Adherence to SVS Abdominal Aortic Aneurysm Guidelines Among Patients Detected by AI-Based Algorithm

Area of Science:

• Vascular Surgery
• Medical Imaging
• Artificial Intelligence

Background:

• Abdominal aortic aneurysm (AAA) management guidelines exist from the Society for Vascular Surgery (SVS).
• Evaluating adherence to these guidelines is crucial for patient outcomes.
• Current adherence levels for AAA surveillance and intervention require assessment.

Purpose of the Study:

• To evaluate adherence to the latest SVS guidelines for abdominal aortic aneurysm (AAA) management.
• To assess compliance with imaging surveillance, physician evaluation, and surgical intervention criteria.
• To explore the potential role of artificial intelligence in improving AAA patient care.

Main Methods:

• AI-based natural language processing applied to imaging scans of AAA patients (2019, 2021).
• Retrospective chart review for demographics, comorbidities, imaging, and follow-up adherence.
• Statistical analysis with significance set at P < 0.05.

Main Results:

• Imaging surveillance adherence was 67.7% in the cohort of 279 patients.
• Adherent females were significantly younger than nonadherent females (P = 0.003).
• Repair rates increased in 2021, but some interventions occurred below SVS thresholds.

Conclusions:

• Adherence to SVS guidelines for AAA management is moderate.
• AI-based tools show potential for enhancing AAA patient surveillance and outcomes.
• Further research is necessary to validate the impact of AI in AAA management.