Key result
An increase in thoracic aorta diameter at the mid descending level independently predicted the occurrence of arterial stiffness, with every 4.37 mm increase associated with a 14% higher risk of pre-AS and AS.
Why the study?
Arterial aging features decreased vascular function from arterial stiffness and dilatation, but the relationship between arterial stiffness and thoracic aorta diameters measured by AI on CT needed evaluation.
Does thoracic aorta diameter measured by AI on chest CT predict the degree of arterial stiffness in adult patients?
Cross-Sectional (n=801)
No
Does thoracic aorta diameter measured by AI on chest CT predict the degree of arterial stiffness in adult patients?
Answers are grounded in this paper and cite their sources.
May flag higher arterial stiffness risk via aortic diameter; hypothesis-generating and needs prospective validation before clinical adoption.
Background: Arterial aging is characterized by decreased vascular function, caused by arterial stiffness (AS), and vascular morphological changes, caused by arterial dilatation. We analyzed the relationship of pre-AS and AS, as assessed by cardio ankle vascular index (CAVI), with arterial diameters (AD) at nine levels, from the aortic sinus to the abdominal aorta, as measured by artificial intelligence (AI) on non-enhanced chest computed tomography (CT) images. Methods: Overall, 801 patients who underwent both chest CT scan and arterial elasticity test were enrolled. Nine horizontal diameters of the thoracic aorta (from the aortic sinuses of Valsalva to the abdominal aorta at the celiac axis origin) were measured by AI using CT. Patients were divided into non-AS (mean value of the left and right CAVIs [M.CAVI] < 8), pre-AS (8 ≤ M.CAVI < 9), and AS (M.CAVI ≥ 9) groups. We compared AD differences among groups, analyzed the correlation of age, ADs, and M.CAVI or the mean pressure-independent CAVI (M.CAVI 0 ), Furthermore, we evaluated the risk predictors and the diagnostic value of the nine ADs for pre-AS and AS. Results: The AD at mid descending aorta (MD) correlated strongest with CAVI ( r = 0.46, p < 0.001) or M.CAVI 0 ( r = 0.42, p < 0.001). M.CAVI was most affected by the MD AD and by age. An increase in the MD AD independently predicted the occurrence of pre-AS or AS. For MD AD, every 4.37 mm increase caused a 14% increase in the pre-AS and AS risk and a 13% increase in the AS risk. With a cut-off value of 26.95 mm for the MD AD, the area under the curve (AUC) for identifying the risk of AS was 0.743. With a cut-off value of 25.15 mm, the AUC for identifying the risk of the stage after the prophase of AS is 0.739. Conclusions: Aging is associated with an increase in AD and a decrease in arterial elasticity. An increase in AD, particularly at the MD level is an independent predictor of AS development.
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Wang et al. (2021) conducted a cross-sectional in Arterial stiffness (n=801). Thoracic aorta diameter (mid descending aorta) vs. Smaller diameter was evaluated on Risk of pre-AS and AS (M.CAVI ≥ 8) per 4.37 mm increase in mid descending aorta diameter (OR 1.14, 95% CI 1.067-1.219, p=<0.001). An increase in thoracic aorta diameter at the mid descending level independently predicted the occurrence of arterial stiffness, with every 4.37 mm increase associated with a 14% higher risk of pre-AS and AS.
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