https://orcid.org/0000-0001-7413-8174"]},"institutions":[{"id":"https://openalex.org/I4210111603","display_name":"Keelung Chang Gung Memorial Hospital","ror":"https://ror.org/020dg9f27","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210111603"]}],"countries":["TW"],"is_corresponding":true,"raw_author_name":"Shu-Hui Chen","raw_affiliation_strings":["Department of Emergency Medicine, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan. Electronic address: phdgloria@cgmh.org.tw"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan. Electronic address: phdgloria@cgmh.org.tw","institution_ids":["https://openalex.org/I4210111603"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034837904","display_name":"Chin\u2010Chieh Wu","orcid":"https://orcid.org/0000-0003-1026-0378","observed_orcids":["https://orcid.org/0000-0003-1026-0378"]},"institutions":[{"id":"https://openalex.org/I173093425","display_name":"Chang Gung University","ror":"https://ror.org/00d80zx46","country_code":"TW","type":"education","lineage":["https://openalex.org/I173093425"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Chin-Chieh Wu","raw_affiliation_strings":["College of Intelligent Computing, Chang Gung University, Taoyuan, Taiwan. Electronic address: wujinja@gmail.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Intelligent Computing, Chang Gung University, Taoyuan, Taiwan. Electronic address: wujinja@gmail.com","institution_ids":["https://openalex.org/I173093425"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5085940305","display_name":"Kuan\u2010Fu Chen","orcid":"https://orcid.org/0000-0001-7287-9497","observed_orcids":["https://orcid.org/0000-0001-7287-9497","https://orcid.org/0000-0002-4944-0934"]},"institutions":[{"id":"https://openalex.org/I173093425","display_name":"Chang Gung University","ror":"https://ror.org/00d80zx46","country_code":"TW","type":"education","lineage":["https://openalex.org/I173093425"]},{"id":"https://openalex.org/I4210111603","display_name":"Keelung Chang Gung Memorial Hospital","ror":"https://ror.org/020dg9f27","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210111603"]}],"countries":["TW"],"is_corresponding":true,"raw_author_name":"Kuan-Fu Chen","raw_affiliation_strings":["Department of Emergency Medicine, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan; College of Intelligent Computing, Chang Gung University, Taoyuan, Taiwan. Electronic address: kfchen@cgmh.org.tw"],"raw_orcid":"https://orcid.org/0000-0001-7287-9497","affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan; College of Intelligent Computing, Chang Gung University, Taoyuan, Taiwan. Electronic address: kfchen@cgmh.org.tw","institution_ids":["https://openalex.org/I173093425","https://openalex.org/I4210111603"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5053674695","https://openalex.org/A5085940305"],"corresponding_institution_ids":["https://openalex.org/I173093425","https://openalex.org/I4210111603"],"apc_list":{"value":2700,"currency":"USD","value_usd":2700},"apc_paid":{"value":2700,"currency":"USD","value_usd":2700},"fwci":0.2799,"has_fulltext":false,"cited_by_count":6,"citation_normalized_percentile":{"value":0.39570858,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":95,"max":97},"biblio":{"volume":"48","issue":"5","first_page":"100853","last_page":"100853"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.95169997215271,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.95169997215271,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11396","display_name":"Artificial Intelligence in Healthcare","score":0.03550000116229057,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10193","display_name":"Coronary Interventions and Diagnostics","score":0.002400000113993883,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"artificial intelligence","score":0.9760000109672546},{"id":"https://openalex.org/keywords/clinical-decision-support-systems","display_name":"clinical decision support systems","score":0.9959999918937683},{"id":"https://openalex.org/keywords/acute-coronary-syndrome","display_name":"acute coronary syndrome","score":1.0},{"id":"https://openalex.org/keywords/artificial-intelligence-in-clinical-practice","display_name":"clinical implementation of AI","score":0.7749999761581421},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"diagnostic accuracy","score":0.6660000085830688},{"id":"https://openalex.org/keywords/prospective-validation","display_name":"prospective validation","score":0.7540000081062317},{"id":"https://openalex.org/keywords/model-validation","display_name":"model