Physiologic phenotypes in blunt thoracic aortic injury: implications for risk stratification and surgical decision-making using machine learning

Machine learning identified three physiologic BTAI phenotypes with distinct presentations and mortality despite similar management patterns. XAI showed that perfusion and metabolic markers, not anatomy alone, drive phenotype structure. These data reinforce the potential for physiologic phenotyping to enhance prognostication and guide BTAI decision-making.

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Publication Details

Journal
Frontiers in Digital Health
Published
2026-02-09
DOI
https://doi.org/10.3389/fdgth.2026.1745987
Primary Topic
Aortic Disease and Treatment Approaches
Type
article
Field-Weighted Citation Impact
0.00
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article

Physiologic phenotypes in blunt thoracic aortic injury: implications for risk stratification and surgical decision-making using machine learning

Phillip Jenkins, Victor Andujo, Castigliano Murthy Bhamidipati, Michael Kolesnikov et al.
Frontiers in Digital Health
Aortic Disease and Treatment Approaches
article

Physiologic phenotypes in blunt thoracic aortic injury: implications for risk stratification and surgical decision-making using machine learning

Phillip Jenkins, Victor Andujo, Castigliano Murthy Bhamidipati, Michael Kolesnikov, Ruchi Thanawala, Julie Doberne, Tiffany Lian, Shelby Willis, Justin Regner
article en

Abstract

Machine learning identified three physiologic BTAI phenotypes with distinct presentations and mortality despite similar management patterns. XAI showed that perfusion and metabolic markers, not anatomy alone, drive phenotype structure. These data reinforce the potential for physiologic phenotyping to enhance prognostication and guide BTAI decision-making.

Frontiers in Digital HealthVol. 8
Oregon Health & Science University (US)
Peace, Justice and strong institutions
Openalex Percentile: Top 64%
Aortic Disease and Treatment Approaches
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