Coronary disease & ACS

Prospective deep learning–based quantitative assessment of coronary plaque by computed tomography angiography compared with intravascular ultrasound: the REVEALPLAQUE study

Eur Heart J Cardiovasc ImagingPublished Diagnostic accuracy study

Authors' conclusion

AI-enabled CCTA quantification and characterization of atherosclerosis demonstrated strong agreement with IVUS reference standard measurements.

Study context

Population
Clinically stable patients with known CAD, 15 centres in the US and Japan
Participants
237 patients · 432 lesions
Comparison
Artificial intelligence (AI)-enabled coronary computed tomography angiography (CCTA) plaque analysis vs intravascular ultrasound (IVUS)
Outcome
Agreement of AI-derived CCTA plaque volumes (TPV, vessel, lumen, CP, NCP, low-attenuation plaque (LAP)) with IVUS
Methodological detailsprospective, multicentre, international, blinded, core laboratory-adjudicated
  • Prospective
  • Multicentre
  • International
  • Blinded
  • Core laboratory-adjudicated

Performance

As reported in the abstract

Correlation of AI-CCTA with IVUS plaque volumes

TPV: correlation coefficient, slope, Y intercept

0.91, 0.99, 1.87

Calcified plaque (CP) volume: correlation coefficient, slope, Y intercept

0.91, 1.05, 5.32

Non-calcified plaque (NCP) volume: correlation coefficient, slope, Y intercept

0.87, 0.98, 15.24

Original publication

Prospective deep learning–based quantitative assessment of coronary plaque by computed tomography angiography compared with intravascular ultrasound: the REVEALPLAQUE study. Eur Heart J Cardiovasc Imaging. Published 3 May 2024. doi:10.1093/ehjci/jeae115

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

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