Using ECG and AI to find childhood cancer survivors at risk for late cardiomyopathy

Early Identification of Childhood Cancer Survivors at High Risk for Late Onset Cardiomyopathy: An Artificial Intelligence Approach utilizing Electrocardiography

NIH-funded research Wake Forest University Health Sciences · NIH-11417087

This project uses routine ECG tracings plus artificial intelligence to spot childhood cancer survivors who may develop heart muscle disease years later.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionWake Forest University Health Sciences NIH-funded
Lab location1 site (Winston-Salem, United States)
Project IDNIH-11417087 on NIH RePORTER

What this research studies

As a childhood cancer survivor, your past treatment with anthracycline chemotherapy or chest radiation can raise your risk for late heart problems. The team will train an AI model on raw ECG recordings linked to long-term heart outcomes so the algorithm can recognize subtle signals that predict future cardiomyopathy. They will build a robust model and then test it across multiple centers and datasets to make sure it works for different groups of survivors. The goal is a tool that could flag people for earlier heart imaging or preventive care before symptoms appear.

Who could benefit from this research

Good fit: Ideal candidates are adult survivors of childhood cancer—especially those treated with anthracyclines or chest-directed radiation—who have ECGs and follow-up heart data available.

Not a fit: People who never received cardiotoxic cancer therapy or who already have established cardiomyopathy are less likely to benefit from this predictive ECG tool.

Why it matters

Potential benefit: If successful, this tool could let clinicians use a simple ECG to identify survivors who need closer heart monitoring or early treatment to prevent worsening heart function.

How similar studies have performed: Earlier work in the St. Jude Lifetime Cohort showed promising accuracy (AUC ~0.87) using AI on ECGs, but broader multi-center validation is still needed.

Where this research is happening

Winston-Salem, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Cancer SurvivorCancer Survivorship
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.