scholarly journals Coronary Artery Disease Detection by Machine Learning with Coronary Bifurcation Features

2020 ◽  
Vol 10 (21) ◽  
pp. 7656
Author(s):  
Xueping Chen ◽  
Yi Fu ◽  
Jiangguo Lin ◽  
Yanru Ji ◽  
Ying Fang ◽  
...  

Background: Early accurate detection of coronary artery disease (CAD) is one of the most important medical research areas. Researchers are motivated to utilize machine learning techniques for quick and accurate detection of CAD. Methods: To obtain the high quality of features used for machine learning, we here extracted the coronary bifurcation features from the coronary computed tomography angiography (CCTA) images by using the morphometric method. The machine learning classifier algorithms, such as logistic regression (LR), decision tree (DT), linear discriminant analysis (LDA), k-nearest neighbors (k-NN), artificial neural network (ANN), and support vector machine (SVM) were applied for estimating the performance by using the measured features. Results: The results showed that in comparison with other machine learning methods, the polynomial-SVM with the use of the grid search optimization method had the best performance for the detection of CAD and had yielded the classification accuracy of 100.00%. Among six examined coronary bifurcation features, the exponent of vessel diameter (n) and the area expansion ratio (AER) were two key features in the detection of CAD. Conclusions: This study could aid the clinicians to detect CAD accurately, which may probably provide an alternative method for the non-invasive diagnosis in clinical.

2020 ◽  
Vol 25 (12) ◽  
pp. 3999
Author(s):  
B. I. Geltser ◽  
M. M. Tsivanyuk ◽  
K. I. Shakhgeldyan ◽  
V. Yu. Rublev

Machine learning (ML) are the central tool of artificial intelligence, the use of which makes it possible to automate the processing and analysis of large data, reveal hidden or non-obvious patterns and learn a new knowledge. The review presents an analysis of literature on the use of ML for diagnosing and predicting the clinical course of coronary artery disease. We provided information on reference databases, the use of which allows to develop models and validate them (European ST-T Database, Cleveland Heart Disease database, Multi-Ethnic Study of Atherosclerosis, etc.). The advantages and disadvantages of individual ML methods (logistic regression, support vector machines, decision trees, naive Bayesian classifier, k-nearest neighbors) for the development of diagnostic and predictive algorithms are shown. The most promising ML methods include deep learning, which is implemented using multilayer artificial neural networks. It is assumed that the improvement of ML-based models and their introduction into clinical practice will help support medical decision-making, increase the effectiveness of treatment and optimize health care costs.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Chayakrit Krittanawong ◽  
Hafeez Ul Hassan Virk ◽  
Sripal Bangalore ◽  
Zhen Wang ◽  
Kipp W. Johnson ◽  
...  

Abstract Several machine learning (ML) algorithms have been increasingly utilized for cardiovascular disease prediction. We aim to assess and summarize the overall predictive ability of ML algorithms in cardiovascular diseases. A comprehensive search strategy was designed and executed within the MEDLINE, Embase, and Scopus databases from database inception through March 15, 2019. The primary outcome was a composite of the predictive ability of ML algorithms of coronary artery disease, heart failure, stroke, and cardiac arrhythmias. Of 344 total studies identified, 103 cohorts, with a total of 3,377,318 individuals, met our inclusion criteria. For the prediction of coronary artery disease, boosting algorithms had a pooled area under the curve (AUC) of 0.88 (95% CI 0.84–0.91), and custom-built algorithms had a pooled AUC of 0.93 (95% CI 0.85–0.97). For the prediction of stroke, support vector machine (SVM) algorithms had a pooled AUC of 0.92 (95% CI 0.81–0.97), boosting algorithms had a pooled AUC of 0.91 (95% CI 0.81–0.96), and convolutional neural network (CNN) algorithms had a pooled AUC of 0.90 (95% CI 0.83–0.95). Although inadequate studies for each algorithm for meta-analytic methodology for both heart failure and cardiac arrhythmias because the confidence intervals overlap between different methods, showing no difference, SVM may outperform other algorithms in these areas. The predictive ability of ML algorithms in cardiovascular diseases is promising, particularly SVM and boosting algorithms. However, there is heterogeneity among ML algorithms in terms of multiple parameters. This information may assist clinicians in how to interpret data and implement optimal algorithms for their dataset.


