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A Review on the Estimation of Coronary Fractional Flow Reserve Using Artificial Intelligence
Mehmet Nazir Kaçar1, İlkay Ulusoy1, Çağrı Yayla2
1Department of Electrical-Electronics Engineering, Middle East Technical University, Ankara, Türkiye.
Insights
Artificial intelligence (AI) is advancing the estimation of fractional flow reserve (FFR) for diagnosing coronary artery disease (CAD). This technology offers a faster, accurate, and less invasive alternative to traditional methods, improving physician workflows.
Area of Science:
- Cardiology
- Medical Imaging
- Artificial Intelligence
Background:
- Coronary artery disease (CAD) remains a leading global cause of mortality.
- Invasive coronary angiography (ICA) is the gold standard for CAD diagnosis.
- Fractional flow reserve (FFR) assessment during ICA provides crucial functional stenosis data but requires invasive procedures.
Purpose of the Study:
- To review the current progress of AI-driven FFR estimation techniques.
- To analyze various AI approaches for FFR calculation.
- To highlight the potential of AI in improving CAD diagnosis workflows.
Main Methods:
- Systematic review of studies utilizing AI for FFR estimation.
- Analysis of different AI algorithms and methodologies applied to FFR.
- Evaluation of AI-based FFR accuracy and integration into clinical practice.
Main Results:
- AI-based FFR estimation is emerging as a viable, less invasive alternative.
- Various AI approaches show promise in accurately predicting FFR.
- Integration into physician workflows is a key area of development.
Conclusions:
- AI technology is rapidly advancing FFR estimation for CAD.
- AI offers a path towards faster, more accurate, and less invasive FFR assessment.
- Further research and clinical validation are essential for widespread adoption.
Abstract:
Coronary artery disease (CAD) is the leading cause of death worldwide. The most widely used and precise method for diagnosing CAD is invasive coronary angiography (ICA). Fractional flow reserve (FFR) is an index of the functional severity of coronary stenoses that requires additional invasive intervention during ICA. With advancements in artificial intelligence (AI) technology, the estimation of FFR using AI is gaining popularity to meet the need for fast, accurate, and less invasive FFR estimation that can integrate into physicians' workflows. This review presents the current progress in this area by analyzing studies employing various approaches.
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