Viral X thread in early May 2026 with >800 likes discussing paradigm shift in CT interpretation.
Does automated radiomic phenotyping of epicardial fat from routine CCTA improve stratification of future heart failure risk?
Automated radiomic phenotyping of epicardial adipose tissue (EAT) from routine coronary computed tomography angiography (CCTA)
Future heart failure (HF) risksurrogate
Automated radiomic phenotyping of epicardial fat from routine CCTA may serve as a scalable tool for predicting future heart failure risk before clinical onset.
Automated radiomic phenotyping of EAT from routine CCTA enables scalable, biologically informed stratification of future HF risk before clinical onset, positioning opportunistic imaging-based visceral fat profiling as a potential tool for precision prevention.
“#CCTA is already a first-line test for suspected CAD. FRP-HF requires no additional imaging; the radiomic HF signal may be extracted automatically from the scan already being performed.”
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Evangelos K. Oikonomou
Kenneth Chan
Parijat Patel
Journal of the American College of Cardiology
Harvard University
University of Oxford
Yale University
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Oikonomou et al. (Wed,) studied this question.
www.synapsesocial.com/papers/69d896406c1944d70ce07844 — DOI: https://doi.org/10.1016/j.jacc.2026.02.5116
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