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- Baumann, Stefan, et al.
(author)
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Gender differences in the diagnostic performance of machine learning coronary CT angiography-derived fractional flow reserve -results from the MACHINE registry
- 2019
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In: European Journal of Radiology. - : ELSEVIER IRELAND LTD. - 0720-048X .- 1872-7727. ; 119
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Journal article (peer-reviewed)abstract
- Purpose: This study investigated the impact of gender differences on the diagnostic performance of machine-learning based coronary CT angiography (cCTA)-derived fractional flow reserve (CT-FFR mL ) for the detection of lesion-specific ischemia. Method: Five centers enrolled 351 patients (73.5% male) with 525 vessels in the MACHINE (Machine leArning Based CT angiograpHy derIved FFR: a Multi-ceNtEr) registry. CT-FFRML and invasive FFR amp;lt;= 0.80 were considered hemodynamically significant, whereas cCTA luminal stenosis amp;gt;= 50% was considered obstructive. The diagnostic performance to assess lesion-specific ischemia in both men and women was assessed on a per-vessel basis. Results: In total, 398 vessels in men and 127 vessels in women were included. Compared to invasive FFR, CT-FFRML reached a sensitivity, specificity, positive predictive value, and negative predictive value of 78% (95%CI 72-84), 79% (95%CI 73-84), 75% (95%CI 69-79), and 82% (95%CI: 76-86) in men vs. 75% (95%CI 58-88), 81 (95%CI 72-89), 61% (95%CI 50-72) and 89% (95%CI 82-94) in women, respectively. CT-FFRML showed no statistically significant difference in the area under the receiver-operating characteristic curve (AUC) in men vs. women (AUC: 0.83 [95%CI 0.79-0.87] vs. 0.83 [95%CI 0.75-0.89], p = 0.89). CT-FFRML was not superior to cCTA alone [AUC: 0.83 (95%CI: 0.75-0.89) vs. 0.74 (95%CI: 0.65-0.81), p = 0.12] in women, but showed a statistically significant improvement in men [0.83 (95%CI: 0.79-0.87) vs. 0.76 (95%CI: 0.71-0.80), p = 0.007]. Conclusions: Machine-learning based CT-FFR performs equally in men and women with superior diagnostic performance over cCTA alone for the detection of lesion-specific ischemia.
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| 2. |
- Glantz, Paul, et al.
(author)
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Trends in MODIS and AERONET derived aerosol optical thickness over Northern Europe
- 2019
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In: Tellus. Series B, Chemical and physical meteorology. - : Stockholm University Press. - 0280-6509 .- 1600-0889. ; 71:1
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Journal article (peer-reviewed)abstract
- Long-term Aqua and Terra MODIS (MODerate resolution Imaging Spectroradiometer) Collections 5.1 and 6.1 (c051 and c061, respectively) aerosol data have been combined with AERONET (AERosol RObotic NETwork) ground-based sun photometer observations to examine trends in aerosol optical thickness (AOT, at 550nm) over Northern Europe for the months April to September. For the 1927 and 1559 daily coincident measurements that were obtained for c051 and c061, respectively, MODIS AOT varied by 86 and 90%, respectively, within the predicted uncertainty of one standard deviation of the retrieval over land (AOT = +/- 0.05 +/- 0.15AOT). For the coastal AERONET site Gustav Dalen Tower (GDT), Sweden, larger deviations were found for MODIS c051 and c061 (79% and 75%, respectively, within predicted uncertainty). The Baltic Sea provides substantially better statistical representation of AOT than the surrounding land areas and therefore favours the investigations of trends in AOT over the region. Negative trends of 1.5% and 1.2% per year in AOT, based on daily averaging, were found for the southwestern Baltic Sea from MODIS c051 and c061, respectively. This is in line with a decrease of 1.2% per year in AOT at the AERONET station Hamburg. For the western Gotland Basin area, Sweden, negative trends of 1.5%, 1.1% and 1.6% per year in AOT have been found for MODIS c051, MODIS c061 and AERONET GDT, respectively. The strongest trend of -1.8% per year in AOT was found for AERONET Belsk, Poland, which can be compared to -1.5% per day obtained from MODIS c051 over central Poland. The trends in MODIS and AERONET AOT are nearly all statistically significant at the 95% confidence level. The strongest aerosol sources are suggested to be located southwest, south and southeast of the investigation area, although the highest prevalence of pollution events is associated with air mass transport from southwest.
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