A novel hybrid machine learning model for auxiliary diagnosing myocardial ischemia

IntroductionAccurate identification of the myocardial texture features of fat around the coronary artery on coronary computed tomography angiography (CCTA) images are crucial to improve clinical diagnostic efficiency of myocardial ischemia (MI). However, current coronary CT examination is difficult...

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Main Authors: Jing Wang, Jing Xu, Jingsong Mao, Suzhong Fu, Haowei Gu, Naiming Wu, Guoqing Su, Zhiping Lin, Kaiyue Zhang, Yuetong Lin, Yang Zhao, Gang Liu, Hengyu Zhao, Qingliang Zhao
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2024.1327912/full
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author Jing Wang
Jing Xu
Jing Xu
Jingsong Mao
Suzhong Fu
Suzhong Fu
Haowei Gu
Haowei Gu
Naiming Wu
Guoqing Su
Zhiping Lin
Kaiyue Zhang
Yuetong Lin
Yang Zhao
Gang Liu
Hengyu Zhao
Qingliang Zhao
Qingliang Zhao
Qingliang Zhao
author_facet Jing Wang
Jing Xu
Jing Xu
Jingsong Mao
Suzhong Fu
Suzhong Fu
Haowei Gu
Haowei Gu
Naiming Wu
Guoqing Su
Zhiping Lin
Kaiyue Zhang
Yuetong Lin
Yang Zhao
Gang Liu
Hengyu Zhao
Qingliang Zhao
Qingliang Zhao
Qingliang Zhao
author_sort Jing Wang
collection DOAJ
description IntroductionAccurate identification of the myocardial texture features of fat around the coronary artery on coronary computed tomography angiography (CCTA) images are crucial to improve clinical diagnostic efficiency of myocardial ischemia (MI). However, current coronary CT examination is difficult to recognize and segment the MI characteristics accurately during earlier period of inflammation.Materials and methodsWe proposed a random forest model to automatically segment myocardium and extract peripheral fat features. This hybrid machine learning (HML) model is integrated by CCTA images and clinical data. A total of 1,316 radiomics features were extracted from CCTA images. To further obtain the features that contribute the most to the diagnostic model, dimensionality reduction was applied to filter features to three: LNS, GFE, and WLGM. Moreover, statistical hypothesis tests were applied to improve the ability of discriminating and screening clinical features between the ischemic and non-ischemic groups.ResultsBy comparing the accuracy, recall, specificity and AUC of the three models, it can be found that HML had the best performance, with the value of 0.848, 0.762, 0.704 and 0.729.ConclusionIn sum, this study demonstrates that ML-based radiomics model showed good predictive value in MI, and offer an enhanced tool for predicting prognosis with greater accuracy.
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spelling doaj.art-963b39aa3998456481d124eede29e74b2024-02-21T05:02:49ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2024-02-011110.3389/fcvm.2024.13279121327912A novel hybrid machine learning model for auxiliary diagnosing myocardial ischemiaJing Wang0Jing Xu1Jing Xu2Jingsong Mao3Suzhong Fu4Suzhong Fu5Haowei Gu6Haowei Gu7Naiming Wu8Guoqing Su9Zhiping Lin10Kaiyue Zhang11Yuetong Lin12Yang Zhao13Gang Liu14Hengyu Zhao15Qingliang Zhao16Qingliang Zhao17Qingliang Zhao18Department of Imaging, School of Medicine, Xiamen Cardiovascular Hospital of Xiamen University, Xiamen University, Xiamen, ChinaState Key Laboratory of Vaccines for Infectious Diseases, Center for Molecular Imaging and Translational Medicine, Xiang An Biomedicine Laboratory, Institute of Artificial Intelligence, School of Public Health, Innovation Laboratory for Sciences and Technologies of Energy Materials of Fujian Province (IKKEM), Xiamen University, Xiamen, ChinaState Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, National Innovation Platform for Industry-Education Integration in Vaccine Research, Xiamen University, Xiamen, ChinaDepartment of Vascular Intervention, Affiliated Hospital, Guilin Medical University, Guilin, ChinaState Key Laboratory of Vaccines for Infectious Diseases, Center for Molecular Imaging and Translational Medicine, Xiang An Biomedicine Laboratory, Institute of Artificial Intelligence, School of Public Health, Innovation Laboratory for Sciences and Technologies of Energy Materials of Fujian Province (IKKEM), Xiamen University, Xiamen, ChinaState Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, National Innovation Platform for Industry-Education Integration in Vaccine Research, Xiamen University, Xiamen, ChinaState Key Laboratory of Vaccines for Infectious Diseases, Center for Molecular Imaging and Translational Medicine, Xiang An Biomedicine Laboratory, Institute of Artificial Intelligence, School of Public Health, Innovation Laboratory for Sciences and Technologies of Energy Materials of Fujian Province (IKKEM), Xiamen University, Xiamen, ChinaState Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, National Innovation Platform for Industry-Education Integration in Vaccine Research, Xiamen