validation","score":0.4749999940395355},{"id":"https://openalex.org/keywords/external-validation","display_name":"external validation","score":0.6890000104904175},{"id":"https://openalex.org/keywords/clinical-utility","display_name":"clinical utility","score":0.41499999165534973},{"id":"https://openalex.org/keywords/cardiology","display_name":"cardiology","score":0.5339999794960022}],"concepts":[{"id":"https://openalex.org/C2777698277","wikidata":"https://www.wikidata.org/wiki/Q266018","display_name":"Acute coronary syndrome","level":3,"score":0.8105450868606567},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5578217506408691},{"id":"https://openalex.org/C63527458","wikidata":"https://www.wikidata.org/wiki/Q5133829","display_name":"Clinical decision support system","level":3,"score":0.5376767516136169},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5263943672180176},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.499011754989624},{"id":"https://openalex.org/C2989179672","wikidata":"https://www.wikidata.org/wiki/Q6806500","display_name":"Clinical decision making","level":2,"score":0.4647725224494934},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.40187761187553406},{"id":"https://openalex.org/C107327155","wikidata":"https://www.wikidata.org/wiki/Q330268","display_name":"Decision support system","level":2,"score":0.38687270879745483},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.2958005368709564},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.20445528626441956},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.1434803307056427}],"mesh":[{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D002309","descriptor_name":"Cardiology","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D054058","descriptor_name":"Acute Coronary Syndrome","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D054058","descriptor_name":"Acute Coronary Syndrome","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1016/j.bj.2025.100853","doi":"https://doi.org/10.1016/j.bj.2025.100853","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.bj.2025.100853","pdf_url":null,"source":{"id":"https://openalex.org/S2764530560","display_name":"Biomedical Journal","issn_l":"2319-4170","issn":["2319-4170","2320-2890"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","ki-jl-1","medline","norway-1","oarl","poland-70","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Biomedical Journal","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:11324746","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12517078","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmid:40246284","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40246284","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Biomedical journal","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:44e06d7c9e2b4d05aa1c31d547e126c2","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/44e06d7c9e2b4d05aa1c31d547e126c2","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Biomedical Journal, Vol 48, Iss 5, Pp 100853- (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.bj.2025.100853","doi":"https://doi.org/10.1016/j.bj.2025.100853","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.bj.2025.100853","pdf_url":null,"source":{"id":"https://openalex.org/S2764530560","display_name":"Biomedical Journal","issn_l":"2319-4170","issn":["2319-4170","2320-2890"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","ki-jl-1","medline","norway-1","oarl","poland-70","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Biomedical Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"}],"awards":[{"id":"https://openalex.org/G319519900","display_name":"Using Physiomarkers Obtained from Electronic Health Records, Wearable Devices, and Personal Portable Devices to Develop and Update Machine Learning and Transfer Learning Models to Predict Patient-Centered Outcomes","funder_award_id":"NSTC111-2314-B182-017-MY3","funder_id":"https://openalex.org/F2461203286","funder_display_name":"National Science and Technology Council"},{"id":"https://openalex.org/G8452833464","display_name":null,"funder_award_id":"HHS N2772201400007C","funder_id":"https://openalex.org/F4320337355","funder_display_name":"National Institute of Allergy and Infectious Diseases"}],"funders":[{"id":"https://openalex.org/F2461203286","display_name":"National Science and Technology Council","ror":"https://ror.org/02kv4zf79"},{"id":"https://openalex.org/F4320313619","display_name":"Chang Gung Memorial Hospital","ror":"https://ror.org/02verss31"},{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337355","display_name":"National Institute of