Best in class 12 lead ECG waveform interpretation support

CineECG software supports fast and accurate first line heart disease detection outperforming existing ECG interpretation solutions. All you need is a standard 12 lead ECG data set

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Clinical validated
Headshot Dr Douglas Zipes
Douglas P. Zipes MD
Distinguished Professor
“The take home message for clinicians is that this new CineECG method can be used as a non-invasive ECG screening method… it delivers early detection of cardio related diseases and uncovering hard to diagnose conditions”
Headshot Arie Maan
Dr. Arie Maan
Head ECG department, Leiden University Medical Center, The Netherlands (retired)
CineECG is a beautiful program that, by visualizing the activation patterns in the heart, has increased my understanding of abnormal ECGs. CineECG is both a teaching tool and a quick scan which supports ECG interpretation for the starting and the more advanced ECG readers.

CineECG Insights

Jelectrocardiology delta wave map
News

New CineECG delta map article published

The new cineecg delta map article published makes 12-lead ECG waveform interpretation effortless and supports early detection of cardiac disorders

CineECG at websummit 2022
News

CineECG presented at Websummit

CineECG is presented at Websummit. Happy to present our unique solutions for non invasive heart disease detection to the many visitors.

Mayo clinic podcast CineECG
News

CineECG is presented as key emerging technology

In this Mayo clinic podcast CineECG is presented as a key emerging technology for detection of ischemia by Dr Salah Al Zaiti of UPMC

The next step in ECG technology

CineECG: a new approach to ECG data interpretation and visualisation

CineECG is a software solution which supports ECG waveform interpretation. CIneECG makes 12 lead ECG waveform interpretation EASY & BETTER. CineECG only uses standard 12 lead ECG data to present instant complementary views on the heart performance. CineECG informs on the level of normality of the recorded ECG values. CineECG makes transparant what is happening  in both QRS, ST segment and T waves. In much more detail and accuracy then standard practive today.  CineECG can be used via multiple channels: Via our platform (Opt for a free trial or use the Go To Platform button)  or via trusted partners who have integrated CineECG in their ECG interpretation services. For more information on the trusted partner option please contact us. CineECG is only available in a research only version at this moment.

Innovative technology needs accessible software

How does it work?

We explain in 4 easy steps how CineECG works.
ECG Icon Orange
ECG Icon Grey
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Step 1

Step 1

Step 1

Record standard 12 lead ECG
Record standard 12 lead ECG
Record standard 12 lead ECG
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Step 2

Step 2

Step 2

Select your digital ECG data set
Select your digital ECG data set
Select your digital ECG data set
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Step 3

Step 3

Step 3

Upload your ECG to CineECG
Upload your ECG to CineECG
Upload your ECG to CineECG
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Step 4

Step 4

Step 4

Download your CineECG report
Download your CineECG report
Download your CineECG report
12 Lead ECG Visual
Select Digital Data Set Visual
Upload ECG Visual
Download Report Visual
Easy access to real cases

Example report

The CineECG report contains 3 pages. The layout may differ per channel (our HealthCor platform or via trusted partner) but presents similar data explained here.

Example report page 1

Example report page 2
Example report page 3
Page 1
Page 2
Page 3

Page 1 has 3 segments. Here you can see Segment C.

Segment C shows the rhythm strip per lead as uploaded by the user of the system. Please download the CineECG report explanation to see the full report and explanation for the other segments.

CineECG Example Report Segment C
Page 2 has 4 segments. Here you can see segment A and B.

Segment A shows the median beat of the recorded ECG data which has been uploaded by the user. These 12 QRS-T complexes are presented in the standard lead-order. Segment B shows the derived CineECG based on the miedian beat ECG data. Orange trajectories are averaged over 6500 normal ECGs (PTB XL database) from different age groups and are for reference only.

Please download the CineECG report explanation to see the full report and explanation for the other segments.
CineECG Example Report Segment A and B
Page 3 has 3 segments. Here you can see segment D.

Segment D shows the CineECG electrical pathway of the median ECG beat through the heart. The color of the pathway indicates if the uploaded electrical pathway is in line within the CineECG pathway range of normal healthy ECG’s, The color green indicates alignment with 90% of the normal values per time sample, amber indicates a value outside the normal values but within the 99.9% range, and the red color indicates when the cineECG is outside the range of normal values.

Please download the CineECG report explanation to see the full report and explanation for the other segments.
CineECG Example Report Segment D

Example report page 1

Page 1 has 4 segments.

