Evidence map›Paper›PMID 41378245›Full record

ArticleFrontiers in radiology2025

Application of one heartbeat acquisition with motion correction algorithm in CCTA of patients with atrial fibrillation: evaluation of coronary artery stenoses using artificial intelligence assisted diagnostic system.

Shumeng Zhu, Xing Li, Qian Tian, Xiaoqian Jia, Tingting Qu, Jianying Li, Xueyan Zhang, Yannan Cheng, Le Cao, Lihong Chen and 1 more

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Article in Frontiers in radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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11 authors.

Shumeng Zhu *Department of Radiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Xing Li *Department of Radiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Qian TianDepartment of Radiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Xiaoqian JiaDepartment of Radiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Tingting QuDepartment of Radiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Jianying LiCT Research Center, GE Healthcare China, Beijing, China.
Xueyan ZhangDepartment of Radiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Yannan ChengDepartment of Radiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Le CaoDepartment of Radiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Lihong ChenDepartment of Radiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Jianxin GuoDepartment of Radiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Motion artifacts induced by atrial fibrillation (AF) present a substantial challenge in coronary computed tomography angiography (CCTA). Wide detectors, rapid scanning, and motion correction algorithms can effectively improve image quality in CCTA. This study aims to evaluate the impact of one-beat acquisition with a motion correction algorithm (Snapshot Freeze 1, SSF1) on the image quality of prospective CCTA in patients with AF, and its diagnostic performance using an artificial intelligence assisted diagnostic system (AI-ADS). Materials and methods: A total of 91 consecutive patients with AF, who underwent one-beat CCTA were analyzed. Images were reconstructed with SSF1. The subjective and objective image quality of the coronary arteries were evaluated. Using the invasive coronary catheter angiography (ICA) as the reference standard, the diagnostic performance of AI-ADS and AI-ADS + radiologist for stenoses above moderate and severe degrees were calculated. Results: Effective radiation dose was 2.43 ± 0.88 mSv. The average CT values of all major coronary arteries and branches were greater than 400 HU. All vessels were diagnosable (scores ≥ 3) with good or above ratings at 96.15% (350/364) and 96.70% (352/364). The diagnostic accuracy, sensitivity, specificity and AUC of AI-ADS vs. AI-ADS + radiologist for above moderate stenoses were: (84.62% vs. 91.21%), (89.61% vs. 98.70%), (57.14% vs. 50.00%) and (0.73 vs. 0.74) on patient level; (84.07% vs. 87.64%), (74.07% vs. 85.19%), (89.96% vs. 89.08%) and (0.82 vs. 0.87) on vessel level; (90.84% vs. 93.11%), (63.59% vs. 78.34%), (95.99% vs. 95.91%) and (0.80 vs. 0.87) on segment level. For severe stenoses, these values were: (62.64% vs. 82.42%), (58.62% vs. 91.38%), (69.70% vs. 66.67%) and (0.64 vs. 0.79) on patient level; (82.97% vs. 89.29%), (46.43% vs. 75.00%), (93.93% vs. 93.57%) and (0.70 vs. 0.84) on vessel level; (92.23% vs. 95.16%), (36.92% vs. 66.92%), (98.06% vs. 98.14%) and (0.68 vs. 0.83) on segment level. Conclusion: One-beat CCTA with SSF1 provides high-quality coronary images for patients with AF. AI-ADS automatically distinguishes coronary images with different stenoses, but the sensitivity of AI-ADS is low, especially for severe stenoses. AI-ADS + radiologist further improves the diagnostic performance.

Indexed as

artificial intelligenceatrial fibrillationcoronary artery CT angiographydiagnostic performancemotion correction algorithm

Identifiers

PMID41378245
PMCPMC12685811

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