Evidence map›Paper›PMID 41301197›Full record

ArticleBioengineering (Basel, Switzerland)2025

An Innovative Model for Diagnosing Lesions in Coronary Angiography Imagery Using an Improved YOLOv4 Model.

Zhu Chen, Yajie Chen, Jiajia Si, Changhu Xiao, Xiaohan Liu, Chengming Wang, Fengling Chen, Yuan Guo

Abstract read
In one paragraph

Article in Bioengineering (Basel, Switzerland), 2025. 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
–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

1 citing paper in PubMed.

  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.

Zhu ChenInstitute for Future Sciences & Hengyang Medical School, University of South China, Hengyang 421001, China.ORCID 0000-0002-1246-3390
Yajie ChenInstitute for Future Sciences & Hengyang Medical School, University of South China, Hengyang 421001, China.
Jiajia SiHunan Key Laboratory of Biomedical Nanomaterials and Devices, Hunan University of Technology, Zhuzhou 412007, China.
Changhu XiaoHunan Key Laboratory of Biomedical Nanomaterials and Devices, Hunan University of Technology, Zhuzhou 412007, China.
Xiaohan LiuDepartment of Cardiovascular Medicine, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, Zhuzhou 412007, China.
Chengming WangDepartment of Cardiovascular Medicine, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, Zhuzhou 412007, China.
Fengling ChenDepartment of Cardiovascular Medicine, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, Zhuzhou 412007, China.
Yuan GuoInstitute for Future Sciences & Hengyang Medical School, University of South China, Hengyang 421001, China.

Funding

Health Research Project of Hunan Provincial Health Commission W20242007Hunan Provincial Natural Science Foundation of China 2022JJ30082National Natural Science Foundation of China 82372581)
6 · The paper itself

Abstract

Percutaneous coronary angiography remains the diagnostic gold standard for coronary artery disease. However, the complex and high-volume nature of the imaging data renders the clinical interpretation of coronary lesions a time-consuming, labor-intensive, and inherently subjective process. This retrospective study collected and preprocessed Coronary artery angiography (CAG) image data from 408 patients with acute myocardial infarction (AMI). An improved YOLOv4 algorithm was developed, validated on standard VOC datasets, and subsequently calibrated via transfer learning on the CAG training set for automated lesion detection and classification. The model-derived lesion characteristics were then statistically correlated with the occurrence of Major Adverse Cardiovascular Events (MACEs) during patient follow-up. The improved model achieved a post-modification mean Average Precision (mAP) of 84.72% (95% CI: 83.44-85.99%) on the VOC dataset. For coronary lesion detection, the model yielded an overall mean Average Precision (mAP) of 55.01%. Importantly, lesion characteristics automatically detected by the model-specifically completely occluded lesions (Log-rank

Indexed as

acute myocardial infarctioncoronary artery angiographytransfer learningYOLOv4 algorithm

Identifiers

PMID41301197
PMCPMC12650694

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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.