Coronary disease & ACSCohort study

Guiding Automated Implementation Strategies for Patients With Atherosclerotic Plaque on Coronary Computed Tomographic Angiography

JACC Cardiovasc ImagingPublished

  • Study design and rationale (planned prospective multicentre study)
  • automated EHR data extraction

Authors' conclusion

The DECIDE (DErived Plaque Quantification: CCTA and AI-QCPA for Determining Effective CAD management) study will enroll and characterize a broad spectrum of patients who require initiation and intensification of preventive care.

Study context

Population
Stable patients with atherosclerotic plaque on coronary computed tomographic angiography (CTA), tested for suspected or known CADprojected enrollment, ∼40 sites
Participants
20,000 patients
Exposure
QCPA-guided care pathways vs usual testing and stress testing without coronary CTA
Outcome
Changes in preventive and anti-ischemic care (medical therapy dosing and type, coronary revascularization)
Follow-up
1 year

Original publication

Guiding Automated Implementation Strategies for Patients With Atherosclerotic Plaque on Coronary Computed Tomographic Angiography. JACC Cardiovasc Imaging. Published 16 July 2025. doi:10.1016/j.jcmg.2025.03.019

Summarised from the published abstract; every number is checked against it