Evidence map›Paper›PMID 32617720›Full record

ReviewThe international journal of cardiovascular imaging2020

From CT to artificial intelligence for complex assessment of plaque-associated risk.

Diana Opincariu, Theodora Benedek, Monica Chițu, Nora Raț, Imre Benedek

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in The international journal of cardiovascular imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05488249 (CCTA Study of Atheromatous Lesions, Coronary Hemodynamics and Systemic Inflammation in Patients With Vulnerable Plaques), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 7% 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.

NCT05488249 unknown statusnot on this mapstarted 2022, after this paper: background citation

CCTA Study of Atheromatous Lesions, Coronary Hemodynamics and Systemic Inflammation in Patients With Vulnerable Plaques (COHESIVE STUDY)

TypeobservationalSponsorCardio Med Medical CenterRan2022 to 2023Enrolled100ConditionsCoronary Artery Disease, Systemic Inflammatory Response, Chronic Coronary Syndrome, AtherosclerosisArmsCardiac imaging tests, Venous blood sample collection
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. AI-Driven multi-view learning from CCTA for myocardial infarction diagnosis.The international journal of cardiovascular imaging · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. The Radiologist as a Gatekeeper in Chest Pain.International journal of environmental research and public health · 2021
    Review
  15. Imaging Cardiovascular Inflammation in the COVID-19 Era.Diagnostics (Basel, Switzerland) · 2021
    Review
  16. Review
  17. Introduction topical issue on CT plaque burden.The international journal of cardiovascular imaging · 2020
    Article
  18. Review
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

5 authors at 1 institution in 1 country.

Diana OpincariuDepartment of Internal Medicine of the University of Medicine, Pharmacy, Sciences and Technology "George Emil Palade", Gheorghe Marinescu Street, no. 38, 540139, Târgu Mureș, Mureș County, Romania.ORCID http://orcid.org/0000-0002-5544-8238
Theodora BenedekDepartment of Internal Medicine of the University of Medicine, Pharmacy, Sciences and Technology "George Emil Palade", Gheorghe Marinescu Street, no. 38, 540139, Târgu Mureș, Mureș County, Romania. theodora.benedek@gmail.com.ORCID http://orcid.org/0000-0001-8326-1537
Monica ChițuCardiology Clinic of the Emergency Clinical County Hospital of Târgu Mureș, Gheorghe Marinescu Street, no. 50, 540136, Târgu Mureș, Mureș County, Romania.ORCID http://orcid.org/0000-0002-6238-8309
Nora RațDepartment of Internal Medicine of the University of Medicine, Pharmacy, Sciences and Technology "George Emil Palade", Gheorghe Marinescu Street, no. 38, 540139, Târgu Mureș, Mureș County, Romania.ORCID http://orcid.org/0000-0001-6975-5987
Imre BenedekDepartment of Internal Medicine of the University of Medicine, Pharmacy, Sciences and Technology "George Emil Palade", Gheorghe Marinescu Street, no. 38, 540139, Târgu Mureș, Mureș County, Romania.ORCID http://orcid.org/0000-0003-0051-4047
Universitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu Mureș · RO

Funding

PlaqueImage research grant (Increasing the research capacity in the field of vulnerable plaque imaging, based on advanced nanoparticles, fusion imaging and computational simulation - PlaqueImage, financed by the National Authority of Scientific Research an contract number 26/01.09.2016, SMIS code: 103544
6 · The paper itself

Abstract

The recent technological developments in the field of cardiac imaging have established coronary computed tomography angiography (CCTA) as a first-line diagnostic tool in patients with suspected coronary artery disease (CAD). CCTA offers robust information on the overall coronary circulation and luminal stenosis, also providing the ability to assess the composition, morphology, and vulnerability of atherosclerotic plaques. In addition, the perivascular adipose tissue (PVAT) has recently emerged as a marker of increased cardiovascular risk. The addition of PVAT quantification to standard CCTA imaging may provide the ability to extract information on local inflammation, for an individualized approach in coronary risk stratification. The development of image post-processing tools over the past several years allowed CCTA to provide a significant amount of data that can be incorporated into machine learning (ML) applications. ML algorithms that use radiomic features extracted from CCTA are still at an early stage. However, the recent development of artificial intelligence will probably bring major changes in the way we integrate clinical, biological, and imaging information, for a complex risk stratification and individualized therapeutic decision making in patients with CAD. This review aims to present the current evidence on the complex role of CCTA in the detection and quantification of vulnerable plaques and the associated coronary inflammation, also describing the most recent developments in the radiomics-based machine learning approach for complex assessment of plaque-associated risk.

Indexed as

Computed Tomography AngiographyCoronary AngiographyMachine LearningPlaque, AtheroscleroticRadiographic Image Interpretation, Computer-AssistedCoronary Artery DiseaseCoronary StenosisCoronary VesselsHeart Disease Risk FactorsHumansPredictive Value of TestsPrognosisReproducibility of ResultsRisk AssessmentRupture, SpontaneousSeverity of Illness IndexCCTAMachine learningRadiomicsRisk stratificationVulnerable plaques

Identifiers

PMID32617720
OpenAlexW3040058424

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.