Comparing various AI approaches to traditional quantitative assessment of the myocardial perfusion in [82Rb] PET for MACE prediction.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_6229F1E6792C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Comparing various AI approaches to traditional quantitative assessment of the myocardial perfusion in [82Rb] PET for MACE prediction.
Journal
Scientific reports
Author(s)
Bors S., Abler D., Dietz M., Andrearczyk V., Fageot J., Nicod-Lalonde M., Schaefer N., DeKemp R., Kamani C.H., Prior J.O., Depeursinge A.
ISSN
2045-2322 (Electronic)
ISSN-L
2045-2322
Publication state
Published
Issued date
26/04/2024
Peer-reviewed
Oui
Volume
14
Number
1
Pages
9644
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Comparative Study
Publication Status: epublish
Abstract
Assessing the individual risk of Major Adverse Cardiac Events (MACE) is of major importance as cardiovascular diseases remain the leading cause of death worldwide. Quantitative Myocardial Perfusion Imaging (MPI) parameters such as stress Myocardial Blood Flow (sMBF) or Myocardial Flow Reserve (MFR) constitutes the gold standard for prognosis assessment. We propose a systematic investigation of the value of Artificial Intelligence (AI) to leverage [ Rb] Silicon PhotoMultiplier (SiPM) PET MPI for MACE prediction. We establish a general pipeline for AI model validation to assess and compare the performance of global (i.e. average of the entire MPI signal), regional (17 segments), radiomics and Convolutional Neural Network (CNN) models leveraging various MPI signals on a dataset of 234 patients. Results showed that all regional AI models significantly outperformed the global model ( ), where the best AUC of 73.9% (CI 72.5-75.3) was obtained with a CNN model. A regional AI model based on MBF averages from 17 segments fed to a Logistic Regression (LR) constituted an excellent trade-off between model simplicity and performance, achieving an AUC of 73.4% (CI 72.3-74.7). A radiomics model based on intensity features revealed that the global average was the least important feature when compared to other aggregations of the MPI signal over the myocardium. We conclude that AI models can allow better personalized prognosis assessment for MACE.
Keywords
Humans, Myocardial Perfusion Imaging/methods, Female, Male, Positron-Emission Tomography/methods, Middle Aged, Aged, Artificial Intelligence, Rubidium Radioisotopes, Prognosis, Neural Networks, Computer, Cardiovascular Diseases/diagnostic imaging, Cardiovascular Diseases/diagnosis, Coronary Circulation
Pubmed
Web of science
Open Access
Yes
Create date
03/05/2024 13:26
Last modification date
09/08/2024 15:00
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