Breakout solution for fast 12 lead ECG interpretation

CineECG provides new, fast, reliable 12 lead ECG data interpretation and shows differences between recorded and normal conduction performance
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Results within
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Recorded / normal values
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Clinical
validated
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Rapid insightful analysis
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Recorded versus normal values
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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

CineECG Webinar, hosted by ECG Excellence
Insights

CineECG Webinar (Video Download available)

24-11-2021 | Nieuwerbrug, The Netherlands – Montichiari, Italy Did you miss the CineECG webinar or want to watch again: CLICK …

PHD Students
News

PhD study granted from CardioCalm

10-08-2021 | Montichiari, Italy Cardio Calm srl is funding a doctoral program in the Computer Science Department of University of …

CineECG at STAFF-MALT MEETINGS
News

CineECG presented at Staff-Malt conference Italy

01-09-2021 | Nieuwerbrug, The Netherlands On September 3 Peter van Dam, co-founder of ECG Excellence and Machteld Boonstra, PhD at …

The next step in ECG technology

CineECG: a new approach to ECG data interpretation and visualisation

CineECG relates the ECG data to the heart anatomy. This way CineECG shows the electrical pathway through the heart. Only 3 cardiac axis are sufficient for effective interpretation : left to right, back to front, top to bottom. CineECG compares the recorded value with the bandwidth of healthy normal performing electrical pathways. And shows the cardiac performance in ST segment and T waves in much more detail.
Innovative technology needs accessible software

How does it work?

We explain in 4 easy steps how CineECG works.
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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

We guide you through a fundamental section of the CineECG software. We explain how it works with an example report that consists of 3 pages.

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 

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Innovative technology for medical professionals

Flexible pricing options

Try out CineECG first with a FREE TRIAL
On our CALECG 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.

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

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 which is available from.
The process which we have followed in deriving the normal CineECG’s has been published in an article which can be downloaded HERE << WHAT ARTICLE GOES HERE? >>

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 CalECG. 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 CalECG 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

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.

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. Since CineECG does not run a medical analysis but only shows the level of conformity between normal CineECG and the recorded data there is no qualification required as a Medical Device Software. Furthermore, the current 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 CALECG 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 CALECG 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

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

Do you have a different question? Fill in the form below.

How can we help?

The team behind CineECG is always eager to answer questions. Do not hesitate to submit your question and we will answer as soon as possible.

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