Evidence map›Paper›PMID 36252116›Full record

Trial reportCirculation. Cardiovascular imaging2022

Machine Learning From Quantitative Coronary Computed Tomography Angiography Predicts Fractional Flow Reserve-Defined Ischemia and Impaired Myocardial Blood Flow.

Andrew Lin, Pepijn A van Diemen, Manish Motwani, Priscilla McElhinney, Yuka Otaki, Donghee Han, Alan Kwan, Evangelos Tzolos, Eyal Klein, Keiichiro Kuronuma and 12 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Circulation. Cardiovascular imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06018194 (The ELUCIDATE FFRct Study), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06018194 unknown statusnot on this mapstarted 2023, after this paper: background citation

The ELUCIDATE FFRct Study

TypeobservationalSponsorElucid Bioimaging Inc.Ran2023 to 2024Enrolled350ConditionsCoronary Artery DiseaseArmsElucidVivo
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 32 citations in OpenAlex.

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  15. Coronary artery stenosis, plaque burden, and severity of myocardial ischemia.European heart journal. Imaging methods and practice · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 6 institutions in 4 countries.

Andrew LinBiomedical Imaging Research Institute (A.L., P.E., K.G., N.M., D.D.), Cedars-Sinai Medical Center, Los Angeles, CA.
Pepijn A van DiemenDepartment of Cardiology, Amsterdam UMC, Vrije Universiteit Amsterdam, the Netherlands (P.A.v.D., I.D., R.S.D., P.K.).
Manish MotwaniManchester Heart Centre, Manchester University NHS Foundation Trust, United Kingdom (M.M.).
Priscilla McElhinneyBiomedical Imaging Research Institute (A.L., P.E., K.G., N.M., D.D.), Cedars-Sinai Medical Center, Los Angeles, CA.
Yuka OtakiDepartment of Imaging and Medicine and the Smidt Heart Institute (Y.O., D.H., A.K., E.T., E.K., K.K., B.S., S.C., D.S.B.), Cedars-Sinai Medical Center, Los Angeles, CA.
Donghee HanDepartment of Imaging and Medicine and the Smidt Heart Institute (Y.O., D.H., A.K., E.T., E.K., K.K., B.S., S.C., D.S.B.), Cedars-Sinai Medical Center, Los Angeles, CA.
Alan KwanDepartment of Imaging and Medicine and the Smidt Heart Institute (Y.O., D.H., A.K., E.T., E.K., K.K., B.S., S.C., D.S.B.), Cedars-Sinai Medical Center, Los Angeles, CA.ORCID 0000-0002-4393-1011
Evangelos TzolosDepartment of Imaging and Medicine and the Smidt Heart Institute (Y.O., D.H., A.K., E.T., E.K., K.K., B.S., S.C., D.S.B.), Cedars-Sinai Medical Center, Los Angeles, CA.ORCID 0000-0003-0038-043X
Eyal KleinDepartment of Imaging and Medicine and the Smidt Heart Institute (Y.O., D.H., A.K., E.T., E.K., K.K., B.S., S.C., D.S.B.), Cedars-Sinai Medical Center, Los Angeles, CA.
Keiichiro KuronumaDepartment of Imaging and Medicine and the Smidt Heart Institute (Y.O., D.H., A.K., E.T., E.K., K.K., B.S., S.C., D.S.B.), Cedars-Sinai Medical Center, Los Angeles, CA.
Kajetan GrodeckiBiomedical Imaging Research Institute (A.L., P.E., K.G., N.M., D.D.), Cedars-Sinai Medical Center, Los Angeles, CA.
Benjamin ShouDepartment of Imaging and Medicine and the Smidt Heart Institute (Y.O., D.H., A.K., E.T., E.K., K.K., B.S., S.C., D.S.B.), Cedars-Sinai Medical Center, Los Angeles, CA.ORCID 0000-0003-2825-3301
Richard RiosDepartment of Medicine (R.R., P.J.S.), Cedars-Sinai Medical Center, Los Angeles, CA.ORCID 0000-0002-0873-8945
Nipun ManralBiomedical Imaging Research Institute (A.L., P.E., K.G., N.M., D.D.), Cedars-Sinai Medical Center, Los Angeles, CA.ORCID 0000-0001-9040-6896
Sebastien CadetDepartment of Imaging and Medicine and the Smidt Heart Institute (Y.O., D.H., A.K., E.T., E.K., K.K., B.S., S.C., D.S.B.), Cedars-Sinai Medical Center, Los Angeles, CA.ORCID 0000-0002-9567-6438
Ibrahim DanadDepartment of Cardiology, Amsterdam UMC, Vrije Universiteit Amsterdam, the Netherlands (P.A.v.D., I.D., R.S.D., P.K.).
Roel S DriessenDepartment of Cardiology, Amsterdam UMC, Vrije Universiteit Amsterdam, the Netherlands (P.A.v.D., I.D., R.S.D., P.K.).
Daniel S BermanDepartment of Imaging and Medicine and the Smidt Heart Institute (Y.O., D.H., A.K., E.T., E.K., K.K., B.S., S.C., D.S.B.), Cedars-Sinai Medical Center, Los Angeles, CA.
Bjarne L NørgaardDepartment of Cardiology, Aarhus University Hospital Skejby, Denmark (B.L.N.).
Piotr J SlomkaDepartment of Medicine (R.R., P.J.S.), Cedars-Sinai Medical Center, Los Angeles, CA.ORCID 0000-0002-6110-938X
Paul Knaapen *Department of Cardiology, Amsterdam UMC, Vrije Universiteit Amsterdam, the Netherlands (P.A.v.D., I.D., R.S.D., P.K.).
Damini Dey *Biomedical Imaging Research Institute (A.L., P.E., K.G., N.M., D.D.), Cedars-Sinai Medical Center, Los Angeles, CA.ORCID 0000-0003-2236-6970
Cedars-Sinai Smidt Heart Institute · USCedars-Sinai Medical Center · USVrije Universiteit Amsterdam · NLAarhus University Hospital · DKBritish Heart Foundation · GBManchester University NHS Foundation Trust · GB

