Evidence map›Paper›PMID 41201600›Full record

ArticleEuropean radiology2026

Deep learning-driven false-lumen volumes predict adverse remodeling better than diameter in patients with residual aortic dissection on CT.

Joris Fournel, Mariangela De Masi, Charlotte Lu, Virgile Omnes, Baptiste Muselier, Badih Ghattas, Olivier Bouchot, Moundji Kafi, Alain Lalande, Marine Gaudry and 2 more

Abstract readMulticenter Study
In one paragraph

Article in European radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. 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

12 authors.

Joris FournelCRMBM-UMR CNRS 7339, Aix-Marseille University, 27, Boulevard Jean Moulin, 13385, Marseille, Cedex 05, France. jorisfournell@gmail.com.ORCID http://orcid.org/0000-0002-3944-5061
Mariangela De MasiDepartment of Vascular Surgery, Hôpital de la Timone, AP-HM, Marseille, France.
Charlotte LuDepartment of Radiology, Hôpital de la Timone, AP-HM, Marseille, France.
Virgile OmnesDepartment of Vascular Surgery, Hôpital de la Timone, AP-HM, Marseille, France.
Baptiste MuselierDepartment of Radiology, Hôpital de la Timone, AP-HM, Marseille, France.
Badih GhattasAix-Marseille School of Economics (AMSE), Aix-Marseille University, Marseille, France.
Olivier BouchotDepartment of Cardio-Vascular and Thoracic Surgery, University Hospital of Dijon, Dijon, France.
Moundji KafiDepartment of Cardio-Vascular and Thoracic Surgery, University Hospital of Dijon, Dijon, France.
Alain LalandeICMUB Laboratory, Faculty of Medicine, CNRS UMR 6302, University of Burgundy, Dijon, France.
Marine GaudryDepartment of Vascular Surgery, Hôpital de la Timone, AP-HM, Marseille, France.
Alexis JacquierCRMBM-UMR CNRS 7339, Aix-Marseille University, 27, Boulevard Jean Moulin, 13385, Marseille, Cedex 05, France.
Axel BartoliCRMBM-UMR CNRS 7339, Aix-Marseille University, 27, Boulevard Jean Moulin, 13385, Marseille, Cedex 05, France.

Funding

Novo Nordisk Fonden NNF0087102
6 · The paper itself

Abstract

objectives1. To develop a deep-learning segmentation model for automated measurement of maximal aortic diameter (D MATERIALS AND

methodsThis retrospective study included 322 patients from two centers. The segmentation model was trained on 120 patients (Center 1) and tested on an internal dataset (30 patients, Center 1) and an external dataset (10 patients, Center 2) in terms of Dice Similarity Coefficient (DSC). The model extracted D

resultsThe segmentation model achieved high accuracy (Center 1, DSC: 0.93 TL, 0.93 CFL, 0.87 Th; Center 2, DSC: 0.92 TL, 0.93 CFL, 0.84 Th) with strong agreement between automated and manual measurements. Aortic remodeling occurred in 39/83 patients (46.9%) from Center1 and 33/79 patients (41.7%) from Center2. Aortic remodeling occurred in 39/83 patients (47%) from Center1 and 33/80 (42%) from Center2. FL

conclusionDeep-learning segmentation provides accurate aortic measurements. Local false-lumen volumes predict adverse aortic remodeling in RAD better than diameter and global false-lumen volumes. KEY POINTS: Question In residual aortic dissection (RAD) after type-A dissection, early identification of high-risk patients on initial CT angiography is crucial for endovascular treatment decisions. Findings False-lumen local volumes (3 cm around aortic dissection maximal diameters), obtained with an automatic deep-learning method, predict adverse remodeling better than diameter or global false-lumen volumes. Clinical relevance A deep-learning segmentation method of aortic dissection components on CTA, enabling automatic measurements of diameters and volumes is feasible. It provides local false-lumen volumes, a better predictive marker of adverse aortic remodeling than the currently used diameters and global volumes.

Indexed as

Aortic AneurysmAortic DissectionComputed Tomography AngiographyDeep LearningVascular RemodelingAgedFemaleHumansMaleMiddle AgedPredictive Value of TestsRadiographic Image Interpretation, Computer-AssistedRetrospective StudiesAortic dissectionComputed tomography angiographyComputer-assisted image processingDeep-learningPrognosis

Identifiers

PMID41201600
PMCPMC13035661

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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.