Evidence map›Paper›PMID 42518762›Full record

ReviewBJR open2026

Cardiac CT for personalized phenotyping in stable coronary artery disease: toward precision medicine.

Joel Lenell, Kajetan Grodecki, Jacek Kwiecinski, Piotr J Slomka, Marc R Dweck, Michelle C Williams, Marc Dewey, David E Newby, Damini Dey

Abstract readReview
In one paragraph

Review in BJR open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Joel LenellBiomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, United States.
Kajetan GrodeckiBiomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, United States.
Jacek KwiecinskiDepartment of Interventional Cardiology and Angiology, Institute of Cardiology, Warsaw 04-628, Poland.
Piotr J SlomkaDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA 90048, United States.
Marc R DweckBritish Heart Foundation, Centre for Cardiovascular Science, University of Edinburgh, Edinburgh EH16 4TJ, United Kingdom.
Michelle C WilliamsBritish Heart Foundation, Centre for Cardiovascular Science, University of Edinburgh, Edinburgh EH16 4TJ, United Kingdom.
Marc DeweyDepartment of Radiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin 10117, Germany.
David E NewbyBritish Heart Foundation, Centre for Cardiovascular Science, University of Edinburgh, Edinburgh EH16 4TJ, United Kingdom.ORCID https://orcid.org/0000-0001-7971-4628
Damini DeyBiomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, United States.ORCID https://orcid.org/0000-0003-2236-6970

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
AI-enabled characterization of fibrocalcific aortic valve disease and inflammation from CT Angiography: Patient-specific outcome predictionR01HL175875 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI Damini Dey · 2024 to 2026
$2.4M
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 HL151266NHLBI NIH HHS R01 HL175875
6 · The paper itself

Abstract

Following technological developments and new landmark trials, the diagnostic work-up of symptomatic chronic coronary artery disease (CAD) has evolved. Clinical guidelines now favor noninvasive anatomical assessments by coronary CT angiography (CCTA) as the first-line modality to evaluate CAD in the majority of patients with chest pain. This shift from ischemia testing to stenosis and plaque characterization has resulted in the development of new imaging biomarkers reflecting a variety of coronary plaque features, many of which have proven to be important clinical risk markers. Consequently, there has been a transition from qualitative to semi-quantitative and fully quantitative plaque acquisitions over the entire coronary tree. With the integration of artificial intelligence, novel software enables rapid quantitative acquisitions of plaque components, making them feasible for use in clinical practice. CCTA has also enabled identification of precursor features associated with plaque development such as peri-coronary artery adipose tissue attenuation and epicardial adipose tissue volume. This review provides an overview of CCTA derived plaque features in CAD and associated imaging biomarkers of risk to highlight their potential applications in precision phenotyping and individualized management decisions. It further outlines anticipated future developments that may enable widespread clinical adoption of these novel imaging biomarkers.

Indexed as

cardiac CT angiographychronic coronary syndromeischemiamyocardial infarctionplaqueprecision medicine

Identifiers

PMID42518762
PMCPMC13384062

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.