Aortic & peripheral vascular disease

Thoracic Aortic Aneurysm Risk Assessment: A Machine Learning Approach

JACC AdvPublished Mechanistic study

Authors' conclusion

A preliminary set of models demonstrated the ability of a ML algorithm to improve prediction of the mechanical function of TAA tissue.

Study context

Population
Patients undergoing surgery for thoracic aortic aneurysm (resected tissue biaxial tensile testing), incl. healthy controlsincl
Participants
158 patients
Comparison
Machine learning (ML) model vs aortic diameter and indexed aortic size as correlates of thoracic aortic aneurysm (TAA) tissue energy loss
Outcome
Correlation with energy loss of TAA tissue (biomechanical function)

Main finding

As reported in the abstract

Correlation with energy loss (R2)
GroupR2
ML model0.63
Aortic diameter0.26
Indexed aortic size0.32

R2

ML model0.63
Aortic diameter0.26
Indexed aortic size0.32

Further findings

Adding echocardiogram-derived stiffness metric as input (subcohort n = 67)

Correlative performance improved from R2 = 0.46 to R2 = 0.62

Original publication

Thoracic Aortic Aneurysm Risk Assessment: A Machine Learning Approach. JACC Adv. Published 28 September 2023. doi:10.1016/j.jacadv.2023.100637

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