Incidental Coronary Calcification on CT imaging

  • Research type

    Research Study

  • Full title

    Artificial Intelligence to detect incidental coronary artery calcification on CT chest imaging in the NHS

  • IRAS ID

    297141

  • Contact name

    Richard Good

  • Contact email

    Richard.Good@gjnh.scot.nhs.uk

  • Sponsor organisation

    Golden Jubilee National Hospital, National Waiting Times Board

  • Duration of Study in the UK

    3 years, 0 months, 1 days

  • Research summary

    Computed Tomography (CT) scans are increasingly performed to investigate and diagnose many conditions including lung disease, cancer, blood vessel and bone problems. These scans often include images of the heart but the heart is not the main focus of the scan which is usually looking for problems elsewhere. The images of the heart that are on the scans may include unexpected findings including the presence of calcification in the heart arteries. Calcification in heart arteries is important as it confirms the presence of heart artery disease. The presence and extent of this calcification in the heart arteries is a very important predictor of a patient having a heart attack or dying from heart disease. As the images of the heart are not the primary reason for the scan, the radiologist may not notice heart artery calcification and may not report it.
    Importantly, there are multiple interventions that we can offer patients if we know they have heart artery disease including medications, screening for conditions like diabetes and high blood pressure and lifestyle treatments such as exercise, diet and encouraging smoking cessation.
    This research is to design a computer programme to automatically detect heart artery calcification on any CT scan that includes the heart in the images. There are a number of challenges to doing this but we believe it is possible, with new techniques that use artificial intelligence programmes, to train a computer to recognise and report this finding. If we can successfully develop this programme then we can reduce the work of our radiologists and improve the care of patients by ensuring that this important finding is recognised and can prompt a patient to receive advice and intervention that will protect them from future problems.

  • REC name

    Yorkshire & The Humber - Leeds East Research Ethics Committee

  • REC reference

    21/YH/0217

  • Date of REC Opinion

    15 Oct 2021

  • REC opinion

    Favourable Opinion