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Deep learning methods are increasingly popular in assisting physicians with diagnosing coronary artery disease and reducing errors caused by subjective judgment. However, accessing and labeling medical imaging data, especially coronary angiography data, is challenging. Consequently, models trained on such datasets often exhibit low accuracy, high false-positive rates, and limited generalization capabilities. We propose a Deformable Dilatable U-structure Module that can specialize a common network for coronary stenosis detection and enhance its generalization ability. Experiments demonstrate that our proposed module significantly improves the performance of various models. When applying DDUM to a model with ResNet50 as the backbone and faster R-CNN as the detector, the mean average precision increases from 33.76 to 42.39, a 25.56% improvement. Additionally, we show that DDUM enhances the network's generalization ability through transfer learning experiments. This module can improve the network's accuracy for stenosis detection and enhance the generalization ability of the original model. Fine-tuning reduces training costs and ensures that the model can be easily adapted and deployed across different devices.
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http://dx.doi.org/10.1016/j.medengphy.2025.104337 | DOI Listing |
Nan Fang Yi Ke Da Xue Xue Bao
August 2025
Department of Nephrology, First Affiliated Hospital of Guilin Medical University, Guilin 541000, China.
Objectives: To investigate the effect of serum advanced glycation endproducts (AGEs) on stenosis after first autologous arteriovenous fistula (AVF) in patients with end-stage renal disease (ESRD).
Methods: Patients with ESRD undergoing standard native arteriovenous fistula (AVF) for the first time in the Department of Nephrology, Affiliated Hospital of Guilin Medical University from February to June 2022 were prospectively enrolled. The preoperative general data, clinical examination results and ultrasound data of the operated limbs were collected.
Eur Heart J Cardiovasc Imaging
September 2025
Bosch Health Campus, Robert Bosch Hospital, Department of Cardiology and Angiology, Stuttgart, Germany.
Aims: For many years, visual assessment has been the mainstay of detecting obstructive coronary artery disease (CAD) by stress perfusion cardiovascular magnetic resonance (S-CMR). Recently, fully automated quantitative assessment of myocardial blood flow (MBF) has been introduced. The value of MBF quantification in patients with coronary chronic total occlusion (CTO) is unknown.
View Article and Find Full Text PDFAm J Cardiol
September 2025
Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua Medical School, Padua, Italy. Electronic address:
Introduction: A myocardial bridge (MB) is a condition where a segment of an epicardial coronary artery passes through the myocardial muscle. While traditionally regarded as benign, MBs have been associated with various cardiovascular conditions. Therefore, assessing their hemodynamic impact is crucial for informed treatment decisions.
View Article and Find Full Text PDFAm J Cardiol
September 2025
Faculty of Medicine, Istanbul University, Istanbul, Turkey; Department of Cardiology, Acibadem International Hospital, Istanbul, Turkey. Electronic address:
Although physiologic evaluation (e.g., fractional flow reserve) of intermediate lesions is well established in other coronary arteries, the left main coronary artery (LMCA) exhibits diagnostic challenges, hindering development of physiology-based decision-making algorithms.
View Article and Find Full Text PDFVasc Endovascular Surg
September 2025
Division of Vascular Surgery, NorthWest Hospital Group, Amsterdam, The Netherlands.
ObjectiveRestenosis limits the benefit of below-the-knee (BTK) endovascular therapy (EVT). Restenosis may be attributable to limited information from digital subtraction angiography. A promising alternative is intravascular ultrasound (IVUS).
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