Key result
Cardiac CT radiomics matches or exceeds conventional imaging for characterizing coronary plaques, improving CAD phenotyping.
Cardiac CT radiomics is an emerging tool that can extract imperceptible imaging biomarkers to improve the non-invasive phenotyping of coronary artery disease and inflammation.
Supports radiomics for refined plaque phenotyping; leaves open clinical adoption pending prospective validation.
Radiomics, via the extraction of quantitative information from conventional radiologic images, can identify imperceptible imaging biomarkers that can advance the characterization of coronary plaques and the surrounding adipose tissue. Such an approach can unravel the underlying pathophysiology of atherosclerosis which has the potential to aid diagnostic, prognostic and, therapeutic decision making. Several studies have demonstrated that radiomic analysis can characterize coronary atherosclerotic plaques with a level of accuracy comparable, if not superior, to current conventional qualitative and quantitative image analysis. While there are many milestones still to be reached before radiomics can be integrated into current clinical practice, such techniques hold great promise for improving the imaging phenotyping of coronary artery disease.
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Cheng et al. (2021) conducted a review in Coronary artery disease. Cardiac Computed Tomography Radiomics vs. Conventional image analysis was evaluated. Cardiac computed tomography radiomics can characterize coronary atherosclerotic plaques with accuracy comparable or superior to conventional image analysis, improving coronary artery disease phenotyping.
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