Evidence map›Paper›PMID 37407843›Full record

ArticleJournal of digital imaging2023

Artificial Intelligence Application to Screen Abdominal Aortic Aneurysm Using Computed tomography Angiography.

Giovanni Spinella, Alice Fantazzini, Alice Finotello, Elena Vincenzi, Gian Antonio Boschetti, Francesca Brutti, Marco Magliocco, Bianca Pane, Curzio Basso, Michele Conti

Abstract read
In one paragraph

Article in Journal of digital imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

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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

10 authors.

Giovanni SpinellaDepartment of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Viale Benedetto XV 6, 16132, Genoa, Italy. giovanni.spinella@unige.it.ORCID http://orcid.org/0000-0001-6373-0199
Alice FantazziniCamelot Biomedical System, Genoa, Italy.
Alice FinotelloIRCCS MultiMedica, Milan, Italy.
Elena VincenziCamelot Biomedical System, Genoa, Italy.
Gian Antonio BoschettiVascular Surgery Unit, AULSS 2 Marca Trevigiana, Treviso Hospital, Treviso, Italy.
Francesca BruttiDepartment of Mathematics, University of Trento, Trento, Italy.
Marco MaglioccoDepartment of Civil Engineering and Architecture, University of Pavia, Pavia, Italy.
Bianca PaneDepartment of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Viale Benedetto XV 6, 16132, Genoa, Italy.
Curzio BassoCamelot Biomedical System, Genoa, Italy.
Michele ContiDepartment of Civil Engineering and Architecture, University of Pavia, Pavia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of our study is to validate a totally automated deep learning (DL)-based segmentation pipeline to screen abdominal aortic aneurysms (AAA) in computed tomography angiography (CTA) scans. We retrospectively evaluated 73 thoraco-abdominal CTAs (48 AAA and 25 control CTA) by means of a DL-based segmentation pipeline built on a 2.5D convolutional neural network (CNN) architecture to segment lumen and thrombus of the aorta. The maximum aortic diameter of the abdominal tract was compared using a threshold value (30 mm). Blinded manual measurements from a radiologist were done in order to create a true comparison. The screening pipeline was tested on 48 patients with aneurysm and 25 without aneurysm. The average diameter manually measured was 51.1 ± 14.4 mm for patients with aneurysms and 21.7 ± 3.6 mm for patients without aneurysms. The pipeline correctly classified 47 AAA out of 48 and 24 control patients out of 25 with 97% accuracy, 98% sensitivity, and 96% specificity. The automated pipeline of aneurysm measurements in the abdominal tract reported a median error with regard to the maximum abdominal diameter measurement of 1.3 mm. Our approach allowed for the maximum diameter of 51.2 ± 14.3 mm in patients with aneurysm and 22.0 ± 4.0 mm in patients without an aneurysm. The DL-based screening for AAA is a feasible and accurate method, calling for further validation using a larger pool of diagnostic images towards its clinical use.

Indexed as

Aortic Aneurysm, AbdominalComputed Tomography AngiographyArtificial IntelligenceHumansRetrospective StudiesTomography, X-Ray ComputedAbdominal aortic aneurysm (AAA)Artificial intelligence (AI)Deep learning (DL)Screening

Identifiers

PMID37407843
PMCPMC10501994

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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.