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通过人工智能开发多参数预后评分以分层冠状动脉风险的重要性。

The importance of developing multiparametric prognostic scores to stratify coronary risk by means of artificial intelligence.

作者信息

Romero-Farina Guillermo, Aguadé-Bruix Santiago, Cooke C David, Garcia Ernest V

机构信息

Nuclear Medicine DepartmentVall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain.

Cardiology Department, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain.

出版信息

Eur J Nucl Med Mol Imaging. 2025 Aug 29. doi: 10.1007/s00259-025-07510-w.

DOI:10.1007/s00259-025-07510-w
PMID:40879754
Abstract

Cardiovascular risk stratification is crucial, as it is a key predictor of morbidity and mortality. The development of multiparametric scores for coronary risk stratification, integrated with artificial intelligence (AI), is important because it facilitates assessment in clinical practice. Therefore, prognostic coronary risk scores that incorporate multiple clinical variables and cardiac imaging data are necessary and deserve greater attention, as they provide a more comprehensive and accurate evaluation of individual patient risk across various clinical scenarios. Additionally, they support clinicians in making better-informed decisions based on a comprehensive assessment. Importantly, the widespread clinical use of multiparametric risk scores should be enabled by implementing standardized computer interfaces that can exchange the relevant imaging and clinical data needed to calculate these scores. The ongoing AI revolution, which increasingly relies on digital demographic, clinical, and imaging data, is rapidly making the availability of such data a reality.

摘要

心血管风险分层至关重要,因为它是发病率和死亡率的关键预测指标。开发与人工智能(AI)相结合的用于冠状动脉风险分层的多参数评分很重要,因为它有助于临床实践中的评估。因此,纳入多个临床变量和心脏成像数据的预后冠状动脉风险评分是必要的,值得更多关注,因为它们能在各种临床场景中对个体患者风险提供更全面、准确的评估。此外,它们有助于临床医生在全面评估的基础上做出更明智的决策。重要的是,应通过实施标准化计算机接口来实现多参数风险评分的广泛临床应用,这些接口能够交换计算这些评分所需的相关成像和临床数据。正在进行的AI革命越来越依赖数字人口统计学、临床和成像数据,正迅速使此类数据的可得性成为现实。

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本文引用的文献

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Prediction of Major Adverse Coronary Events Using the Coronary Risk Score in Women.使用冠状动脉风险评分预测女性主要不良冠状动脉事件
Radiol Cardiothorac Imaging. 2024 Dec;6(6):e230381. doi: 10.1148/ryct.230381.
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PROGnostic RolE of strain measurements in stress cardiac MRI in predicting major adverse cardiac events.应变测量在应激心脏 MRI 预测主要不良心脏事件中的预后作用。
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Impact of Lipoprotein(a) Level on Low-Density Lipoprotein Cholesterol- or Apolipoprotein B-Related Risk of Coronary Heart Disease.
脂蛋白(a)水平对 LDL 胆固醇或载脂蛋白 B 相关冠心病风险的影响。
J Am Coll Cardiol. 2024 Jul 9;84(2):165-177. doi: 10.1016/j.jacc.2024.04.050.
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Inflammatory risk and cardiovascular events in patients without obstructive coronary artery disease: the ORFAN multicentre, longitudinal cohort study.无阻塞性冠状动脉疾病患者的炎症风险与心血管事件:ORFAN 多中心纵向队列研究。
Lancet. 2024 Jun 15;403(10444):2606-2618. doi: 10.1016/S0140-6736(24)00596-8. Epub 2024 May 29.
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2023 Australian guideline for assessing and managing cardiovascular disease risk.2023 年澳大利亚心血管疾病风险评估和管理指南。
Med J Aust. 2024 May 20;220(9):482-490. doi: 10.5694/mja2.52280. Epub 2024 Apr 16.
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Development and Validation of the American Heart Association's PREVENT Equations.美国心脏协会 PREVENT 方程的制定与验证。
Circulation. 2024 Feb 6;149(6):430-449. doi: 10.1161/CIRCULATIONAHA.123.067626. Epub 2023 Nov 10.
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Vall d'Hebron Risk Score II for myocardial infarction and cardiac death.瓦尔登霍伦风险评分 II 与心肌梗死和心脏死亡。
Open Heart. 2023 Nov;10(2). doi: 10.1136/openhrt-2023-002431.
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Usefulness of the Vall d'Hebron Risk Score to stratify the risk of patients with ischemic cardiomyopathy.缺血性心肌病患者风险分层的 Vall d'Hebron 风险评分的实用性。
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