Segment A shows the median beat of the recorded ECG data which has been uploaded by the user. These 12 QRS-T complexes are presented in the standard lead-order.

Segment B shows the derived CineECG based on the median beat ECG data. CineECG views are along 3 cardiac axes, left-right, base-apex and anterior posterior. Orange trajectories are averaged over 6500 normal ECGs (PTB XL database) from different age groups and are for reference only.

Segment C shows some ECG de- and repolarization values and the percentage that falls within the normal range, based upon the position of the blue line with respect to the orange line(s).

Finally, the page shows the legend for the CineECG report.
CineECG Example Report Page 1

Example report page 2

Page 2 has 3 segments. Segment D shows the CineECG electrical pathway of the median ECG beat through the heart. The color of the pathway indicates if the uploaded electrical pathway is in line within the CineECG pathway range of normal healthy ECG’s, The color green indicates alignment with 90% of the normal values per time sample, amber indicates a value outside the normal values but within the 99.9% range, and the red color indicates when the cineECG is outside the range of normal values. Segment E again shows the CineECG in the 3 standard cardiac views. Where the black/white part indicates the onset QRS of the CineECG position in the heart, the red color the QRS trajectory, and the yellow/blue part the STT segment CineECG trajectory of the median beat. Finally, the page contains generic information regarding CineECG and provides a link to the CineECG.com website.
CineECG Example Report Page 2

Example report page 3

Page 3 has x segments.

Segment D shows the CineECG electrical pathway of the median ECG beat through the heart. The color of the pathway indicates if the uploaded electrical pathway is in line within the CineECG pathway range of normal healthy ECG’s, The color green indicates alignment with 90% of the normal values per time sample, amber indicates a value outside the normal values but within the 99.9% range, and the red color indicates when the cineECG is outside the range of normal values.

Segment E again shows the CineECG in the 3 standard cardiac views. Where the black/white part indicates the onset QRS of the CineECG position in the heart, the red color the QRS trajectory, and the yellow/blue part the STT segment CineECG trajectory of the median beat.

Finally, the page contains generic information regarding CineECG and provides a link to the CineECG.com website.

CineECG Example Report Page 2

Still not convinced? Let our partners speak for us 

The companies supporting CineECG

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IRCCS Policlinico San Donato Logo
Aalborg University Logo
NL Health Holland Logo
CardioCalm Logo
AMPS Logo
Cardiogram Line
Innovative technology for medical professionals

Flexible pricing options

Try out CineECG first with a FREE TRIAL

On our HealthCOR platform you can select your billing option during registration and log in

Pay per use

€ 2,50
Credit card only

Wallet / Credit

From € 50
Multi user / Multi payment options

Subscription

€ 399
Multi user / Multi payment options

Learn from others before you

Your questions answered...

Your questions might have already been answered in the following categories.

Registrations

There are 3 registration options available for using CineECG:

  1. As a single professional user. You need to be a medical professional for this option
  2. As an organisation in healthcare. This option is available for clinics, hospitals or other legal entities who are professional active in healthcare and ECG based diagnosis
  3. As a user within an organisation in healthcare. This registration needs the authorisation and active participation  of the person or department responsible for the registration as mentioned in b)
At a very first step you will only need a valid e-mail address (verified with an easy procedure) that you will use as your username in association with a password to visit the HealthCor platform without purchasing any services. When you are ready to purchase a service or to use the free trial offer, you will need all the data related to the invoicing process. Once you have completed the first registration, you will have access to all the available services.

Please send an email to info@cineecg.com

No, you need to register for the CineECG newsletter on the CineECG.com website. This can be done two ways: 1) by a direct registration for the newsletter in the appropriate fields and 2) by applying for the free trial option. Applying for this options results in a newsletter registration.

Just click on the unsubscribe button in the emails you receive with the CineECG newsletter.

Yes, we will only correspond to you through the newsletter emails and newsletter attachments. Your data will not be shared with other organisations.

Uploading ECG Data
Our CineECG service runs on a separate website platform HealthCor. You can connect direct to this website or by clicking on the button go to portal on the menu bar of CineECG.com
On the HealthCor platform you will have to register separately, select a billing option or use the free trial offer.
When you select the CineECG service option and you are registered as a user you are offered the option to select and upload your ECG data set

Just select the ECG data set you want to upload in your browser and click on upload. This starts the upload and analysis proces

You can upload digital 12 lead ECG data sets in the following formats:

ISHNE
DICOM
FDA HL7
GE Binary
GE Cardiosoft
GE Mac2000
GE Muse
Mortara XML
Philips Sierra
SCP
Schiller XML
AMPS binary
AMPS xml
CardioCalm XML

At this moment this is not possible. Only digital ECG data formats are accepted by our system. In future we intend to provide a PDF to Digital conversion service. If you want to convert PDF format ECG data to digital we refer you to our partner AMPSmedical and their ScanECG service. You can find this service here

CineECG Analysis

The CineECG adds the direct relation between the standard 12 lead ECG and the cardiac anatomy. This provides a novel anatomical view on the ECG. We also compare the results of the CineECG analysis to normal distribution of CineECG values for normal healthy heart performances.

