IMR Press / RCM / Volume 24 / Issue 11 / DOI: 10.31083/j.rcm2411327
Open Access Original Research
Radiomics Signature of Epicardial Adipose Tissue for Predicting Postoperative Atrial Fibrillation after Off-Pump Coronary Artery Bypass Surgery
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1 Department of Cardiovascular Surgery, Peking University China-Japan Friendship School of Clinical Medicine, 100191 Beijing, China
2 Department of Cardiovascular Surgery, China-Japan Friendship Hospital, 100029 Beijing, China
*Correspondence: liupeng6618@yeah.net (Peng Liu); jianyanwen@sina.com (Jianyan Wen)
These authors contributed equally.
Rev. Cardiovasc. Med. 2023, 24(11), 327; https://doi.org/10.31083/j.rcm2411327
Submitted: 15 May 2023 | Revised: 9 June 2023 | Accepted: 14 June 2023 | Published: 23 November 2023
(This article belongs to the Section Lifestyle and Risk Factors)
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: Postoperative new atrial fibrillation (POAF) is a commonly observed complication after off-pump coronary artery bypass surgery (OPCABG), and models based on radiomics features of epicardial adipose tissue (EAT) on non-enhanced computer tomography (CT) to predict the occurrence of POAF after OPCABG remains unclear. This study aims to establish and validate models based on radiomics signature to predict POAF after OPCABG. Methods: Clinical characteristics, radiomics signature and features of non-enhanced CT images of 96 patients who underwent OPCABG were collected. The participants were divided into a training and a validation cohort randomly, with a ratio of 7:3. Clinical characteristics and EAT CT features with statistical significance in the multivariate logistic regression analysis were utilized to build the clinical model. The least absolute shrinkage and selection operator (LASSO) algorithm was used to identify significant radiomics features to establish the radiomics model. The combined model was constructed by integrating the clinical and radiomics models. Results: The area under the curve (AUC) of the clinical model in the training and validation cohorts were 0.761 (95% CI: 0.634–0.888) and 0.797 (95% CI: 0.587–1.000), respectively. The radiomics model showed better discrimination ability than the clinical model, with AUC of 0.884 (95% CI: 0.806–0.961) and 0.891 (95% CI: 0.772–1.000) respectively for the training and the validation cohort. The combined model performed best and exhibited the best predictive ability among the three models, with AUC of 0.922 (95% CI: 0.853–0.990) in the training cohort and 0.913 (95% CI: 0.798–1.000) in the validation cohort. The calibration curve demonstrated strong concordance between the predicted and actual observations in both cohorts. Furthermore, the Hosmer-Lemeshow test yielded p value of 0.241 and 0.277 for the training and validation cohorts, respectively, indicating satisfactory calibration. Conclusions: The superior performance of the combined model suggests that integrating of clinical characteristics, radiomics signature and features on non-enhanced CT images of EAT may enhance the accuracy of predicting POAF after OPCABG.

Keywords
atrial fibrillation
radiomics
coronary artery bypass surgery
epicardial adipose tissue
non-enhanced CT
Funding
82170066/National Natural Science Foundation of China
82270443/National Natural Science Foundation of China
81670275/National Natural Science Foundation of China
81670443/National Natural Science Foundation of China
2022-NHLHCRF-ZSYX-01/National High Level Hospital Clinical Research Funding
2013DFA31900/International S&T cooperation program
Figures
Fig. 1.
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