Author(s):  
Javad Hassannataj Joloudari ◽  
Edris Hassannataj Joloudari ◽  
Hamid Saadatfar ◽  
Mohammad Ghasemigol ◽  
Seyyed Mohammad Razavi ◽  
...  

Heart disease is one of the most common diseases in middle-aged citizens. Among the vast number of heart diseases, coronary artery disease (CAD) is considered a common cardiovascular disease with a high death rate. The most popular tool for diagnosing CAD is the use of medical imaging, e.g., angiography. However, angiography is known for being costly and also associated with a number of side effects. Hence, the purpose of this study is to increase the accuracy of coronary heart disease diagnosis by selecting significant predictive features in order of their ranking. In this study, we propose an integrated method using machine learning. The machine learning methods of random trees (RTs), the decision tree of C5.0, support vector machine (SVM), the decision tree of Chi-squared automatic interaction detection (CHAID) are used in this study. The proposed method shows promising results and the study confirms that the RTs model outperforms other models.


Diagnostics ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 961
Author(s):  
Yu-Cheng Hsu ◽  
I-Jung Tsai ◽  
Hung Hsu ◽  
Po-Wen Hsu ◽  
Ming-Hui Cheng ◽  
...  

Machine learning (ML) algorithms have been applied to predicting coronary artery disease (CAD). Our purpose was to utilize autoantibody isotypes against four different unmodified and malondialdehyde (MDA)-modified peptides among Taiwanese with CAD and healthy controls (HCs) for CAD prediction. In this study, levels of MDA, MDA-modified protein (MDA-protein) adducts, and autoantibody isotypes against unmodified peptides and MDA-modified peptides were measured with enzyme-linked immunosorbent assay (ELISA). To improve the performance of ML, we used decision tree (DT), random forest (RF), and support vector machine (SVM) coupled with five-fold cross validation and parameters optimization. Levels of plasma MDA and MDA-protein adducts were higher in CAD patients than in HCs. IgM anti-IGKC76–99 MDA and IgM anti-A1AT284–298 MDA decreased the most in patients with CAD compared to HCs. In the experimental results of CAD prediction, the decision tree classifier achieved an area under the curve (AUC) of 0.81; the random forest classifier achieved an AUC of 0.94; the support vector machine achieved an AUC of 0.65 for differentiating between CAD patients with stenosis rates of 70% and HCs. In this study, we demonstrated that autoantibody isotypes imported into machine learning algorithms can lead to accurate models for clinical use.


Author(s):  
Javad Hassannataj Joloudari ◽  
Edris Hassannataj Joloudari ◽  
Hamid Saadatfar ◽  
Mohammad Ghasemigol ◽  
Seyyed Mohammad Razavi ◽  
...  

Heart disease is one of the most common diseases in middle-aged citizens. Among the vast number of heart diseases, coronary artery disease (CAD) is considered as a common cardiovascular disease with a high death rate. The most popular tool for diagnosing CAD is the use of medical imaging, e.g., angiography. However, angiography is known for being costly and also associated with a number of side effects. Hence, the purpose of this study is to increase the accuracy of coronary heart disease diagnosis through selecting significant predictive features in order of their ranking. In this study, we propose an integrated method using machine learning. The machine learning methods of random trees (RTs), decision tree of C5.0, support vector machine (SVM), and decision tree of Chi-squared automatic interaction detection (CHAID) are used in this study. The proposed method shows promising results and the study confirms that the RTs model outperforms other models.


2019 ◽  
Vol 39 (8) ◽  
pp. 1032-1044 ◽  
Author(s):  
Alind Gupta ◽  
Justin J. Slater ◽  
Devon Boyne ◽  
Nicholas Mitsakakis ◽  
Audrey Béliveau ◽  
...  

