Development of artificial intelligence in epicardial and pericoronary adipose tissue imaging: a systematic review

Abstract Background Artificial intelligence (AI) technology has been increasingly developed and studied in cardiac imaging. This systematic review summarizes the latest progress of image segmentation, quantification, and the clinical application of AI in evaluating cardiac adipose tissue. Methods We...

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Main Authors: Lu Zhang, Jianqing Sun, Beibei Jiang, Lingyun Wang, Yaping Zhang, Xueqian Xie
Format: Article
Language:English
Published: SpringerOpen 2021-07-01
Series:European Journal of Hybrid Imaging
Subjects:
Online Access:https://doi.org/10.1186/s41824-021-00107-0
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author Lu Zhang
Jianqing Sun
Beibei Jiang
Lingyun Wang
Yaping Zhang
Xueqian Xie
author_facet Lu Zhang
Jianqing Sun
Beibei Jiang
Lingyun Wang
Yaping Zhang
Xueqian Xie
author_sort Lu Zhang
collection DOAJ
description Abstract Background Artificial intelligence (AI) technology has been increasingly developed and studied in cardiac imaging. This systematic review summarizes the latest progress of image segmentation, quantification, and the clinical application of AI in evaluating cardiac adipose tissue. Methods We exhaustively searched PubMed and the Web of Science for publications prior to 30 April 2021. The search included eligible studies that used AI for image analysis of epicardial adipose tissue (EAT) or pericoronary adipose tissue (PCAT). The risk of bias and concerns regarding applicability were assessed with the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool. Results Of the 140 initially identified citation records, 19 high-quality studies were eligible for this systematic review, including 15 (79%) on the image segmentation and quantification of EAT or PCAT and 4 (21%) on the clinical application of EAT or PCAT in cardiovascular diseases. All 19 included studies were rated as low risk of bias in terms of flow and timing, reference standards, and the index test and as having low concern of applicability in terms of reference standards and patient selection, but 16 (84%) studies did not conduct external validation. Conclusion AI technology can provide accurate and quicker methods to segment and quantify EAT and PCAT images and shows potential value in the diagnosis and risk prediction of cardiovascular diseases. AI is expected to expand the value of cardiac adipose tissue imaging.
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spelling doaj.art-4dbd7c49d5bc4f3f88e0542d790c96e32022-12-21T19:56:58ZengSpringerOpenEuropean Journal of Hybrid Imaging2510-36362021-07-015111310.1186/s41824-021-00107-0Development of artificial intelligence in epicardial and pericoronary adipose tissue imaging: a systematic reviewLu Zhang0Jianqing Sun1Beibei Jiang2Lingyun Wang3Yaping Zhang4Xueqian Xie5Radiology Department, Shanghai General Hospital, Shanghai Jiao Tong University School of MedicineShukun (Beijing) Technology Co., Ltd.Radiology Department, Shanghai General Hospital, Shanghai Jiao Tong University School of MedicineRadiology Department, Shanghai General Hospital, Shanghai Jiao Tong University School of MedicineRadiology Department, Shanghai General Hospital, Shanghai Jiao Tong University School of MedicineRadiology Department, Shanghai General Hospital, Shanghai Jiao Tong University School of MedicineAbstract Background Artificial intelligence (AI) technology has been increasingly developed and studied in cardiac imaging. This systematic review summarizes the latest progress of image segmentation, quantification, and the clinical application of AI in evaluating cardiac adipose tissue. Methods We exhaustively searched PubMed and the Web of Science for publications prior to 30 April 2021. The search included eligible studies that used AI for image analysis of epicardial adipose tissue (EAT) or pericoronary adipose tissue (PCAT). The risk of bias and concerns regarding applicability were assessed with the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool. Results Of the 140 initially identified citation records, 19 high-quality studies were eligible for this systematic review, including 15 (79%) on the image segmentation and quantification of EAT or PCAT and 4 (21%) on the clinical application of EAT or PCAT in cardiovascular diseases. All 19 included studies were rated as low risk of bias in terms of flow and timing, reference standards, and the index test and as having low concern of applicability in terms of reference standards and patient selection, but 16 (84%) studies did not conduct external validation. Conclusion AI technology can provide accurate and quicker methods to segment and quantify EAT and PCAT images and shows potential value in the diagnosis and risk prediction of cardiovascular diseases. AI is expected to expand the value of cardiac adipose tissue imaging.https://doi.org/10.1186/s41824-021-00107-0Artificial intelligenceEpicardial adipose tissuePericoronary adipose tissueMachine learningDeep learningRadiomics
spellingShingle Lu Zhang
Jianqing Sun
Beibei Jiang
Lingyun Wang
Yaping Zhang
Xueqian Xie
Development of artificial intelligence in epicardial and pericoronary adipose tissue imaging: a systematic review
European Journal of Hybrid Imaging
Artificial intelligence
Epicardial adipose tissue
Pericoronary adipose tissue
Machine learning
Deep learning
Radiomics
title Development of artificial intelligence in epicardial and pericoronary adipose tissue imaging: a systematic review
title_full Development of artificial intelligence in epicardial and pericoronary adipose tissue imaging: a systematic review
title_fullStr Development of artificial intelligence in epicardial and pericoronary adipose tissue imaging: a systematic review
title_full_unstemmed Development of artificial intelligence in epicardial and pericoronary adipose tissue imaging: a systematic review
title_short Development of artificial intelligence in epicardial and pericoronary adipose tissue imaging: a systematic review
title_sort development of artificial intelligence in epicardial and pericoronary adipose tissue imaging a systematic review
topic Artificial intelligence
Epicardial adipose tissue
Pericoronary adipose tissue
Machine learning
Deep learning
Radiomics
url https://doi.org/10.1186/s41824-021-00107-0
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