Evidence map›Paper›PMID 40169568›Full record

ArticleNature communications2025

AI-based detection and classification of anomalous aortic origin of coronary arteries using coronary CT angiography images.

Isaac Shiri, Giovanni Baj, Pooya Mohammadi Kazaj, Marius R Bigler, Anselm W Stark, Waldo Valenzuela, Ryota Kakizaki, Matthias Siepe, Stephan Windecker, Lorenz Räber and 4 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
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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

14 authors.

Isaac ShiriDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Giovanni Baj *Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID http://orcid.org/0009-0001-5445-6770
Pooya Mohammadi Kazaj *Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0003-2747-1489
Marius R BiglerDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Anselm W StarkDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Waldo ValenzuelaUniversity Institute for Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse, Bern, Switzerland.ORCID http://orcid.org/0000-0002-6629-3366
Ryota KakizakiDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Matthias SiepeCenter for Congenital Heart Disease, Department of Cardiac Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Stephan WindeckerDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Lorenz RäberDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Andreas A GiannopoulosDepartment of Nuclear Medicine, Cardiac Imaging, University Hospital Zurich, Zurich, Switzerland.
George Cm SiontisDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Ronny R BuechelDepartment of Nuclear Medicine, Cardiac Imaging, University Hospital Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0001-8064-8904
Christoph GräniDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. christoph.graeni@insel.ch.ORCID http://orcid.org/0000-0001-6029-0597

Funding

Novartis Stiftung für Medizinisch-Biologische Forschung (Novartis Foundation for Medical-Biological Research) 23B108Schweizerische Herzstiftung (Swiss Heart Foundation) FF23069Wellcome Trust 200871
6 · The paper itself

Abstract

Anomalous aortic origin of the coronary artery (AAOCA) is a rare cardiac condition that can lead to ischemia or sudden cardiac death, yet it is often overlooked or falsely classified in routine coronary CT angiography (CCTA). Here, we developed, validated, externally tested, and clinically evaluated a fully automated artificial intelligence (AI)-based tool for detecting and classifying AAOCA in 3D-CCTA images. The discriminatory performance of the different models achieved an AUC ≥ 0.99, with sensitivity and specificity ranging 0.95-0.99 across all internal and external testing datasets. Here, we present an AI-based model that enables fully automated and accurate detection and classification of AAOCA, with the potential for seamless integration into clinical workflows. The tool can deliver real-time alerts for potentially high-risk AAOCA anatomies, while also enabling the analysis of large 3D-CCTA cohorts. This will support a deeper understanding of the risks associated with this rare condition and contribute to improving its future management.

Indexed as

Artificial IntelligenceComputed Tomography AngiographyCoronary AngiographyCoronary Vessel AnomaliesCoronary VesselsAdultAgedFemaleHumansImaging, Three-DimensionalMaleMiddle AgedSensitivity and Specificity

Identifiers

PMID40169568
PMCPMC11961624

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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.