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Current State and Future Perspectives of Artificial Intelligence for Automated Coronary Angiography Imaging Analysis in Patients with Ischemic Heart Disease

  • Mitchel A. Molenaar*
  • , Jasper L. Selder
  • , Johny Nicolas
  • , Bimmer E. Claessen
  • , Roxana Mehran
  • , Javier Oliván Bescós
  • , Mark J. Schuuring
  • , Berto J. Bouma
  • , Niels J. Verouden
  • , Steven A. J. Chamuleau
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Purpose of Review
Artificial intelligence (AI) applications in (interventional) cardiology continue to emerge. This review summarizes the current state and future perspectives of AI for automated imaging analysis in invasive coronary angiography (ICA).

Recent Findings
Recently, 12 studies on AI for automated imaging analysis In ICA have been published. In these studies, machine learning (ML) models have been developed for frame selection, segmentation, lesion assessment, and functional assessment of coronary flow. These ML models have been developed on monocenter datasets (in range 31–14,509 patients) and showed moderate to good performance. However, only three ML models were externally validated.

Summary
Given the current pace of AI developments for the analysis of ICA, less-invasive, objective, and automated diagnosis of CAD can be expected in the near future. Further research on this technology in the catheterization laboratory may assist and improve treatment allocation, risk stratification, and cath lab logistics by integrating ICA analysis with other clinical characteristics.
Original languageEnglish
Pages (from-to)365–376
Number of pages12
JournalCurrent Cardiology Reports
Volume24
Issue number4
Early online date28 Mar 2022
DOIs
Publication statusPublished - Apr 2022
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Coronary angiography
  • Coronary stenosis
  • Artificial intelligence
  • Deep learning
  • Image processing

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