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January 15, 2026Frontiers in Bioengineering and Biotechnology0 citationsOpen Access

Automated three-dimensional left atrial analysis on computed tomography angiography: reproducibility and workflow efficiency of eight clinically relevant metrics using a deep learning pipeline

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Why the study?

Does a deep learning-based CTA pipeline provide accurate, reproducible, and efficient quantification of left atrial metrics compared to expert manual measurements?

Population

407 patients undergoing computed tomography angiography for left atrial analysis

Comparison

Deep learning-based CTA pipeline for automated… vs Expert manual measurements and annotations

Design

Cohort

Authors

YFYouqi FanJYJian YeXWXiaoya Wang

Discussion

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Overview

May support time-efficient LA quantification in pre-procedural workflows; hypothesis-generating pending prospective validation.

Structured PICO

Does a deep learning-based CTA pipeline provide accurate, reproducible, and efficient quantification of left atrial metrics compared to expert manual measurements?

P
Population
407 patients undergoing computed tomography angiography (CTA) for left atrial analysis (divided into training n=270, validation n=87, and clinical evaluation n=50 cohorts)
I
Intervention
Deep learning-based CTA pipeline (MedNeXt-based model and geometry-driven framework) for automated quantification of eight clinically relevant left atrial metrics
C
Comparator
Expert manual measurements and annotations
O
Outcome
Agreement between automated and expert measurements for LA volume and diameters (AP/ML/SI) using intraclass correlation coefficients (ICCs) and Bland-Altman analysissurrogate

A deep learning pipeline for left atrial CTA analysis provides expert-level accuracy while reducing analysis time by approximately 92%, offering a highly efficient tool for pre-procedural planning.

Limitations

  • Pending prospective validation of procedural impact

Cite This Study

Fan et al. (2026) studied this question.

synapsesocial.com/papers/6a0633afac5820011f109fd2https://doi.org/10.3389/fbioe.2025.1697542
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