Publications by authors named "C F Ciusdel"

Cardiovascular disease (CVD) stands as the leading global cause of mortality, and coronary artery disease (CAD) has the highest prevalence, contributing to 42% of these fatalities. Recognizing the constraints inherent in the anatomical assessment of CAD, Fractional Flow Reserve (FFR) has emerged as a pivotal functional diagnostic metric. Herein, we assess the potential of employing an ensemble approach with deep neural networks (DNN) to predict invasively measured Fractional Flow Reserve (FFR) using raw anatomical data extracted from both optical coherence tomography (OCT) and X-ray coronary angiography (XA).

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Background: Artificial intelligence (AI) has the potential to transform our healthcare systems significantly. New AI technologies based on machine learning approaches should play a key role in clinical decision-making in the future. However, their implementation in health care settings remains limited, mostly due to a lack of robust validation procedures.

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Article Synopsis
  • - Invasive coronary angiography (ICA) is the main method for imaging coronary artery disease (CAD), but traditional frame selection requires ECG signals for accuracy, which can complicate the process.
  • - This study introduces a fully automated workflow using deep neural networks for detecting cardiac phases and end-diastolic frames in angiographs without needing simultaneous ECG data during the procedures.
  • - The results showed high accuracy (98.8%), sensitivity (99.3%), and specificity (97.6%) for cardiac phase detection, with average execution times under five seconds, suggesting this method could simplify and improve CAD imaging processes.
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A nonlinear model consisting of a system of coupled ordinary differential equations (ODE), describing a biological process linked with cancer development, is linearized using Taylor series and tested against different magnitudes of input perturbations, in order to investigate the extent to which the linearization is accurate. The canonical wingless/integrated (WNT) signaling pathway is considered. The linearization procedure is described, and special considerations for linearization validity are analyzed.

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