In this section you will find the standard visual presentation of the uploaded ECG data in 12 graphs. You will also find a limited number of numeric values derived from the uploaded data following an algorithm which is based on the BRAVO algorithm powered by AMPS-LLC

For a detailed description we refer you to the tutorials section where you can find a document with the description of the information provided in the report

The origin of the normal CineECG output is a public ECG data set: Wagner P, Strodthoff N, Bousseljot RD, Kreiseler D, Lunze FI, Samek W, et al. PTB-XL, a large publicly available electrocardiography dataset. Sci Data. 2020;7(1):154.
The process which we have followed in deriving the normal CineECG’s has been published in an article: van Dam PM, Boonstra M, Locati ET, Loh P. The relation of 12 lead ECG to the cardiac anatomy: The normal CineECG. Journal of Electrocardiology. 2021;69:67-74.

The CineECG changes its location over time within the cardiac space. The CineECG locations have been determined for 6500 normal ECGs of the PTB XL database, thereby setting boundaries for normal CineECG locations. When the CineECG stays within this “normal cardiac space” the CineECG is conform these normal locations.

CineECG Reports

For a detailed description we refer you to the tutorials section where you can find a document with the description of the information provided in the report

You can view the data by clicking on the VIEW button and you can download the PDF version of the CIneECG report.

The CineECG can be found through your account on HealthCor. This account shows all the reports and the dates/time on which they were created.

The CineECG report shows the patient data you have included in the ECG data set during upload. If this data set contains a patient name and/or number you will find the data in the report. IF the data set did not contain the patient ID information you can related the CineECG report data by registering the patient ID data yourself in combination with the data and time you uploaded the ECG data set which belongs to the patient.

Once you have uploaded an ECG data set on the HealthCor platform the derived CIneECG report will be available immediately. The CineECG report will be available for download and view option during 30 days after the upload. 
After this period the CIneECG report will expire and the data will be removed from our servers. Our platforms are not intended to function as a ECG data set storage facility. When you have indicated you want to terminate your registration all your data will be removed within 30 days after the moment of final termination.

The CineECG report is only available in PDF format for download purposes. In the VIEW mode the report is presented as a PDF on screen.

No, you can not delete a CineECG report. Only the deliberate termination of your account registration will result in a removal of all report data allocated to your account. In case you insist to remove

We can help you with three examples of CineECG reports
first a report of a normal healthy person CineECG to be seen via this link

Second, a report for a Left Bundle Branche Block situation via this link

Third, a report for a Right Bundle Branche Block situation via this link

CineECG Validation

CineECG has been validated through a growing number of scientific studies. For these studies we used a retrospective approach and used ECG data sets which have been qualified.
All the CIneECG validation stem from collaborations between ECG Excellence and teams of expert universities in Europe.
The validation regarding the normal CineECG values has been conducted by using a public available ECG database.
All publications underpinning the validation of CIneECG have been published in peer to peer reviewed scientific journals

CineECG validation is an ongoing journey. Every new ECG data set adds further value to the validation process and the tuning of the algorithms. CineECG is a result of earlier R&D regarding the use of computerized modelling to create simulations of a persons cardiac activation and recovery processes. The process of computerized modelling and especially the inverse variant in modelling has its roots in Dutch universities. During the past century this work has started and has resulted in ever improving computerized models of heart and torso to understand cardiac activation and the impact of tissue conduction, tissue quality and skin positions of electrodes.
The team behind CineECG has continued this journey and has found solutions to relate ECG data to the heart anatomy and has developed algorithms to show electrical pathways through this anatomy. The scientific base for the CIneECG technology is extensive and if you are interested we advice you to download the R&D portfolio summary on the “about” page.