Objectives. Coronary artery disease (CAD) is the leading cause of death and disease burden worldwide, causing 1 in 7 deaths in the United States alone. Risk prediction models that can learn the complex causal relationships that give rise to CAD from data, instead of merely predicting the risk of disease, have the potential to improve transparency and efficacy of personalized CAD diagnosis and therapy selection for physicians, patients, and other decision makers. Methods. We use Bayesian networks (BNs) to model the risk of CAD using the Z-Alizadehsani data set—a published real-world observational data set of 303 Iranian patients at risk for CAD. We also describe how BNs can be used for incorporation of background knowledge, individual risk prediction, handling missing observations, and adaptive decision making under uncertainty. Results. BNs performed on par with machine-learning classifiers at predicting CAD and showed better probability calibration. They achieved a mean 10-fold area under the receiver-operating characteristic curve (AUC) of 0.93 ± 0.04, which was comparable with the performance of logistic regression with L1 or L2 regularization (AUC: 0.92 ± 0.06), support vector machine (AUC: 0.92 ± 0.06), and artificial neural network (AUC: 0.91 ± 0.05). We describe the use of BNs to predict with missing data and to adaptively calculate prognostic values of individual variables under uncertainty. Conclusion. BNs are powerful and versatile tools for risk prediction and health outcomes research that can complement traditional statistical techniques and are particularly useful in domains in which information is uncertain or incomplete and in which interpretability is important, such as medicine.


2020 ◽  
Vol 15 ◽  
Author(s):  
Elham Shamsara ◽  
Sara Saffar Soflaei ◽  
Mohammad Tajfard ◽  
Ivan Yamshchikov ◽  
Habibollah Esmaili ◽  
...  

Background: Coronary artery disease (CAD) is an important cause of mortality and morbidity globally. Objective : The early prediction of the CAD would be valuable in identifying individuals at risk, and in focusing resources on its prevention. In this paper, we aimed to establish a diagnostic model to predict CAD by using three approaches of ANN (pattern recognition-ANN, LVQ-ANN, and competitive ANN). Methods: One promising method for early prediction of disease based on risk factors is machine learning. Among different machine learning algorithms, the artificial neural network (ANN) algo-rithms have been applied widely in medicine and a variety of real-world classifications. ANN is a non-linear computational model, that is inspired by the human brain to analyze and process complex datasets. Results: Different methods of ANN that are investigated in this paper indicates in both pattern recognition ANN and LVQ-ANN methods, the predictions of Angiography+ class have high accuracy. Moreover, in CNN the correlations between the individuals in cluster ”c” with the class of Angiography+ is strongly high. This accuracy indicates the significant difference among some of the input features in Angiography+ class and the other two output classes. A comparison among the chosen weights in these three methods in separating control class and Angiography+ shows that hs-CRP, FSG, and WBC are the most substantial excitatory weights in recognizing the Angiography+ individuals although, HDL-C and MCH are determined as inhibitory weights. Furthermore, the effect of decomposition of a multi-class problem to a set of binary classes and random sampling on the accuracy of the diagnostic model is investigated. Conclusion : This study confirms that pattern recognition-ANN had the most accuracy of performance among different methods of ANN. That’s due to the back-propagation procedure of the process in which the network classify input variables based on labeled classes. The results of binarization show that decomposition of the multi-class set to binary sets could achieve higher accuracy.


Diagnostics ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 551
Author(s):  
Chris Boyd ◽  
Greg Brown ◽  
Timothy Kleinig ◽  
Joseph Dawson ◽  
Mark D. McDonnell ◽  
...  

Research into machine learning (ML) for clinical vascular analysis, such as those useful for stroke and coronary artery disease, varies greatly between imaging modalities and vascular regions. Limited accessibility to large diverse patient imaging datasets, as well as a lack of transparency in specific methods, are obstacles to further development. This paper reviews the current status of quantitative vascular ML, identifying advantages and disadvantages common to all imaging modalities. Literature from the past 8 years was systematically collected from MEDLINE® and Scopus database searches in January 2021. Papers satisfying all search criteria, including a minimum of 50 patients, were further analysed and extracted of relevant data, for a total of 47 publications. Current ML image segmentation, disease risk prediction, and pathology quantitation methods have shown sensitivities and specificities over 70%, compared to expert manual analysis or invasive quantitation. Despite this, inconsistencies in methodology and the reporting of results have prevented inter-model comparison, impeding the identification of approaches with the greatest potential. The clinical potential of this technology has been well demonstrated in Computed Tomography of coronary artery disease, but remains practically limited in other modalities and body regions, particularly due to a lack of routine invasive reference measurements and patient datasets.


2021 ◽  
Vol 77 (18) ◽  
pp. 65
Author(s):  
Maryam Saleem ◽  
Naveena Yanamala ◽  
Irfan Zeb ◽  
Brijesh Patel ◽  
Heenaben Patel ◽  
...  

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