Coronary artery calcification assessment in National Lung Screening Trial CT images (DeepCAC2)

Fuente: arXiv
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Auteurs principaux: Nürnberg, Leonard, Bernatz, Simon, Foldyna, Borek, Lu, Michael T., Fedorov, Andrey, Aerts, Hugo JWL
Format: Preprint
Publié: 2026
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author Nürnberg, Leonard
Bernatz, Simon
Foldyna, Borek
Lu, Michael T.
Fedorov, Andrey
Aerts, Hugo JWL
author_facet Nürnberg, Leonard
Bernatz, Simon
Foldyna, Borek
Lu, Michael T.
Fedorov, Andrey
Aerts, Hugo JWL
contents Coronary artery calcification (CAC) is a strong predictor of cardiovascular risk but remains underutilized in clinical routine thoracic imaging due to the need for dedicated imaging protocols and manual annotation. We present DeepCAC2, a publicly available dataset containing automated CAC segmentations, coronary artery calcium scores, and derived risk categories generated from low-dose chest CT scans of the National Lung Screening Trial (NLST). Using a fully automated deep learning pipeline trained on expert-annotated cardiac CT data, we processed 127,776 CT scans from 26,228 individuals and generated standardized CAC segmentations and risk estimates for each acquisition. We already provide a public dashboard as a simple tool to visually inspect a random subset of 200 NLST patients of the dataset. The dataset will be released with DICOM-compatible segmentation objects and structured metadata to support reproducible downstream analysis. The deep learning pipeline will be made publicly available as a DICOM-compatible MHub.ai container. DeepCAC2 provides a transparent, large-scale, public, fully reproducible resource for research in cardiovascular risk assessment, opportunistic screening, and imaging biomarker development.
format Preprint
id arxiv_https___arxiv_org_abs_2603_24633
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Coronary artery calcification assessment in National Lung Screening Trial CT images (DeepCAC2)
Nürnberg, Leonard
Bernatz, Simon
Foldyna, Borek
Lu, Michael T.
Fedorov, Andrey
Aerts, Hugo JWL
Image and Video Processing
Coronary artery calcification (CAC) is a strong predictor of cardiovascular risk but remains underutilized in clinical routine thoracic imaging due to the need for dedicated imaging protocols and manual annotation. We present DeepCAC2, a publicly available dataset containing automated CAC segmentations, coronary artery calcium scores, and derived risk categories generated from low-dose chest CT scans of the National Lung Screening Trial (NLST). Using a fully automated deep learning pipeline trained on expert-annotated cardiac CT data, we processed 127,776 CT scans from 26,228 individuals and generated standardized CAC segmentations and risk estimates for each acquisition. We already provide a public dashboard as a simple tool to visually inspect a random subset of 200 NLST patients of the dataset. The dataset will be released with DICOM-compatible segmentation objects and structured metadata to support reproducible downstream analysis. The deep learning pipeline will be made publicly available as a DICOM-compatible MHub.ai container. DeepCAC2 provides a transparent, large-scale, public, fully reproducible resource for research in cardiovascular risk assessment, opportunistic screening, and imaging biomarker development.
title Coronary artery calcification assessment in National Lung Screening Trial CT images (DeepCAC2)
topic Image and Video Processing
url https://arxiv.org/abs/2603.24633