Funding

Integrated prediction of cardiovascular events by automated coronary plaque and pericoronary adipose tissue quantification from CT AngiographyR01HL148787 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI DEY, DAMINI · 2020 to 2023
$3.0M
Effect of Intensive Medical Treatment on Quantified Coronary Artery Plaque Components with Serial Coronary CTA in Women with Non-Obstructive CADR01HL151266 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI DEY, DAMINI, TAMARAPPOO, BALAJI K. · 2020 to 2023
$1.6M
NHLBI NIH HHS R01 HL148787NHLBI NIH HHS R01 HL151266
6 · The paper itself

Abstract

backgroundA pathophysiological interplay exists between plaque morphology and coronary physiology. Machine learning (ML) is increasingly being applied to coronary computed tomography angiography (CCTA) for cardiovascular risk stratification. We sought to assess the performance of a ML score integrating CCTA-based quantitative plaque features for predicting vessel-specific ischemia by invasive fractional flow reserve (FFR) and impaired myocardial blood flow (MBF) by positron emission tomography (PET).

methodsThis post-hoc analysis of the PACIFIC trial (Prospective Comparison of Cardiac Positron Emission Tomography/Computed Tomography [CT]' Single Photon Emission Computed Tomography/CT Perfusion Imaging and CT Coronary Angiography with Invasive Coronary Angiography) included 208 patients with suspected coronary artery disease who prospectively underwent CCTA' [

resultsOne hundred thirty-nine (23.9%) vessels had FFR-defined ischemia, and 195 (33.6%) vessels had impaired hyperemic MBF. For the prediction of FFR-defined ischemia, the ML score yielded an area under the receiver-operating characteristic curve of 0.92, which was significantly higher than that of visual stenosis grade (0.84;

conclusionsAn externally validated ML score integrating CCTA-based quantitative plaque features accurately predicts FFR-defined ischemia and impaired MBF by PET, performing superiorly to standard CCTA stenosis evaluation and comparably to FFR

Indexed as

Coronary Artery DiseaseCoronary StenosisFractional Flow Reserve, MyocardialPlaque, AtheroscleroticComputed Tomography AngiographyConstriction, PathologicCoronary AngiographyHumansIschemiaMachine LearningPredictive Value of TestsTomography, X-Ray Computedcomputed tomography angiographycoronary atherosclerosisfractional flow reservemachine learningpositron emission tomography

Identifiers

PMID36252116
PMCPMC10085569
OpenAlexW4305082717

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.