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.

Related Concept Videos