The history of CIneECG dates back at least 5 years and todays result has been achieved by collaboration with a number of organisations:

  • University Medical Center Utrecht
  • IRCCS Policlinico San Donato Milanese
  • Radboud University Nijmegen
  • Basel University Hospital
  • HochSchule Lucern
  • Peacs BV
  • Dutch Heart Foundation
  • Eureka/Eurostars innovation support

At this moment CineECG has been tested for a limited number of cardiac disorders. Testing the added value of CineECG in detecting additional cardiac disorders is proceeding on a ongoing base. However the current version of CineECG is RESEARCH ONLY. The CIneECG report only shows the level of conformity between normal values and the recorded values.

You can find information in our R&D portfolio which can be downloaded on the ”about” page

Please contact our team via the request further information box or send an email to info@cineecg.com

At this moment in time CineECG is not CE MDR certified. CineECG does not provide a diagnostic output but only shows the level of conformity between normal CineECG and the recorded data. Furthermore, the current beta version of CineECG is only available for research purposes.
CineECG is in the process of being qualified for a CE MDR certification class IIa. This is needed for providing diagnostic feedback in the next versions of CineECG.
The companies supporting and developing CineECG are working in the ISO13485 modus and are in the process of certification of their quality management systems.

CineECG Support

Our support is delivered by answers provided in a) these FAQ section of our CineECG website; b) in the tutorials which are also made available through this website (at this moment the tutorials are in PDF format but we will add video based explanations of the key CIneECG processes in the near future and c) by contacting our team via the dialogue box provided on the website or via sending an email to info@cineecg.com.
We will either respond to you by email or if this is needed we will contact you for a bilateral conversation in which we can assist you even better.

by contacting our team via the dialogue box provided on the website or via sending an email to info@cineecg.com.
We will either respond to you by email or if this is needed we will contact you for a bilateral conversation in which we can assist you even better.

The tutorials provide information on the following key processes related to CineECG:

  1. how to create an account and log in for the CIneECG service
  2. Payment options for using CineECG
  3. how to upload ECG data and view results
  4. The CineECG report
  5. CineECG Casereports
  6. CineECG free trials

Please contact our team via the dialogue box in CineECG.com or via the contact button in the HEALTHCOR platform

If you can not find the answer you are looking for in our FAQ section, please contact our team via the dialogue box in CineECG.com or via the contact button in the HEALTHCOR platform

Please contact our team via the dialogue box in CineECG.com

We are trying to answer all information requests within 48 hours in normal work days. If you send us a question during the weekend this response time may be a little longer.

CineECG Billing

We offer 3 billing options:
1) a Pay per Use option. In this option you will need to submit a payment to enable access to the ECG data set upload function. You will receive an invoice per email.
2) a Wallet/Credit option. In this option you will have to register an organisation first and in a second step allocate users from within the organisation. The system requires a deposit / payment first before the ECG data set upload function can be used by any of the registered users within an account. The costs per CineECG analysis are similar to the Pay per Use option
3) a CineECG subscription option. In this option you will need to register an organisation and have the option to provide access to max 4 users. The subscription fee is on a monthly base and after the initial payment the users have unlimited access to the CineECG service during the running month

We do not provide an automated wallet return option. The remaining funds in the wallet will be available for running CineECG analysis as long as the funds are sufficient.
Please send a request for returning remaining funds via our dialogue box. For this return option we charge 10% admin costs with a minimum amount of €10

Our systems shows the available funds within your wallet and if the funds are no longer sufficient a message will show you need to deposit additional funds in the wallet or select Pay per Use for the particular ECG analysis

No, for this moment we only offer a monthly invoice frequency

After you have made a payment on the Healthcor platform we will send an invoice to the email address you have provided in the Profile section. The invoice will be send some 10-15 minutes after you have made the payment. 
If you want to look at your invoicing history you can go to the profile section and click on the button subscription billing details on the right side of the page. This will bring you to your invoicing history.
On this page you can also change the email address you want to use for your invoicing process.

When you increase the amount of money in your wallet the system will send you an invoice of the transaction. At the end of each month you will receive another invoice (with the same invoice number) detailing the actual usage of the system and the analysis runs billed against the wallet.

What’s next with CineECG

The scientific base of CineECG and the domain of added value is constantly challenged and enlarged by our team. We expect to use CineECG for identification of more conduction related cardiac disorders both in the atria and the ventricles.
We are also planning to launch desktop and or Hospital Information System versions which will provide more functionality to users of CineECG. The interactive version of CineECG may support comparing CineECG’s from a same patient, beat selection-based analysis, selecting between 3D and 2D views, zooming function to explore more details. We also aim to work to a more patient specific solution of CineECG incorporating 3D photo derived information on the patient.

