Artificial intelligence in abdominal aortic aneurysm

Juliette Raffort, Cédric Adam, Marion Carrier, Ali Ballaith, Raphael Coscas, Elixène Jean-Baptiste, Réda Hassen-Khodja, Nabil Chakfé, Fabien Lareyre

Research output: Contribution to journalArticlepeer-review

98 Scopus citations


Objective: Abdominal aortic aneurysm (AAA) is a life-threatening disease, and the only curative treatment relies on open or endovascular repair. The decision to treat relies on the evaluation of the risk of AAA growth and rupture, which can be difficult to assess in practice. Artificial intelligence (AI) has revealed new insights into the management of cardiovascular diseases, but its application in AAA has so far been poorly described. The aim of this review was to summarize the current knowledge on the potential applications of AI in patients with AAA. Methods: A comprehensive literature review was performed. The MEDLINE database was searched according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The search strategy used a combination of keywords and included studies using AI in patients with AAA published between May 2019 and January 2000. Two authors independently screened titles and abstracts and performed data extraction. The search of published literature identified 34 studies with distinct methodologies, aims, and study designs. Results: AI was used in patients with AAA to improve image segmentation and for quantitative analysis and characterization of AAA morphology, geometry, and fluid dynamics. AI allowed computation of large data sets to identify patterns that may be predictive of AAA growth and rupture. Several predictive and prognostic programs were also developed to assess patients' postoperative outcomes, including mortality and complications after endovascular aneurysm repair. Conclusions: AI represents a useful tool in the interpretation and analysis of AAA imaging by enabling automatic quantitative measurements and morphologic characterization. It could be used to help surgeons in preoperative planning. AI-driven data management may lead to the development of computational programs for the prediction of AAA evolution and risk of rupture as well as postoperative outcomes. AI could also be used to better evaluate the indications and types of surgical treatment and to plan the postoperative follow-up. AI represents an attractive tool for decision-making and may facilitate development of personalized therapeutic approaches for patients with AAA.

Original languageEnglish (US)
Pages (from-to)321-333.e1
JournalJournal of Vascular Surgery
Issue number1
StatePublished - Jul 2020


  • Abdominal aortic aneurysm
  • Aneurysm
  • Artificial intelligence
  • Deep learning
  • EVAR
  • Endovascular aneurysm repair
  • Machine learning
  • Open repair
  • Predictive Value of Tests
  • Diagnosis, Computer-Assisted
  • Risk Assessment
  • Artificial Intelligence
  • Humans
  • Risk Factors
  • Decision Support Techniques
  • Image Interpretation, Computer-Assisted
  • Decision Support Systems, Clinical
  • Treatment Outcome
  • Patient Selection
  • Clinical Decision-Making
  • Aortic Aneurysm, Abdominal/diagnostic imaging

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery


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