Evidence map›Paper›PMID 36691990›Full record

Trial reportClinical cardiology2023

Risk factors based vessel-specific prediction for stages of coronary artery disease using Bayesian quantile regression machine learning method: Results from the PARADIGM registry.

Hyung-Bok Park, Jina Lee, Yongtaek Hong, So Byungchang, Wonse Kim, Byoung K Lee, Fay Y Lin, Martin Hadamitzky, Yong-Jin Kim, Edoardo Conte and 23 more

Erratum issued Registry-linked trialOpen access · goldFull text readClinical Trial
In one paragraph

Trial report in Clinical cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02803411 (Progression of AtheRosclerotic PlAque DetermIned by Computed TomoGraphic Angiography Imaging), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 31% 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.

NCT02803411 unknown statusnot on this map

Progression of AtheRosclerotic PlAque DetermIned by Computed TomoGraphic Angiography Imaging(PARADIGM)

Typeobservational_patient_registrySponsorYonsei UniversityRan2003 to 2026Enrolled2,000ConditionsCoronary Heart Disease
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

33 authors at 20 institutions in 8 countries.

Hyung-Bok ParkCONNECT-AI Research Center, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea.
Jina LeeCONNECT-AI Research Center, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea.ORCID http://orcid.org/0000-0003-1395-5474
Yongtaek HongCONNECT-AI Research Center, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea.
So ByungchangDepartment of Mathematical Sciences, Seoul National University, Seoul, South Korea.
Wonse KimDepartment of Mathematical Sciences, Seoul National University, Seoul, South Korea.
Byoung K LeeDepartment of Cardiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Fay Y LinDepartment of Radiology, New York-Presbyterian Hospital and Weill Cornell Medicine, New York City, New York, USA.
Martin HadamitzkyDepartment of Radiology and Nuclear Medicine, German Heart Center Munich, Munich, Germany.
Yong-Jin KimDivision of Cardiology, Seoul National University College of Medicine, Cardiovascular Center, Seoul National University Hospital, Seoul, South Korea.
Edoardo ConteCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Daniele AndreiniCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Gianluca PontoneCentro Cardiologico Monzino, IRCCS, Milan, Italy.ORCID http://orcid.org/0000-0002-1339-6679
Matthew J BudoffDepartment of Medicine, Lundquist Institute at Harbor UCLA Medical Center, Torrance, California, USA.ORCID http://orcid.org/0000-0002-9616-1946
Ilan GottliebDepartment of Radiology, Casa de Saude São Jose, Rio de Janeiro, Brazil.
Eun Ju ChunSeoul National University Bundang Hospital, Sungnam, South Korea.
Filippo CademartiriDepartment of Radiology, Fondazione Monasterio/CNR, Pisa, Italy.ORCID http://orcid.org/0000-0002-0579-3279
Erica MaffeiDepartment of Radiology, Fondazione Monasterio/CNR, Pisa, Italy.
Hugo MarquesUnit of Cardiovascular Imaging, Hospital da Luz, Catolica Medical School, Lisbon, Portugal.
Pedro de A GonçalvesUnit of Cardiovascular Imaging, Hospital da Luz, Catolica Medical School, Lisbon, Portugal.ORCID https://orcid.org/0000-0003-4301-3090
Jonathon A LeipsicDepartment of Medicine and Radiology, University of British Columbia, Vancouver, British Columbia, Canada.
Sanghoon ShinDepartment of Cardiology, Ewha Womans University Seoul Hospital, Seoul, South Korea.
Jung H ChoiDepartment of Cardiology, Pusan University Hospital, Busan, South Korea.
Renu VirmaniDepartment of Pathology, CVPath Institute, Gaithersburg, Maryland, USA.
Habib SamadyDepartment of Cardiology, Georgia Heart Institute, Northeast Georgia Health System, Georgia, USA.
Kavitha ChinnaiyanDepartment of Cardiology, William Beaumont Hospital, Royal Oak, Michigan, USA.
Peter H StoneDepartment of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Daniel S BermanDepartment of Imaging and Medicine, Cedars Sinai Medical Center, Los Angeles, California, USA.
Jagat NarulaIcahn School of Medicine at Mount Sinai, Mount Sinai Heart, Zena and Michael A. Wiener Cardiovascular Institute, and Marie-Josée and Henry R. Kravis Center for Cardiovascular Health, New York City, New York, USA.
Leslee J ShawDepartment of Radiology, New York-Presbyterian Hospital and Weill Cornell Medicine, New York City, New York, USA.
Jeroen J BaxDepartment of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
James K MinDepartment of Radiology, New York-Presbyterian Hospital and Weill Cornell Medicine, New York City, New York, USA.
Woong KookDepartment of Mathematical Sciences, Seoul National University, Seoul, South Korea.
Hyuk-Jae ChangCONNECT-AI Research Center, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea.ORCID http://orcid.org/0000-0002-6139-7545
Centro Cardiologico Monzino · ITNewYork–Presbyterian Hospital · USSeoul National University · KRUniversity Health System · USFondazione Toscana Gabriele Monasterio · ITHospital da Luz · PTYonsei University · KRBeaumont Hospital, Royal Oak · USBrigham and Women's Hospital · USCardiovascular Institute of the South · USCedars-Sinai Medical Center · USCVPath Institute · USDeutsches Herzzentrum München · DEEwha Womans University · KRFundação Saúde · BRLeiden University Medical Center · NLPusan National University Hospital · KRSeoul National University Bundang Hospital · KRSeoul National University Hospital · KRSoutheast Georgia Health System · US

Funding

Korea Medical Device Development Fund 202016B02National Research Foundation of Korea 2020R1I1A1A01073151National Research Foundation of Korea 2022R1A5A6000840National Research Foundation of Korea RS-2022-00165404
6 · The paper itself

Abstract

background and hypothesisThe recently introduced Bayesian quantile regression (BQR) machine-learning method enables comprehensive analyzing the relationship among complex clinical variables. We analyzed the relationship between multiple cardiovascular (CV) risk factors and different stages of coronary artery disease (CAD) using the BQR model in a vessel-specific manner.

methodsFrom the data of 1,463 patients obtained from the PARADIGM (NCT02803411) registry, we analyzed the lumen diameter stenosis (DS) of the three vessels: left anterior descending (LAD), left circumflex (LCx), and right coronary artery (RCA). Two models for predicting DS and DS changes were developed. Baseline CV risk factors, symptoms, and laboratory test results were used as the inputs. The conditional 10%, 25%, 50%, 75%, and 90% quantile functions of the maximum DS and DS change of the three vessels were estimated using the BQR model.

resultsThe 90th percentiles of the DS of the three vessels and their maximum DS change were 41%-50% and 5.6%-7.3%, respectively. Typical anginal symptoms were associated with the highest quantile (90%) of DS in the LAD; diabetes with higher quantiles (75% and 90%) of DS in the LCx; dyslipidemia with the highest quantile (90%) of DS in the RCA; and shortness of breath showed some association with the LCx and RCA. Interestingly, High-density lipoprotein cholesterol showed a dynamic association along DS change in the per-patient analysis.

conclusionsThis study demonstrates the clinical utility of the BQR model for evaluating the comprehensive relationship between risk factors and baseline-grade CAD and its progression.

Indexed as

Coronary Artery DiseaseAngina PectorisBayes TheoremCoronary AngiographyCoronary VesselsHumansMachine LearningRegistriesRisk Factorscardiovascular risk factorscoronary artery diseasemachine learning

Identifiers

PMID36691990
PMCPMC10018106
OpenAlexW4317830400

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read65
identifiers read1
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.