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arxiv 2503.10887 v1 pith:MRHVJNF4 submitted 2025-03-13 physics.med-ph

Minimizing Human-Induced Variability in Quantitative Angiography for Robust and Explainable AI-Based Occlusion Prediction

classification physics.med-ph
keywords occlusioninjectionpredictionvariabilityangiographybiasdeepexplainable
verification ladder T0 review T1 audit T2 compute T3 formal T4 reserved
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Bias from contrast injection variability is a significant obstacle to accurate intracranial aneurysm occlusion prediction using quantitative angiography and deep neural networks . This study explores bias removal and explainable AI for outcome prediction. This study used angiograms from 458 patients with flow diverters treated IAs with six month follow up defining occlusion status. We minimized injection variability by deconvolving the parent artery input to isolate the impulse response of aneurysms, then reconvolving it with a standardized injection curve. A deep neural network trained on these QA derived biomarkers predicted six month occlusion. Local Interpretable Model Agnostic Explanations identified the key imaging features influencing the model, ensuring transparency and clinical relevance.

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