Machine Learning Coronary Artery Disease Prediction Based on Imaging and Non-Imaging Data

The prediction of obstructive atherosclerotic disease has significant clinical meaning for the decision making. In this study, a machine learning predictive model based on gradient boosting classifier is presented, aiming to identify the patients of high CAD risk and those of low CAD risk. The machi...

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Main Authors: Vassiliki I. Kigka, Eleni Georga, Vassilis Tsakanikas, Savvas Kyriakidis, Panagiota Tsompou, Panagiotis Siogkas, Lampros K. Michalis, Katerina K. Naka, Danilo Neglia, Silvia Rocchiccioli, Gualtiero Pelosi, Dimitrios I. Fotiadis, Antonis Sakellarios
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/12/6/1466
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author Vassiliki I. Kigka
Eleni Georga
Vassilis Tsakanikas
Savvas Kyriakidis
Panagiota Tsompou
Panagiotis Siogkas
Lampros K. Michalis
Katerina K. Naka
Danilo Neglia
Silvia Rocchiccioli
Gualtiero Pelosi
Dimitrios I. Fotiadis
Antonis Sakellarios
author_facet Vassiliki I. Kigka
Eleni Georga
Vassilis Tsakanikas
Savvas Kyriakidis
Panagiota Tsompou
Panagiotis Siogkas
Lampros K. Michalis
Katerina K. Naka
Danilo Neglia
Silvia Rocchiccioli
Gualtiero Pelosi
Dimitrios I. Fotiadis
Antonis Sakellarios
author_sort Vassiliki I. Kigka
collection DOAJ
description The prediction of obstructive atherosclerotic disease has significant clinical meaning for the decision making. In this study, a machine learning predictive model based on gradient boosting classifier is presented, aiming to identify the patients of high CAD risk and those of low CAD risk. The machine learning methodology includes five steps: the preprocessing of the input data, the class imbalance handling applying the Easy Ensemble algorithm, the recursive feature elimination technique implementation, the implementation of gradient boosting classifier, and finally the model evaluation, while the fine tuning of the presented model was implemented through a randomized search optimization of the model’s hyper-parameters over an internal 3-fold cross-validation. In total, 187 participants with suspicion of CAD previously underwent CTCA during EVINCI and ARTreat clinical studies and were prospectively included to undergo follow-up CTCA. The predictive model was trained using imaging data (geometrical and blood flow based) and non-imaging data. The overall predictive accuracy of the model was 0.81, using both imaging and non-imaging data. The innovative aspect of the proposed study is the combination of imaging-based data with the typical CAD risk factors to provide an integrated CAD risk-predictive model.
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spelling doaj.art-b57d3927625841d7a1c1bef41a2442352023-11-23T16:18:37ZengMDPI AGDiagnostics2075-44182022-06-01126146610.3390/diagnostics12061466Machine Learning Coronary Artery Disease Prediction Based on Imaging and Non-Imaging DataVassiliki I. Kigka0Eleni Georga1Vassilis Tsakanikas2Savvas Kyriakidis3Panagiota Tsompou4Panagiotis Siogkas5Lampros K. Michalis6Katerina K. Naka7Danilo Neglia8Silvia Rocchiccioli9Gualtiero Pelosi10Dimitrios I. Fotiadis11Antonis Sakellarios12Unit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, GR 45110 Ioannina, GreeceUnit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, GR 45110 Ioannina, GreeceUnit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, GR 45110 Ioannina, GreeceUnit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, GR 45110 Ioannina, GreeceUnit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, GR 45110 Ioannina, GreeceUnit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, GR 45110 Ioannina, GreeceDepartment of Cardiology, Medical School, University of Ioannina, GR 45110 Ioannina, GreeceDepartment of Cardiology, Medical School, University of Ioannina, GR 45110 Ioannina, GreeceFondazione Toscana Gabriele Monasterio, IT 56126 Pisa, ItalyInstitute of Clinical Physiology, National Research Council, IT 56124 Pisa, ItalyInstitute of Clinical Physiology, National Research Council, IT 56124 Pisa, ItalyUnit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, GR 45110 Ioannina, GreeceUnit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, GR 45110 Ioannina, GreeceThe prediction of obstructive atherosclerotic disease has significant clinical meaning for the decision making. In this study, a machine learning predictive model based on gradient boosting classifier is presented, aiming to identify the patients of high CAD risk and those of low CAD risk. The machine learning methodology includes five steps: the preprocessing of the input data, the class imbalance handling applying the Easy Ensemble algorithm, the recursive feature elimination technique implementation, the implementation of gradient boosting classifier, and finally the model evaluation, while the fine tuning of the presented model was implemented through a randomized search optimization of the model’s hyper-parameters over an internal 3-fold cross-validation. In total, 187 participants with suspicion of CAD previously underwent CTCA during EVINCI and ARTreat clinical studies and were prospectively included to undergo follow-up CTCA. The predictive model was trained using imaging data (geometrical and blood flow based) and non-imaging data. The overall predictive accuracy of the model was 0.81, using both imaging and non-imaging data. The innovative aspect of the proposed study is the combination of imaging-based data with the typical CAD risk factors to provide an integrated CAD risk-predictive model.https://www.mdpi.com/2075-4418/12/6/1466coronary artery diseasenoninvasive cardiovascular imagingcoronary artery disease risk stratificationmachine learning models
spellingShingle Vassiliki I. Kigka
Eleni Georga
Vassilis Tsakanikas
Savvas Kyriakidis
Panagiota Tsompou
Panagiotis Siogkas
Lampros K. Michalis
Katerina K. Naka
Danilo Neglia
Silvia Rocchiccioli
Gualtiero Pelosi
Dimitrios I. Fotiadis
Antonis Sakellarios
Machine Learning Coronary Artery Disease Prediction Based on Imaging and Non-Imaging Data
Diagnostics
coronary artery disease
noninvasive cardiovascular imaging
coronary artery disease risk stratification
machine learning models
title Machine Learning Coronary Artery Disease Prediction Based on Imaging and Non-Imaging Data
title_full Machine Learning Coronary Artery Disease Prediction Based on Imaging and Non-Imaging Data
title_fullStr Machine Learning Coronary Artery Disease Prediction Based on Imaging and Non-Imaging Data
title_full_unstemmed Machine Learning Coronary Artery Disease Prediction Based on Imaging and Non-Imaging Data
title_short Machine Learning Coronary Artery Disease Prediction Based on Imaging and Non-Imaging Data
title_sort machine learning coronary artery disease prediction based on imaging and non imaging data
topic coronary artery disease
noninvasive cardiovascular imaging
coronary artery disease risk stratification
machine learning models
url https://www.mdpi.com/2075-4418/12/6/1466
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