Evidence map›Paper›PMID 35725256›Full record

ArticleBMJ open2022

A new and automated risk prediction of coronary artery disease using clinical endpoints and medical imaging-derived patient-specific insights: protocol for the retrospective GeoCAD cohort study.

Dona Adikari, Ramtin Gharleghi, Shisheng Zhang, Louisa Jorm, Arcot Sowmya, Daniel Moses, Sze-Yuan Ooi, Susann Beier

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 35% 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.

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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
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

8 authors at 1 institution in 1 country.

Dona AdikariFaculty of Medicine, The University of New South Wales, Sydney, New South Wales, Australia dona.adikari@unsw.edu.au.ORCID 0000-0002-8166-3222
Ramtin GharleghiSchool of Mechanical and Manufacturing Engineering, The University of New South Wales, Sydney, New South Wales, Australia.
Shisheng ZhangSchool of Mechanical and Manufacturing Engineering, The University of New South Wales, Sydney, New South Wales, Australia.
Louisa JormCentre for Big Data Research in Health, The University of New South Wales, Sydney, New South Wales, Australia.
Arcot SowmyaSchool of Computer Science and Engineering, The University of New South Wales, Sydney, New South Wales, Australia.
Daniel MosesSchool of Computer Science and Engineering, The University of New South Wales, Sydney, New South Wales, Australia.
Sze-Yuan OoiFaculty of Medicine, The University of New South Wales, Sydney, New South Wales, Australia.
Susann BeierSchool of Mechanical and Manufacturing Engineering, The University of New South Wales, Sydney, New South Wales, Australia.
UNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCoronary artery disease (CAD) is the leading cause of death worldwide. More than a quarter of cardiovascular events are unexplained by current absolute cardiovascular disease risk calculators, and individuals without clinical risk factors have been shown to have worse outcomes. The 'anatomy of risk' hypothesis recognises that adverse anatomical features of coronary arteries enhance atherogenic haemodynamics, which in turn mediate the localisation and progression of plaques. We propose a new risk prediction method predicated on CT coronary angiography (CTCA) data and state-of-the-art machine learning methods based on a better understanding of anatomical risk for CAD. This may open new pathways in the early implementation of personalised preventive therapies in susceptible individuals as a potential key in addressing the growing burden of CAD. METHODS AND ANALYSIS: GeoCAD is a retrospective cohort study in 1000 adult patients who have undergone CTCA for investigation of suspected CAD. It is a proof-of-concept study to test the hypothesis that advanced image-derived patient-specific data can accurately predict long-term cardiovascular events. The objectives are to (1) profile CTCA images with respect to variations in anatomical shape and associated haemodynamic risk expressing, at least in part, an individual's CAD risk, (2) develop a machine-learning algorithm for the rapid assessment of anatomical risk directly from unprocessed CTCA images and (3) to build a novel CAD risk model combining traditional risk factors with these novel anatomical biomarkers to provide a higher accuracy CAD risk prediction tool. ETHICS AND DISSEMINATION: The study protocol has been approved by the St Vincent's Hospital Human Research Ethics Committee, Sydney-2020/ETH02127 and the NSW Population and Health Service Research Ethics Committee-2021/ETH00990. The project outcomes will be published in peer-reviewed and biomedical journals, scientific conferences and as a higher degree research thesis.

Indexed as

Coronary Artery DiseaseAdultCohort StudiesComputed Tomography AngiographyCoronary AngiographyHumansPredictive Value of TestsRetrospective Studiescomputed tomographycoronary heart diseaserisk management

Identifiers

PMID35725256
PMCPMC9214399
OpenAlexW4283170236

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Registered trials

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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.