Coronary CT angiography–based radiomics and machine learning (ML) for identifying patients with myocardial infarction. A, Performance of ML models for patients with myocardial infarction. A model integrating clinical data, pericoronary adipose tissue (PCAT) attenuation, and PCAT radiomic features (area under the receiver operating characteristic curve [AUC], 0.87) outperformed a model with clinical data and PCAT attenuation (AUC, 0.77; P = .001) and clinical data alone (AUC, 0.87 vs 0.76; P < .001). B, Textural features of PCAT at coronary CT angiography were highest ranked in the final radiomics-based model. HDL-C = high-density lipoprotein cholesterol, hs-CRP = high-sensitivity C-reactive protein, LDL-C = low-density lipoprotein cholesterol. (Reprinted, with permission, from reference 56.)