Radiogenomics and Artificial Intelligence Approaches Applied to Cardiac Computed Tomography Angiography and Cardiac Magnetic Resonance for Precision Medicine in Coronary Heart Disease : A Systematic Review

The risk of coronary heart disease (CHD) clinical manifestations and patient management is estimated according to risk scores accounting multifactorial risk factors, thus failing to cover the individual cardiovascular risk. Technological improvements in the field of medical imaging, in particular, in cardiac computed tomography angiography and cardiac magnetic resonance protocols, laid the development of radiogenomics. Radiogenomics aims to integrate a huge number of imaging features and molecular profiles to identify optimal radiomic/biomarker signatures. In addition, supervised and unsupervised artificial intelligence algorithms have the potential to combine different layers of data (imaging parameters and features, clinical variables and biomarkers) and elaborate complex and specific CHD risk models allowing more accurate diagnosis and reliable prognosis prediction. Literature from the past 5 years was systematically collected from PubMed and Scopus databases, and 60 studies were selected. We speculated the applicability of radiogenomics and artificial intelligence through the application of machine learning algorithms to identify CHD and characterize atherosclerotic lesions and myocardial abnormalities. Radiomic features extracted by cardiac computed tomography angiography and cardiac magnetic resonance showed good diagnostic accuracy for the identification of coronary plaques and myocardium structure; on the other hand, few studies exploited radiogenomics integration, thus suggesting further research efforts in this field. Cardiac computed tomography angiography resulted the most used noninvasive imaging modality for artificial intelligence applications. Several studies provided high performance for CHD diagnosis, classification, and prognostic assessment even though several efforts are still needed to validate and standardize algorithms for CHD patient routine according to good medical practice.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Circulation. Cardiovascular imaging - 14(2021), 12 vom: 15. Dez., Seite 1133-1146

Sprache:

Englisch

Beteiligte Personen:

Infante, Teresa [VerfasserIn]
Cavaliere, Carlo [VerfasserIn]
Punzo, Bruna [VerfasserIn]
Grimaldi, Vincenzo [VerfasserIn]
Salvatore, Marco [VerfasserIn]
Napoli, Claudio [VerfasserIn]

Links:

Volltext

Themen:

Artificial intelligence
Biomarkers
Cardiac magnetic resonance
Computed tomography angiography
Coronary heart disease
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review

Anmerkungen:

Date Completed 10.01.2022

Date Revised 10.01.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1161/CIRCIMAGING.121.013025

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM334519322