Purpose: To evaluate the diagnostic accuracy of a deep learning (DL) algorithm predicting hemodynamically significant coronary artery disease (CAD) by using a rest dataset of myocardial computed tomography perfusion (CTP) as compared to invasive evaluation. Methods: One hundred and twelve consecutive symptomatic patients scheduled for clinically indicated invasive coronary angiography (ICA) underwent CCTA plus static stress CTP and ICA with invasive fractional flow reserve (FFR) for stenoses ranging between 30 and 80%. Subsequently, a DL algorithm for the prediction of significant CAD by using the rest dataset (CTP-DLrest) and stress dataset (CTP-DLstress) was developed. The diagnostic accuracy for identification of significant CAD using CCTA, CCTA + CTP stress, CCTA + CTP-DLrest, and CCTA + CTP-DLstress was measured and compared. The time of analysis for CTP stress, CTP-DLrest, and CTP-DLStress was recorded. Results: Patient-specific sensitivity, specificity, NPV, PPV, accuracy, and area under the curve (AUC) of CCTA alone and CCTA + CTPStress were 100%, 33%, 100%, 54%, 63%, 67% and 86%, 89%, 89%, 86%, 88%, 87%, respectively. Patient-specific sensitivity, specificity, NPV, PPV, accuracy, and AUC of CCTA + DLrest and CCTA + DLstress were 100%, 72%, 100%, 74%, 84%, 96% and 93%, 83%, 94%, 81%, 88%, 98%, respectively. All CCTA + CTP stress, CCTA + CTP-DLRest, and CCTA + CTP-DLStress significantly improved detection of hemodynamically significant CAD compared to CCTA alone (p < 0.01). Time of CTP-DL was significantly lower as compared to human analysis (39.2 ± 3.2 vs. 379.6 ± 68.0 s, p < 0.001). Conclusion: Evaluation of myocardial ischemia using a DL approach on rest CTP datasets is feasible and accurate. This approach may be a useful gatekeeper prior to CTP stress..

Muscogiuri, G., Chiesa, M., Baggiano, A., Spadafora, P., De Santis, R., Guglielmo, M., et al. (2022). Diagnostic performance of deep learning algorithm for analysis of computed tomography myocardial perfusion. EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING [10.1007/s00259-022-05732-w].

Diagnostic performance of deep learning algorithm for analysis of computed tomography myocardial perfusion

Muscogiuri G;
2022

Abstract

Purpose: To evaluate the diagnostic accuracy of a deep learning (DL) algorithm predicting hemodynamically significant coronary artery disease (CAD) by using a rest dataset of myocardial computed tomography perfusion (CTP) as compared to invasive evaluation. Methods: One hundred and twelve consecutive symptomatic patients scheduled for clinically indicated invasive coronary angiography (ICA) underwent CCTA plus static stress CTP and ICA with invasive fractional flow reserve (FFR) for stenoses ranging between 30 and 80%. Subsequently, a DL algorithm for the prediction of significant CAD by using the rest dataset (CTP-DLrest) and stress dataset (CTP-DLstress) was developed. The diagnostic accuracy for identification of significant CAD using CCTA, CCTA + CTP stress, CCTA + CTP-DLrest, and CCTA + CTP-DLstress was measured and compared. The time of analysis for CTP stress, CTP-DLrest, and CTP-DLStress was recorded. Results: Patient-specific sensitivity, specificity, NPV, PPV, accuracy, and area under the curve (AUC) of CCTA alone and CCTA + CTPStress were 100%, 33%, 100%, 54%, 63%, 67% and 86%, 89%, 89%, 86%, 88%, 87%, respectively. Patient-specific sensitivity, specificity, NPV, PPV, accuracy, and AUC of CCTA + DLrest and CCTA + DLstress were 100%, 72%, 100%, 74%, 84%, 96% and 93%, 83%, 94%, 81%, 88%, 98%, respectively. All CCTA + CTP stress, CCTA + CTP-DLRest, and CCTA + CTP-DLStress significantly improved detection of hemodynamically significant CAD compared to CCTA alone (p < 0.01). Time of CTP-DL was significantly lower as compared to human analysis (39.2 ± 3.2 vs. 379.6 ± 68.0 s, p < 0.001). Conclusion: Evaluation of myocardial ischemia using a DL approach on rest CTP datasets is feasible and accurate. This approach may be a useful gatekeeper prior to CTP stress..
Articolo in rivista - Articolo scientifico
Convolutional neural network; Coronary artery disease; Coronary computed tomography angiography; Deep learning; Myocardial CT perfusion; Myocardial ischemia;
English
Muscogiuri, G., Chiesa, M., Baggiano, A., Spadafora, P., De Santis, R., Guglielmo, M., et al. (2022). Diagnostic performance of deep learning algorithm for analysis of computed tomography myocardial perfusion. EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING [10.1007/s00259-022-05732-w].
Muscogiuri, G; Chiesa, M; Baggiano, A; Spadafora, P; De Santis, R; Guglielmo, M; Scafuri, S; Fusini, L; Mushtaq, S; Conte, E; Annoni, A; Formenti, A; Mancini, M; Ricci, F; Ariano, F; Spiritigliozzi, L; Babbaro, M; Mollace, R; Maragna, R; Giacari, C; Andreini, D; Guaricci, A; Colombo, G; Rabbat, M; Pepi, M; Sardanelli, F; Pontone, G
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/378682
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