Allergy and Infectious Diseases","ror":"https://ror.org/043z4tv69"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":35,"referenced_works":["https://openalex.org/W2107638293","https://openalex.org/W2110733697","https://openalex.org/W2605607099","https://openalex.org/W2664267452","https://openalex.org/W2807593075","https://openalex.org/W2891378911","https://openalex.org/W2907638671","https://openalex.org/W2975737085","https://openalex.org/W2990388470","https://openalex.org/W3001157157","https://openalex.org/W3013863803","https://openalex.org/W3037090870","https://openalex.org/W3099081599","https://openalex.org/W3113220499","https://openalex.org/W3121978373","https://openalex.org/W3127872677","https://openalex.org/W3130994100","https://openalex.org/W3145073795","https://openalex.org/W3163724076","https://openalex.org/W3201427707","https://openalex.org/W3201496733","https://openalex.org/W3214642206","https://openalex.org/W3215696823","https://openalex.org/W4213285159","https://openalex.org/W4220901568","https://openalex.org/W4220979973","https://openalex.org/W4293255508","https://openalex.org/W4318050008","https://openalex.org/W4376134639","https://openalex.org/W4384030338","https://openalex.org/W4386365447","https://openalex.org/W4388033323","https://openalex.org/W4389956813","https://openalex.org/W4390505014","https://openalex.org/W4391747580"],"related_works":["https://openalex.org/W4412774282","https://openalex.org/W4408693357","https://openalex.org/W4388272609","https://openalex.org/W4412745114","https://openalex.org/W7133527225","https://openalex.org/W7115932408","https://openalex.org/W4413427465","https://openalex.org/W6968571258","https://openalex.org/W7214153608","https://openalex.org/W4399761474"],"abstract_inverted_index":{"BACKGROUND:":[0],"The":[1,151,168],"integration":[2],"of":[3,29,39,46,58,95,102,153,166,177,183,238],"AI":[4,30],"in":[5,16,48,79,86,122,129,136,159,206,240],"diagnosing":[6],"and":[7,27,44,70,99,110,138,148,156,179,187,204,220,228,236],"managing":[8],"ACS":[9,32,87,123,190],"shows":[10,196],"increasing":[11],"promise,":[12],"yet":[13],"challenges":[14,133],"remain":[15,231],"translating":[17],"AI-CDSS":[18,47,85,121,178,195,239],"into":[19],"clinical":[20,164],"practice.":[21],"This":[22],"study":[23,80,209,226],"evaluates":[24],"the":[25,34,41,93,100,144,171,174,180,211,234],"advancements":[26],"limitations":[28,191],"for":[31,64,73,146,189,198,233],"over":[33],"past":[35],"three":[36],"years,":[37],"purpose":[38],"understanding":[40],"scope,":[42],"limitations,":[43],"potential":[45,175],"ACS.":[49],"MATERIALS":[50],"AND":[51],"METHODS:":[52],"We":[53,67],"conducted":[54],"a":[55],"systematic":[56,65],"review":[57],"recent":[59],"literature,":[60],"adhering":[61],"to":[62,106,143,213],"guidelines":[63],"reviews.":[66],"applied":[68],"QUADAS-2":[69],"PROBAST":[71],"tools":[72],"quality":[74],"assessment,":[75],"focusing":[76],"on":[77],"biases":[78,135,230],"designs.":[81],"Ten":[82],"studies":[83,160],"about":[84],"management":[88,124],"underwent":[89],"critical":[90],"analysis,":[91],"emphasizing":[92],"strength":[94],"their":[96,103],"research":[97,115],"methods":[98],"thoroughness":[101],"prospective":[104,157,218],"validation":[105,158],"ensure":[107],"theoretical":[108],"integrity":[109],"practical":[111,130],"reliability.":[112],"RESULTS:":[113],"Our":[114],"reveals":[116],"that":[117],"while":[118],"discourse":[119],"around":[120],"intensifies,":[125],"obstacles":[126],"hinder":[127],"efficacy":[128],"settings.":[131,244],"These":[132],"include":[134],"tests":[137],"unrepresentative":[139],"patient":[140],"selection,":[141],"pointing":[142],"need":[145],"rigorous":[147],"inclusive":[149],"samples.":[150],"lack":[152],"sufficient":[154],"external":[155],"also":[161],"raises":[162],"concerns":[163],"utility":[165],"AI-CDSS.":[167],"result":[169],"is":[170],"gap":[172],"between":[173],"benefits":[176],"actual":[181],"impact":[182],"improving":[184,199],"diagnostic":[185,200,223],"accuracy":[186],"outcomes":[188],"identified.":[192],"CONCLUSIONS:":[193],"While":[194],"promise":[197],"accuracy,":[201],"treatment":[202],"efficacy,":[203],"workflows":[205],"ACS,":[207],"this":[208],"highlights":[210],"imperative":[212],"enhance":[214],"model":[215],"validation,":[216,219],"including":[217],"address":[221],"lingering":[222],"gaps.":[224],"Improving":[225],"design":[227],"mitigating":[229],"crucial":[232],"acceptance":[235],"effectiveness":[237],"acute":[241],"cardiac":[242],"care":[243]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":3}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2025-04-16T00:00:00"}
