Evidence map›Paper›PMID 41892702›Full record

ArticleJournal of cardiovascular development and disease2026

Radiomic Assessment of Epicardial Adipose Tissue for the Prediction of Non-Calcified Coronary Atherosclerotic Plaques.

Carlo Di Donna, Armando Ugo Cavallo, Eliseo Picchi, Mario Laudazi, Massimo Federici, Marcello Chiocchi, Francesco Garaci

Abstract read
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Article in Journal of cardiovascular development and disease, 2026. 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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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Carlo Di DonnaDiagnostic Imaging Unit, Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy.ORCID 0000-0001-9241-1859
Armando Ugo CavalloDepartment of Radiology, Istituto Dermopatico dell'Immacolata IDI-IRCCS, 00167 Rome, Italy.ORCID 0000-0001-8390-7721
Eliseo PicchiDiagnostic Imaging Unit, Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy.ORCID 0000-0002-2524-9764
Mario LaudaziDiagnostic Imaging Unit, Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy.ORCID 0000-0001-6094-6330
Massimo FedericiDepartment of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.ORCID 0000-0003-4989-5194
Marcello ChiocchiDiagnostic Imaging Unit, Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy.ORCID 0000-0001-6041-4166
Francesco GaraciDiagnostic Imaging Unit, Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy.ORCID 0000-0003-1499-5718

Funding

Ministry of University and Research within the Complementary National Plan PNC-I.1 "Research initiative for innovative technologies and pathways in the health and welfare sector". "DARE-Digital Lifelong Prevention" project code: PNC0000002-CUP: B53C22006450001
6 · The paper itself

Abstract

Epicardial adipose tissue (EAT) has previously been associated with coronary artery calcium scores, an increased burden of coronary artery disease (CAD), and features of plaque instability. These associations are likely mediated by endocrine and paracrine signaling from bioactive molecules secreted by EAT, which may contribute to coronary atherosclerosis. EAT can be non-invasively quantified on images obtained during coronary computed tomography angiography (CCTA). This study aimed to evaluate the potential association between EAT and non-calcified coronary plaques with severe stenosis using radiomic methodology. MATERIALS AND

methodsA total of 128 consecutive patients undergoing CCTA-both with and without contrast-for known or suspected CAD were retrospectively analyzed. EAT features were extracted from contrast scans. Coronary artery plaque features were evaluated using Coronary Artery Disease-Reporting and Data System (CAD-RADS).

resultsEAT features showed a statistically significant positive correlation with non-calcified coronary plaques with severe grades of stenosis (CAD-RADS > 4). The Ensemble Machine Learning (EML) model combined with coronary plaque data showed a sensitivity of 1.00 and a specificity of 0.93, with a negative predictive value of 1.00 and a positive predictive value of 0.85, and an accuracy of 0.95 (95% CI: 0.9221-1) in internal validation.

conclusionsEAT may represent a novel imaging biomarker associated with the presence of actionable coronary plaques. Radiomic texture analysis of EAT could enhance the non-invasive prediction of coronary stenoses. These preliminary findings support the clinical utility of EAT evaluation via CCTA in patients with low to intermediate cardiovascular risk.

Indexed as

CAD-RADScardiac-CTcoronary artery diseaseepicardial adipose tissueradiomics

Identifiers

PMID41892702
PMCPMC13026606

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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.