基于人工智能的冠状动脉钙化评估进展Advances in artificial intelligence-based coronary artery calcium assessment
毕鹏飞,霍黎明,聂文畅,刘健
摘要(Abstract):
冠状动脉钙化(CAC)是冠状动脉粥样硬化性心脏病(冠心病)重要的病理表现之一。传统的CAC评估多依赖于心电门控CT和人工评分,因耗时长、准确性低等问题限制了其在临床中的应用。人工智能(AI)的发展为CAC评估带来了新的可能,AI在CAC的检测、量化及危险分层等方面表现出显著优势,并可以通过CAC的机会性筛查进行冠心病的早期干预,但仍面临图像质量和临床整合等方面的挑战。本文总结了不同影像技术中基于AI的CAC评估的现状、局限性及发展前景,为冠心病患者的危险分层和治疗决策提供依据。
关键词(KeyWords): 冠状动脉钙化;人工智能;深度学习;影像学技术
基金项目(Foundation): 首都卫生发展科研专项项目(首发2024-2-4083);; 首都临床特色诊疗技术研究及转化应用项目(Z221100007422096);; 北京大学人民医院研究与发展基金项目(RDGS2022-08)
作者(Author): 毕鹏飞,霍黎明,聂文畅,刘健
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