Validation of artificial intelligence-based quantitative coronary angiography
| Autor: | Do-Hyun Kim, Sun-Hwa Kim, Hyun-Wook Chu, Si-Hyuck Kang, Chang-Hwan Yoon, Tae-Jin Youn, In-Ho Chae |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Digital Health, Vol 10 (2024) |
| Druh dokumentu: | article |
| ISSN: | 2055-2076 20552076 |
| DOI: | 10.1177/20552076241306937 |
| Popis: | Background Coronary angiography is fundamental for the diagnosis and treatment of coronary artery disease. Manual quantitative coronary angiography (QCA) is accurate and reproducible; however, it is time-consuming and labor-intensive. However, recent advancements in artificial intelligence (AI) have enabled automated and rapid analysis of medical images, addressing the need for real-time quantitative coronary analysis. Aims This study aimed to evaluate the accuracy of AI-based QCA (AI-QCA) compared with that via manual QCA and clinician acceptance. Methods This retrospective, single-center study was conducted in two phases. Phase 1 was a pilot study comparing AI-QCA with manual QCA and visual estimation. It involved 15 patients who underwent coronary angiography at Seoul National University Bundang Hospital between September 2011 and July 2021. Phase 2 included a larger cohort of 762 patients, with 1002 coronary angiograms analyzed between May 2020 and April 2021. Results In phase 1, AI-QCA and manual QCA consistency varied among the observers, with AI-QCA showing superior consistency compared with visual estimation. However, a strong correlation between AI-QCA and manual-QCA was found in phase 2. AI-QCA accurately identified and quantitatively analyzed multiple lesions in the major vessels, providing results comparable with those of manual QCA. Conclusions AI-QCA demonstrated high concordance with manual QCA, offering real-time analysis and reduced workload. Therefore, AI-QCA has the potential to be a valuable tool for diagnosing and treating coronary artery disease, necessitating further studies for clinical validation. |
| Databáze: | Directory of Open Access Journals |
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