Yes, ECG Excellence has embarked on a mission to improve the ECG interpretation through digital twin-based technologies. A next step in this approach is to further increase the personalisation of the data collection and data processing. In order to achieve this, we are developing a technology which can easily capture the actual ECG electrode positions on the torso and derive the heart orientation from physical characteristics of the torso.
The vision guided ECG recording technology will also contain an ECG electrode positioning support facility which will show the operator where to place the electrodes on the torso, taking a person’s physical characteristics into account. Or apply a disease specific electrode configuration. This system will also support re-positioning of ECG electrodes at the same locations during a next ECG recording session.

Since CineECG is a SAAS service software upgrades will occur but not be made visible for users of the system.

Please contact our team via the dialogue box in CineECG.com

Common problems
To unlock the service you need to go to your profile (top right corner of the page) and make sure your company or organisation details have been entered. Click on save to finalize the editing of your profile.
You can now go to the services page and select the CineECG service.
To solve this problem you need to go to your wallet administration. Each wallet needs to be activated for the CineECG service before you can use it.
In our tutorial you can see how to do this and which button you need to switch.
Our platform will soon be offering other services than CineECG and this activation provision is built in to ensure a wallet is only available for a specific kind of service.
Please contact us via the contact form and we will help you as soon as possible.
Trusted partner use

At this moment CineECG is available through
a) the HealthCOR platform which can be reached by clicking on the GO TO PLATFORM button on the menu or by using the FREE TRIAL option offered on this website (CineECG.com)
b) through the ECG Interpretation services of Fysiologic Smart ECG solutions. For more information on these services see their website https://www.Fysiologic.nl

we expect other service providers to also start offering CIneECG in the near future.

The HealthCor platform provides a fully automated ECG analysis service. Our algorithms and cardiac computational modelling convert the ECG data and run a basic heart rhythm analysis (based on the Bravo algorithm) and the conduction analysis (CineECG). The analysis is integrated into a single report which is made available second after the upload of the data. The physician who is the user of the CineECG service has to interpret the CineECG report.

The other route is to use human interpretation expertise for which the expert is supported by software including CineECG analysis. This type of ECG interpretation service supports the physician in delivering an expert interpretation of the ECG data set. On average the throughput time of this type of advice is at least 30 minutes but may require hours.

The Healthcor platform can be directly approached through this website. After providing your profile and billing data you can start working with CineECG.
For the indirect way you need to contact our partner organisation to arrange a contract with conditions

Of course, please fee free to use the information on this website and communicate with us and / or share your insights and experiences with CineECG.

The scientific base of CineECG and the domain of added value is constantly challenged and enlarged by our team. We expect to use CineECG for identification of more conduction related cardiac disorders both in the atria and the ventricles.
We are also planning to launch desktop and or Hospital Information System versions which will provide more functionality to users of CineECG. The interactive version of CineECG may support comparing CineECG’s from a same patient, beat selection-based analysis, selecting between 3D and 2D views, zooming function to explore more details. We also aim to work to a more patient specific solution of CineECG incorporating 3D photo derived information on the patient.

Yes, ECG Excellence has embarked on a mission to improve the ECG interpretation through digital twin-based technologies. A next step in this approach is to further increase the personalisation of the data collection and data processing. In order to achieve this, we are developing a technology which can easily capture the actual ECG electrode positions on the torso and derive the heart orientation from physical characteristics of the torso.
The vision guided ECG recording technology will also contain an ECG electrode positioning support facility which will show the operator where to place the electrodes on the torso, taking a person’s physical characteristics into account. Or apply a disease specific electrode configuration. This system will also support re-positioning of ECG electrodes at the same locations during a next ECG recording session.

Since CineECG is a SAAS service software upgrades will occur but not be made visible for users of the system.

Please contact our team via the dialogue box in CineECG.com

To unlock the service you need to go to your profile (top right corner of the page) and make sure your company or organisation details have been entered. Click on save to finalize the editing of your profile.
You can now go to the services page and select the CineECG service.
To solve this problem you need to go to your wallet administration. Each wallet needs to be activated for the CineECG service before you can use it.
In our tutorial you can see how to do this and which button you need to switch.
Our platform will soon be offering other services than CineECG and this activation provision is built in to ensure a wallet is only available for a specific kind of service.
Please contact us via the contact form and we will help you as soon as possible.
Do you have a different question? Fill in the form below.

Ask for a demo of CIneECG or forward another question

We are ready to show you how CineECG can help you evaluating a patients heart performance. Do not hesitate to submit your question or demo request
and we will answer as soon as possible. 

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