Efficacy of human experts and an automated segmentation algorithm in quantifying disease pathology in coronary computed tomography angiography: A head-to-head comparison with intravascular ultrasound imaging

医学 血管内超声 冠状动脉疾病 动脉粥样硬化 放射科 分割 计算机断层血管造影 超声波 血管造影 核医学 人工智能 内科学 计算机科学
作者
Murat Çap,Anantharaman Ramasamy,Ramya Parasa,İbrahım Halıl Tanboğa,Soe Maung,K. S. Morgan,Nathan Angelo Lecaros Yap,Mazen Abou Gamrah,Hessam Sokooti,Pieter Kitslaar,Johan H. C. Reiber,Jouke Dijkstra,Ryo Torii,James Moon,Anthony Mathur,Andreas Baumbach,Francesca Pugliese,Christos V. Bourantas
出处
期刊:Journal of Cardiovascular Computed Tomography [Elsevier]
卷期号:18 (2): 142-153
标识
DOI:10.1016/j.jcct.2023.12.007
摘要

Coronary computed tomography angiography (CCTA) analysis is currently performed by experts and is a laborious process. Fully automated edge-detection methods have been developed to expedite CCTA segmentation however their use is limited as there are concerns about their accuracy. This study aims to compare the performance of an automated CCTA analysis software and the experts using near-infrared spectroscopy-intravascular ultrasound imaging (NIRS-IVUS) as a reference standard.Fifty-one participants (150 vessels) with chronic coronary syndrome who underwent CCTA and 3-vessel NIRS-IVUS were included. CCTA analysis was performed by an expert and an automated edge detection method and their estimations were compared to NIRS-IVUS at a segment-, lesion-, and frame-level.Segment-level analysis demonstrated a similar performance of the two CCTA analyses (conventional and automatic) with large biases and limits of agreement compared to NIRS-IVUS estimations for the total atheroma (ICC: 0.55 vs 0.25, mean difference:192 (-102-487) vs 243 (-132-617) and percent atheroma volume (ICC: 0.30 vs 0.12, mean difference: 12.8 (-5.91-31.6) vs 20.0 (0.79-39.2). Lesion-level analysis showed that the experts were able to detect more accurately lesions than the automated method (68.2 ​% and 60.7 ​%) however both analyses had poor reliability in assessing the minimal lumen area (ICC 0.44 vs 0.36) and the maximum plaque burden (ICC 0.33 vs 0.33) when NIRS-IVUS was used as the reference standard.Conventional and automated CCTA analyses had similar performance in assessing coronary artery pathology using NIRS-IVUS as a reference standard. Therefore, automated segmentation can be used to expedite CCTA analysis and enhance its applications in clinical practice.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
1秒前
xiaofeng应助yemiao采纳,获得10
1秒前
NexusExplorer应助何呵呵采纳,获得10
1秒前
2秒前
zsj发布了新的文献求助10
2秒前
zchchem完成签到,获得积分10
2秒前
xiaojcom应助笑笑采纳,获得10
2秒前
研友_VZG7GZ应助笑笑采纳,获得10
2秒前
张yy发布了新的文献求助10
4秒前
马保国完成签到,获得积分10
4秒前
6秒前
竹羽完成签到 ,获得积分10
6秒前
anderson1738完成签到,获得积分10
6秒前
7秒前
7秒前
要笑完成签到,获得积分10
8秒前
8秒前
8秒前
9秒前
9秒前
郦涔完成签到,获得积分10
9秒前
十一完成签到 ,获得积分10
10秒前
10秒前
11秒前
11秒前
思源应助失眠的若南采纳,获得10
12秒前
lincsh完成签到,获得积分10
12秒前
未必发布了新的文献求助10
12秒前
zip完成签到,获得积分10
12秒前
江峰发布了新的文献求助10
12秒前
13秒前
13秒前
Return发布了新的文献求助10
14秒前
14秒前
15秒前
15秒前
何呵呵发布了新的文献求助10
16秒前
完美世界应助孤独的橘子采纳,获得10
16秒前
王饱饱发布了新的文献求助10
16秒前
养乐多完成签到,获得积分10
16秒前
高分求助中
Lire en communiste 1000
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger 700
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 700
BIOMIMETIC RESTORATIVE DENTISTRY 500
A new species of Coccus (Homoptera: Coccoidea) from Malawi 500
Ribozymes and aptamers in the RNA world, and in synthetic biology 500
Evolution 3rd edition 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3177852
求助须知:如何正确求助?哪些是违规求助? 2828840
关于积分的说明 7968661
捐赠科研通 2490059
什么是DOI,文献DOI怎么找? 1327390
科研通“疑难数据库(出版商)”最低求助积分说明 635231
版权声明 602888