Machine Learning-Based Peripheral Artery Disease Identification Using Laboratory-Based Gait Data

Peripheral artery disease (PAD) manifests from atherosclerosis, which limits blood flow to the legs and causes changes in muscle structure and function, and in gait performance. PAD is underdiagnosed, which delays treatment and worsens clinical outcomes. To overcome this challenge, the purpose of th...

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Main Authors: Ali Al-Ramini, Mahdi Hassan, Farahnaz Fallahtafti, Mohammad Ali Takallou, Hafizur Rahman, Basheer Qolomany, Iraklis I. Pipinos, Fadi Alsaleem, Sara A. Myers
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/22/19/7432
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author Ali Al-Ramini
Mahdi Hassan
Farahnaz Fallahtafti
Mohammad Ali Takallou
Hafizur Rahman
Basheer Qolomany
Iraklis I. Pipinos
Fadi Alsaleem
Sara A. Myers
author_facet Ali Al-Ramini
Mahdi Hassan
Farahnaz Fallahtafti
Mohammad Ali Takallou
Hafizur Rahman
Basheer Qolomany
Iraklis I. Pipinos
Fadi Alsaleem
Sara A. Myers
author_sort Ali Al-Ramini
collection DOAJ
description Peripheral artery disease (PAD) manifests from atherosclerosis, which limits blood flow to the legs and causes changes in muscle structure and function, and in gait performance. PAD is underdiagnosed, which delays treatment and worsens clinical outcomes. To overcome this challenge, the purpose of this study is to develop machine learning (ML) models that distinguish individuals with and without PAD. This is the first step to using ML to identify those with PAD risk early. We built ML models based on previously acquired overground walking biomechanics data from patients with PAD and healthy controls. Gait signatures were characterized using ankle, knee, and hip joint angles, torques, and powers, as well as ground reaction forces (GRF). ML was able to classify those with and without PAD using Neural Networks or Random Forest algorithms with 89% accuracy (0.64 Matthew’s Correlation Coefficient) using all laboratory-based gait variables. Moreover, models using only GRF variables provided up to 87% accuracy (0.64 Matthew’s Correlation Coefficient). These results indicate that ML models can classify those with and without PAD using gait signatures with acceptable performance. Results also show that an ML gait signature model that uses GRF features delivers the most informative data for PAD classification.
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spelling doaj.art-2fd2484e445b4e0dbbc8a262ce91b35b2023-11-23T21:49:08ZengMDPI AGSensors1424-82202022-09-012219743210.3390/s22197432Machine Learning-Based Peripheral Artery Disease Identification Using Laboratory-Based Gait DataAli Al-Ramini0Mahdi Hassan1Farahnaz Fallahtafti2Mohammad Ali Takallou3Hafizur Rahman4Basheer Qolomany5Iraklis I. Pipinos6Fadi Alsaleem7Sara A. Myers8Mechanical Engineering Department, University of Nebraska-Lincoln, Lincoln, NE 68588, USADepartment of Biomechanics, University of Nebraska at Omaha, Omaha, NE 6160, USADepartment of Biomechanics, University of Nebraska at Omaha, Omaha, NE 6160, USADurham School of Architectural Engineering and Construction, University of Nebraska–Lincoln, Omaha, NE 68182, USADepartment of Biomechanics, University of Nebraska at Omaha, Omaha, NE 6160, USACyber Systems Department, University of Nebraska at Kearney, Kearney, NE 68849, USADepartment of Surgery and VA Research Service, VA Nebraska-Western Iowa Health Care System, Omaha, NE 68105, USADurham School of Architectural Engineering and Construction, University of Nebraska–Lincoln, Omaha, NE 68182, USADepartment of Biomechanics, University of Nebraska at Omaha, Omaha, NE 6160, USAPeripheral artery disease (PAD) manifests from atherosclerosis, which limits blood flow to the legs and causes changes in muscle structure and function, and in gait performance. PAD is underdiagnosed, which delays treatment and worsens clinical outcomes. To overcome this challenge, the purpose of this study is to develop machine learning (ML) models that distinguish individuals with and without PAD. This is the first step to using ML to identify those with PAD risk early. We built ML models based on previously acquired overground walking biomechanics data from patients with PAD and healthy controls. Gait signatures were characterized using ankle, knee, and hip joint angles, torques, and powers, as well as ground reaction forces (GRF). ML was able to classify those with and without PAD using Neural Networks or Random Forest algorithms with 89% accuracy (0.64 Matthew’s Correlation Coefficient) using all laboratory-based gait variables. Moreover, models using only GRF variables provided up to 87% accuracy (0.64 Matthew’s Correlation Coefficient). These results indicate that ML models can classify those with and without PAD using gait signatures with acceptable performance. Results also show that an ML gait signature model that uses GRF features delivers the most informative data for PAD classification.https://www.mdpi.com/1424-8220/22/19/7432peripheral artery diseasevascular diseasemachine learninggait analysisdeep learning
spellingShingle Ali Al-Ramini
Mahdi Hassan
Farahnaz Fallahtafti
Mohammad Ali Takallou
Hafizur Rahman
Basheer Qolomany
Iraklis I. Pipinos
Fadi Alsaleem
Sara A. Myers
Machine Learning-Based Peripheral Artery Disease Identification Using Laboratory-Based Gait Data
Sensors
peripheral artery disease
vascular disease
machine learning
gait analysis
deep learning
title Machine Learning-Based Peripheral Artery Disease Identification Using Laboratory-Based Gait Data
title_full Machine Learning-Based Peripheral Artery Disease Identification Using Laboratory-Based Gait Data
title_fullStr Machine Learning-Based Peripheral Artery Disease Identification Using Laboratory-Based Gait Data
title_full_unstemmed Machine Learning-Based Peripheral Artery Disease Identification Using Laboratory-Based Gait Data
title_short Machine Learning-Based Peripheral Artery Disease Identification Using Laboratory-Based Gait Data
title_sort machine learning based peripheral artery disease identification using laboratory based gait data
topic peripheral artery disease
vascular disease
machine learning
gait analysis
deep learning
url https://www.mdpi.com/1424-8220/22/19/7432
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