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Deep Learning-Based Predictive Model for Revascularization of Chronic Total Occlusions on Angiographic Imaging

文献类型: 会议论文

第一作者: Sara Pérez-Martínez

作者: Sara Pérez-Martínez 1 ; Agustín Fernández-Cisnal 2 ; Manuel Pérez-Pelegrí 1 ; Sergio García-Blas 2 ; Gema Mi?ana 2 ; Ernesto Valero 2 ; Juan Sanchis 2 ; David Moratal 1 ;

作者机构: 1.Center for Biomaterials and Tissue Engineering, Universitat Politècnica de València, València, Spain

2.Cardiology Department, Hospital Clínico Universitario de València, Instituto de Investigación Sanitaria (INCLIVA), University of València, Centro de Investigación Biomédica en Red Enfermedades Cardiovaculares (CIBERCV), València, Spain

关键词: Deep learning;Biological system modeling;Angiography;Predictive models;Data models;Time measurement;Medical diagnostic imaging

会议名称: Annual International Conference of the IEEE Engineering in Medicine and Biology Society

主办单位:

页码: 1-4

摘要: Revascularization of chronic total occlusions (CTO) is currently one of the most complex procedures in percutaneous coronary intervention (PCI), requiring the use of specific devices and a high level of experience to obtain good results. Once the clinical indication for extensive ischemia or angina uncontrolled with medical treatment has been established, the decision to perform coronary intervention is not simple, since this procedure has a higher rate of complications than non-PCI percutaneous intervention, higher ionizing radiation doses and a lower success rate. However, CTO revascularization has been shown to be helpful in symptomatic improvement of angina, reduction of ischemic burden, or improvement of ejection fraction. The aim of this work is to determine whether a model developed using deep learning techniques, and trained with angiography images, can better predict the likelihood of a successful revascularization procedure for a patient with a chronic total occlusion (CTO) lesion in their coronary artery (measured as procedure success and the duration of time during which X-ray imaging technology is used to perform a medical procedure) than the scales traditionally used. As a preliminary approach, patients with right coronary artery CTO will be included since they present standard angiographic projections that are performed in all patients and present less technical variability (duration, projection angle, image similarity) among them.The ultimate objective is to develop a predictive model to help the clinician in the decision to intervene and to analyze the performance in terms of predicting the success of the technique for the revascularization of chronic occlusions.Clinical Relevance— The development of a deep learning model based on the angiography images could potentially overcome the gold standard and help interventional cardiologists in the treatment decision for percutaneous coronary intervention, maximizing the success rate of coronary intervention.

分类号: q81

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