Coronary artery disease (CAD) is the dominant cause of death and hospitalization across the globe. Atherosclerosis, an inflammatory condition that gradually narrows arteries and has potentially fatal effects, is the most frequent cause of CAD. Nonetheless, the circulation regularly adapts in the presence of atherosclerosis, through the formation of collateral arteries, resulting in significant long-term health benefits. Therefore, timely detection of coronary collateral circulation (CCC) is crucial for CAD personalized medicine. We propose a novel deep learning based method to detect CCC in angiographic images. Our method relies on a convolutional backbone to extract spatial features from each frame of an angiography sequence. The features are then concatenated, and subsequently processed by another convolutional layer that processes embeddings temporally. Due to scarcity of data, we also experiment with pretraining the backbone on coronary artery segmentation, which improves the results consistently. Moreover, we experiment with few-shot learning to further improve performance, given our low data regime. We present our results together with subgroup analyses based on Rentrop grading, collateral flow, and collateral grading, which provide valuable insights into model performance. Overall, the proposed method shows promising results in detecting CCC, and can be further extended to perform landmark based CCC detection and CCC quantification.

UNLABELLED: For the analysis of complex polygenic diseases, one does not expect all patients to share the same disease-associated alleles. Not even will disease-causing variations be assigned to the identical sets of genes between patients. However, one does expect overlaps in the sets of genes that are involved and even more so in their assigned molecular processes. Furthermore, the assignment of single nucleotide polymorphisms (SNPs) to genes is highly ambiguous for intergenic SNPs. The tool presented here hence adds external information, i.e. GeneOntology (GO) terms (Gene Ontology Consortium), to the analysis of SNP data. AVAILABILITY: A web interface and source code are offered at https://webtools.imbs.uni-luebeck.de/snptogo