University, Xiamen, ChinaDepartment of Imaging, School of Medicine, Xiamen Cardiovascular Hospital of Xiamen University, Xiamen University, Xiamen, ChinaDepartment of Radiology, Xiang’an Hospital of Xiamen University, Xiamen, ChinaDepartment of Pharmaceutical Diagnosis, GE Healthcare, Guangzhou, ChinaState Key Laboratory of Vaccines for Infectious Diseases, Center for Molecular Imaging and Translational Medicine, Xiang An Biomedicine Laboratory, Institute of Artificial Intelligence, School of Public Health, Innovation Laboratory for Sciences and Technologies of Energy Materials of Fujian Province (IKKEM), Xiamen University, Xiamen, ChinaState Key Laboratory of Vaccines for Infectious Diseases, Center for Molecular Imaging and Translational Medicine, Xiang An Biomedicine Laboratory, Institute of Artificial Intelligence, School of Public Health, Innovation Laboratory for Sciences and Technologies of Energy Materials of Fujian Province (IKKEM), Xiamen University, Xiamen, ChinaDepartment of Mechanical and Electrical Engineering, Xiamen University, Xiamen, ChinaState Key Laboratory of Vaccines for Infectious Diseases, Center for Molecular Imaging and Translational Medicine, Xiang An Biomedicine Laboratory, Institute of Artificial Intelligence, School of Public Health, Innovation Laboratory for Sciences and Technologies of Energy Materials of Fujian Province (IKKEM), Xiamen University, Xiamen, ChinaDepartment of Imaging, School of Medicine, Xiamen Cardiovascular Hospital of Xiamen University, Xiamen University, Xiamen, ChinaState Key Laboratory of Vaccines for Infectious Diseases, Center for Molecular Imaging and Translational Medicine, Xiang An Biomedicine Laboratory, Institute of Artificial Intelligence, School of Public Health, Innovation Laboratory for Sciences and Technologies of Energy Materials of Fujian Province (IKKEM), Xiamen University, Xiamen, ChinaState Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, National Innovation Platform for Industry-Education Integration in Vaccine Research, Xiamen University, Xiamen, ChinaShenzhen Research Institute of Xiamen University, Shenzhen, ChinaIntroductionAccurate identification of the myocardial texture features of fat around the coronary artery on coronary computed tomography angiography (CCTA) images are crucial to improve clinical diagnostic efficiency of myocardial ischemia (MI). However, current coronary CT examination is difficult to recognize and segment the MI characteristics accurately during earlier period of inflammation.Materials and methodsWe proposed a random forest model to automatically segment myocardium and extract peripheral fat features. This hybrid machine learning (HML) model is integrated by CCTA images and clinical data. A total of 1,316 radiomics features were extracted from CCTA images. To further obtain the features that contribute the most to the diagnostic model, dimensionality reduction was applied to filter features to three: LNS, GFE, and WLGM. Moreover, statistical hypothesis tests were applied to improve the ability of discriminating and screening clinical features between the ischemic and non-ischemic groups.ResultsBy comparing the accuracy, recall, specificity and AUC of the three models, it can be found that HML had the best performance, with the value of 0.848, 0.762, 0.704 and 0.729.ConclusionIn sum, this study demonstrates that ML-based radiomics model showed good predictive value in MI, and offer an enhanced tool for predicting prognosis with greater accuracy.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1327912/fullcoronary atherosclerosiscoronary CT angiographyradiomicsrandom forest modelmedical image analysis
spellingShingle Jing Wang
Jing Xu
Jing Xu
Jingsong Mao
Suzhong Fu
Suzhong Fu
Haowei Gu
Haowei Gu
Naiming Wu
Guoqing Su
Zhiping Lin
Kaiyue Zhang
Yuetong Lin
Yang Zhao
Gang Liu
Hengyu Zhao
Qingliang Zhao
Qingliang Zhao
Qingliang Zhao
A novel hybrid machine learning model for auxiliary diagnosing myocardial ischemia
Frontiers in Cardiovascular Medicine
coronary atherosclerosis
coronary CT angiography
radiomics
random forest model
medical image analysis
title A novel hybrid machine learning model for auxiliary diagnosing myocardial ischemia
title_full A novel hybrid machine learning model for auxiliary diagnosing myocardial ischemia
title_fullStr A novel hybrid machine learning model for auxiliary diagnosing myocardial ischemia
title_full_unstemmed A novel hybrid machine learning model for auxiliary diagnosing myocardial ischemia
title_short A novel hybrid machine learning model for auxiliary diagnosing myocardial ischemia
title_sort novel hybrid machine learning model for auxiliary diagnosing myocardial ischemia
topic coronary atherosclerosis
coronary CT angiography
radiomics
random forest model
medical image analysis
url https://www.frontiersin.org/articles/10.3389/fcvm.2024.1327912/full
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