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. 2022 Mar;12(3):2075–2089. doi: 10.21037/qims-21-945

Table 2. Summary of CT clinical studies with relative correlations with EAT and others adipose tissue compartments.

Authors AI category Algorithm and/or software Adipose tissue compartments Data Correlation Number of patients Results Level of evidence*
Kroll et al. [2021] (46) Deep learning U-Net 3D EAT EAT Volume Calcium artery score 966 r=0.18 3
Paracardialadipose tissue EAT Attenuation r=−0.09
Visceral adipose tissue
Intermuscularadipose tissue
Subcutaneous adipose tissue
Eisenberg et al. [2020] (47) Deep learning Fully automated DL algorithm incorporated into QFAT research software (version 2.0) EAT EAT Volume Major adverse cardiovascular events 2,068 P<0.01 1
EAT Attenuation P=0.01
Oikonomouet al. [2019] (48) Machine learning Aquarius Workstation V.4.4.11-13, TeraRecon Inc., Foster City, CA, USA for basic segmentation and CaRi-HEART proprietary algorithms Perivascular adipose tissue Fat attenuation index Inflammation 167, 1,575, 44 See Figure 4 for inflammation, vascularity and fibrosis 1, 3, 3
Caristo Diagnostics Ltd, Oxford, UK Fat radiomic profile Vascularity
Slicer Radiomics extension which incorporates the Pyradiomics library into 3D Slicer (v.4.9.0-2017-12-18 r26813) Fibrosis
Major adverse cardiovascular events P<0.001
Perivascular changes related to acute myocardial infarction P<0.001
Lin et al. [2021] (49) Deep learning QFAT v2.0, CSMC, Los Angeles, CA, USA EAT EAT volume Major adverse cardiovascular events 2,068 P<0.001 2
NAFLD EAT attenuation P<0.001
Hepatic attenuation P=0.003
Tamarappooet al. [2021] (50) Deep learning QFAT v2.0, CSMC, Los Angeles, CA, USA EAT EAT volume Long-term risk prediction for cardiac events 1,069 P<0.0001 1
EAT attenuation P=0.002

*, SIGN100: Scottish Intercollegiate Guidelines Network 2019. CT, computed tomography; AI, artificial intelligence; EAT, epicardial adipose tissue; NAFLD, non-alcoholic fatty liver disease.