Artificial Intelligence · 03.08.2026, 05:33 UTC
TAVI-TEC: An AI-Based Tool for Procedural Planning of Transcatheter Aortic Valve Implantation
| Schweregrad | info |
|---|---|
| Kategorie | Artificial Intelligence |
| Quelle | arXiv cs.AI ↗ |
| Veröffentlicht | 03.08.2026 UTC |
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arXiv:2607.29243v1 Announce Type: cross Abstract: Computed tomography angiography (CTA) is crucial for preprocedural TAVI planning, providing the anatomical information required for prosthesis sizing and vascular access assessment. As the volume of TAVI procedure increases, improving efficiency and standardizing annotations is becoming essential in clinical practice. This study presents TAVI-TEC, a fully automated artificial intelligence-based framework integrated into a web based DICOM viewer for routine preoperative TAVI planning. Pre-procedural CTA scans from patients undergoing TAVI with SAPIEN 3 Ultra (S3U) prostheses were processed using a fully automated pipeline. Deep learning-based segmentation of cardiovascular structures, calcification detection, centerline extraction, landmark identification, and annular plane definition was implemented to quantify key annular and aortic root measurements and color-coded maps of lumen reduction and vessel diameter for vascular access. A multilayer perceptron classifier was trained to predict prosthesis size prior to the TAVI procedure. Results revealed that TAVI-TEC enabled pre-procedural measurements in approximately 2-6 min. Strong agreement with clinician-derived measurements was observed for annular area (coefficient of concordance, CCC = 0.934; interclass correlation coefficient, ICC = 0.935; R^2 = 0.881) and perimeter (CCC = 0.909; ICC = 0.909; R^2 = 0.854). The valve-size prediction model achieved 82% overall accuracy, with most misclassifications occurring between adjacent prosthesis sizes. Though further multicenter …