Deep learning and other automated techniques for predicting incident cardiovascular death and cancer from lung cancer screening CT
Non ECG-gated lung screening CT permits measurement of coronary artery calcification (CAC) and ectopic fat depots, which we and others have demonstrated are important predictors of cardiovascular death and cancer. CTs also contain information about the heart, blood vessels, and other thoracic and upper abdominal anatomy. While these data are available on every lung screening CT, they are infrequently used in clinical care due to lack of time, equipment, and/or expertise. We propose to develop deep learning and other automated techniques to quantify these parameters and predict cardiovascular death and cancer.
1) To develop and assess a deep learning tool to predict incident cardiovascular death and cancer from lung screening CT
2) To compare the tool to manual quantification of coronary artery calcium, other anatomy visible on chest CT, and ectopic fat
Hugo Aerts (Harvard)
Parastou Eslami (Harvard)
Borek Foldyna (Harvard)
Udo Hoffmann (Harvard)
Alexander Ivanov (Harvard)
Chintan Parmar (Harvard)
Roman Zeleznik (Harvard)
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Sex-Specific Prognostic Value of Automated Epicardial Adipose Tissue Quantification on Serial Lung Cancer Screening Chest CT.
Brendel JM, Mayrhofer T, Hadzic I, Norton E, Langenbach IL, Langenbach MC, Jung M, Raghu VK, Nikolaou K, Douglas PS, Lu MT, Aerts HJWL, Foldyna B
Eur Heart J Cardiovasc Imaging. 2025 Aug 29 PUBMED -
Association of Epicardial Adipose Tissue Changes on Serial Chest CT Scans with Mortality: Insights from the National Lung Screening Trial.
Langenbach IL, Hadzic I, Zeleznik R, Langenbach MC, Maintz D, Mayrhofer T, Lu MT, Aerts HJWL, Foldyna B
Radiology. 2025 Feb; Volume 314 (Issue 2): Pages e240473 PUBMED -
OPPORTUNISTIC ASSESSMENT OF CARDIOVASCULAR RISK USING AI-DERIVED STRUCTURAL AORTIC AND CARDIAC PHENOTYPES FROM NON-CONTRAST CHEST COMPUTED TOMOGRAPHY.
Oo DW, Sturniolo A, Jung M, Langenbach M, Foldyna B, Kiel DP, Aerts HJ, Natarajan P, Lu MT, Raghu VK
medRxiv. 2025 Jan 29 PUBMED -
Deep learning analysis of epicardial adipose tissue to predict cardiovascular risk in heavy smokers.
Foldyna B, Hadzic I, Zeleznik R, Langenbach MC, Raghu VK, Mayrhofer T, Lu MT, Aerts HJWL
Commun Med (Lond). 2024 Mar 13; Volume 4 (Issue 1): Pages 44 PUBMED -
Deep convolutional neural networks to predict cardiovascular risk from computed tomography.
Zeleznik R, Foldyna B, Eslami P, Weiss J, Alexander I, Taron J, Parmar C, Alvi RM, Banerji D, Uno M, Kikuchi Y, Karady J, Zhang L, Scholtz JE, Mayrhofer T, Lyass A, Mahoney TF, Massaro JM, Vasan RS, Douglas PS, ...show more Hoffmann U, Lu MT, Aerts HJWL
Nat Commun. 2021 Jan 29; Volume 12 (Issue 1): Pages 715 PUBMED