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January 22, 2026Discover Computing0 citationsOpen Access

Modified YOLOv8x model for coronary stenosis detection and troponin risk stratification

RARoaa AlbasrawiMIMuhammad IlyasEREmad Rawashdeh

Key Result

The modified YOLOv8x model achieved a precision of 0.991, recall of 0.960, F1-score of 0.980, and mAP of 0.976 for detecting coronary artery stenosis.

Key Points

  • To develop and validate a modified YOLOv8x model for more effective detection of coronary stenosis and troponin risk stratification.
  • Proposed an improved deep learning model using spatial and frequency-based attention mechanisms.
  • Benchmarked YOLOv8, YOLOv9, and YOLOv10 to select the most clinically relevant model.
  • Conducted large-scale ablation studies to validate the model's effectiveness in detecting fine lesions.
  • Achieved a precision of 0.991, recall of 0.960, F1-score of 0.980, and mAP of 0.976.
  • Showed significant improvement in detecting coronary artery abnormalities and managing associated risks.

Structured PICO

Does a modified YOLOv8x model improve the detection of coronary artery stenosis and risk stratification compared to baseline YOLO models?

P
Population
2,250 coronary artery images used to train, validate, and test a deep learning model for stenosis detection.
I
Intervention
Modified YOLOv8x deep learning framework with spatial and frequency-based attention mechanisms, combined with troponin level risk stratification
C
Comparator
Baseline YOLOv8, YOLOv9, and YOLOv10 models
O
Outcome
Model performance metrics including precision, recall, F1-score, and mean Average Precision (mAP)surrogate

A modified YOLOv8x deep learning framework provides highly accurate detection of coronary artery stenosis and integrates troponin levels for cardiovascular risk stratification.

Limitations

  • Dataset of limited size
  • Validation loss evaluations were not performed for YOLOv9-c and YOLOv9-e models due to repository limitations
  • Limited dataset size

Abstract

Abstract Detection of coronary artery stenosis and risk stratification of troponin plays a pivotal role in offering early diagnosis and treatment of cardiovascular diseases. In this paper, an improved deep learning framework that allows using both spatial and frequency-based attention mechanisms will be proposed using a modified YOLOv8x framework. Upon benchmarking YOLOv8, YOLOv9 and YOLOv10 models, YOLOv8x was chosen due to its excellent baseline and the enhancement was done to make it more clinical relevant. The proposed model was found to have a precision of 0.991, a recall value of 0.960, F1-score of 0.980, and a mAP of 0.976. These findings show significant possibilities of real world applications. The effectiveness of the improvements is in addition validated by large-scale ablation studies, and the results overcome the problem of detecting fine lesions and disparate clinical information. The work has added value in the form of a reliable end-to-end diagnostic cardiovascular imaging and biomarker-based risk analysis.

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Cite This Study

Albasrawi et al. (2026) studied Coronary artery stenosis (n=2,250). Modified YOLOv8x model vs. Baseline YOLOv8, YOLOv9, and YOLOv10 models was evaluated on Detection of coronary artery stenosis (Precision, Recall, F1-score, mAP). The modified YOLOv8x model achieved a precision of 0.991, recall of 0.960, F1-score of 0.980, and mAP of 0.976 for detecting coronary artery stenosis.

synapsesocial.com/papers/6971bfdff17b5dc6da021f68https://doi.org/10.1007/s10791-026-09913-1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Experimental Assessment of YOLO Variants for Coronary Artery Disease Segmentation from Angiograms2025 · 1 citations
  2. 2Automated Stenosis Detection in Coronary Artery Disease Using YOLOv9c: Enhanced Efficiency and Accuracy in Real-Time Applications2024
  3. 3An Innovative Model for Diagnosing Lesions in Coronary Angiography Imagery Using an Improved YOLOv4 Model2025 · 2 citations
  4. 4An Innovative Model for Diagnosing Lesions in Coronary Angiography Imagery Using an Improved YOLOv4 Model2025
  5. 5Hyperparameter optimization of YOLO models for invasive coronary angiography lesion detection and assessment2025 · 4 citations