AI may spot dangerous aortic growth before it happens
NCT ID NCT07782918
First seen Aug 24, 2026 · Last updated Aug 25, 2026 · Updated 1 time
Summary
This study is testing whether an artificial intelligence model can predict how the aorta might dilate (widen) in people with bicuspid aortic valve—a common heart valve condition that raises the risk of aortic aneurysm. Researchers will analyze CT scans from 1,000 patients who had a minimally invasive valve replacement (TAVR) to look for early signs of deformation and blood flow changes. The goal is to build a tool that gives doctors a clearer, earlier warning of dangerous aortic growth, potentially enabling earlier intervention and better outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- An AI-based risk prediction model using imaging data (vascular deformation mapping and computational fluid dynamics) to forecast aortic dilation after TAVR.
- What this could lead to
- If successful, this could enable earlier detection of dangerous aortic dilation in BAV patients, potentially guiding timely interventions and improving outcomes.
- What could go wrong
- The model is still in development and validation; it may not generalize to all patients or outperform current manual measurements. Its accuracy depends on imaging quality and retrospective data.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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1,000 people
The number who actually took part.
- Started
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Jan 2020
- Finished
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Feb 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Approximately 1,000 BAV patients who underwent TAVR will be retrospectively enrolled from two Chinese tertiary hospitals. Eligible patients are aged 18-85 years with serial CTA (pre-op, post-op, follow-up) covering the aorta from supra-aortic branches to iliac arteries. Exclusions: connective tissue disorders, prior aortic surgery, dissection, isolated aneurysm, poor image quality, or registration failure. No additional interventions are administered. All patients are analyzed as a single observational cohort.
- Ages
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18 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Patients are eligible for inclusion if they are male or non-pregnant female aged 18 to 85 years, diagnosed with Bicuspid Aortic Valve (BAV) by CTA, and have successfully undergone Transcatheter Aortic Valve Replacement (TAVR) with available pre-operative, post-operative (1-3 months), and follow-up (6-12 months) CTA imaging. The CTA scan range must cover cranially at least the origin of the brachiocephalic trunk, left common carotid artery, and left subclavian artery, and caudally at least the origin of the internal and external iliac arteries. Exclusion Criteria: Patients are excluded if they have traumatic or iatrogenic aortic dissection, isolated aortic aneurysm without BAV, connective tissue disorders such as Marfan syndrome or Ehlers-Danlos syndrome, or prior cardiac or aortic surgery including surgical aortic valve replacement or aortic repair. Additional exclusions include insufficient number of CTA scans or inadequate scan range, poor CTA image quality due to motion artifacts or inadequate contrast enhancement precluding accurate segmentation, or image registration failure precluding completion of VDM analysis.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, 325000, China
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The Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310009, China
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