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More than 100 patients, and a dedicated validation cohort

Illustration: a grid of forty different coronary angiogram frames fading into the dark, four of them traced with a yellow vessel contour.
Illustration: public ARCADE frames, not the validation cohort, segmented by APEC Vox QCA

The models are developed using angiographic data from more than 100 patients, alongside the ARCADE public benchmark. Their measurements are evaluated on a dedicated validation cohort of 19 patients comprising 909 angiographic series, aligned with a commercial 3D-QCA reference standard.

The two figures describe different things: the first is the data the models are developed on, the second is the cohort their measurements are checked against. In the validation cohort, 29 commercial 3D-QCA analyses are aligned to the exact projection series the operator used. A reference standard matched case by case, to the projection the measurement was actually made on, is what makes an agreement study possible at all.