Machine Learning Techniques for Canine Myxomatous Mitral Valve Disease Classification: Integrating Anamnesis, Quality of Life Survey, and Physical Examination

Myxomatous mitral valve disease (MMVD) is a prevalent canine cardiac disease typically diagnosed and classified using echocardiography. However, accessibility to this technique can be limited in first-opinion clinics. This study aimed to determine if machine learning techniques can classify MMVD acc...

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Main Authors: Javier Engel-Manchado, José Alberto Montoya-Alonso, Luis Doménech, Oscar Monge-Utrilla, Yamir Reina-Doreste, Jorge Isidoro Matos, Alicia Caro-Vadillo, Laín García-Guasch, José Ignacio Redondo
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Veterinary Sciences
Subjects:
Online Access:https://www.mdpi.com/2306-7381/11/3/118
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author Javier Engel-Manchado
José Alberto Montoya-Alonso
Luis Doménech
Oscar Monge-Utrilla
Yamir Reina-Doreste
Jorge Isidoro Matos
Alicia Caro-Vadillo
Laín García-Guasch
José Ignacio Redondo
author_facet Javier Engel-Manchado
José Alberto Montoya-Alonso
Luis Doménech
Oscar Monge-Utrilla
Yamir Reina-Doreste
Jorge Isidoro Matos
Alicia Caro-Vadillo
Laín García-Guasch
José Ignacio Redondo
author_sort Javier Engel-Manchado
collection DOAJ
description Myxomatous mitral valve disease (MMVD) is a prevalent canine cardiac disease typically diagnosed and classified using echocardiography. However, accessibility to this technique can be limited in first-opinion clinics. This study aimed to determine if machine learning techniques can classify MMVD according to the ACVIM classification (B1, B2, C, and D) through a structured anamnesis, quality of life survey, and physical examination. This report encompassed 23 veterinary hospitals and assessed 1011 dogs for MMVD using the FETCH-Q quality of life survey, clinical history, physical examination, and basic echocardiography. Employing a classification tree and a random forest analysis, the complex model accurately identified 96.9% of control group dogs, 49.8% of B1, 62.2% of B2, 77.2% of C, and 7.7% of D cases. To enhance clinical utility, a simplified model grouping B1 and B2 and C and D into categories B and CD improved accuracy rates to 90.8% for stage B, 73.4% for stages CD, and 93.8% for the control group. In conclusion, the current machine-learning technique was able to stage healthy dogs and dogs with MMVD classified into stages B and CD in the majority of dogs using quality of life surveys, medical history, and physical examinations. However, the technique faces difficulties differentiating between stages B1 and B2 and determining between advanced stages of the disease.
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spelling doaj.art-ce129f0ddcab4a9181971de0c7a47cce2024-03-27T14:07:23ZengMDPI AGVeterinary Sciences2306-73812024-03-0111311810.3390/vetsci11030118Machine Learning Techniques for Canine Myxomatous Mitral Valve Disease Classification: Integrating Anamnesis, Quality of Life Survey, and Physical ExaminationJavier Engel-Manchado0José Alberto Montoya-Alonso1Luis Doménech2Oscar Monge-Utrilla3Yamir Reina-Doreste4Jorge Isidoro Matos5Alicia Caro-Vadillo6Laín García-Guasch7José Ignacio Redondo8Internal Medicine, Veterinary Medicine and Therapeutic Research Group, Faculty of Veterinary Science, Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, 35017 Las Palmas de Gran Canaria, SpainInternal Medicine, Veterinary Medicine and Therapeutic Research Group, Faculty of Veterinary Science, Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, 35017 Las Palmas de Gran Canaria, SpainDepartment of Mathematics, Physics and Technological Sciences, Higher School of Technical Education, Cardenal Herrera-CEU University, 46115 Valencia, SpainCardiology Service, Mediterráneo Veterinary Hospital, Evidensia IVC, 28007 Madrid, SpainCardiology Service, IVC Evidensia, Los Tarahales Veterinary Hospital, 35019 Las Palmas de Gran Canaria, SpainInternal Medicine, Veterinary Medicine and Therapeutic Research Group, Faculty of Veterinary Science, Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, 35017 Las Palmas de Gran Canaria, SpainDepartment of Animal Medicine and Surgery, Faculty of Veterinary Medicine, Complutense University, 28040 Madrid, SpainInternal Medicine, Veterinary Medicine and Therapeutic Research Group, Faculty of Veterinary Science, Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, 35017 Las Palmas de Gran Canaria, SpainDepartment of Animal Medicine and Surgery, Faculty of Veterinary Medicine, Cardenal Herrera-CEU University, 46115 Valencia, SpainMyxomatous mitral valve disease (MMVD) is a prevalent canine cardiac disease typically diagnosed and classified using echocardiography. However, accessibility to this technique can be limited in first-opinion clinics. This study aimed to determine if machine learning techniques can classify MMVD according to the ACVIM classification (B1, B2, C, and D) through a structured anamnesis, quality of life survey, and physical examination. This report encompassed 23 veterinary hospitals and assessed 1011 dogs for MMVD using the FETCH-Q quality of life survey, clinical history, physical examination, and basic echocardiography. Employing a classification tree and a random forest analysis, the complex model accurately identified 96.9% of control group dogs, 49.8% of B1, 62.2% of B2, 77.2% of C, and 7.7% of D cases. To enhance clinical utility, a simplified model grouping B1 and B2 and C and D into categories B and CD improved accuracy rates to 90.8% for stage B, 73.4% for stages CD, and 93.8% for the control group. In conclusion, the current machine-learning technique was able to stage healthy dogs and dogs with MMVD classified into stages B and CD in the majority of dogs using quality of life surveys, medical history, and physical examinations. However, the technique faces difficulties differentiating between stages B1 and B2 and determining between advanced stages of the disease.https://www.mdpi.com/2306-7381/11/3/118anamnesisclinical diagnosismachine learningpredictive modelmyxomatous mitral valve diseasedog
spellingShingle Javier Engel-Manchado
José Alberto Montoya-Alonso
Luis Doménech
Oscar Monge-Utrilla
Yamir Reina-Doreste
Jorge Isidoro Matos
Alicia Caro-Vadillo
Laín García-Guasch
José Ignacio Redondo
Machine Learning Techniques for Canine Myxomatous Mitral Valve Disease Classification: Integrating Anamnesis, Quality of Life Survey, and Physical Examination
Veterinary Sciences
anamnesis
clinical diagnosis
machine learning
predictive model
myxomatous mitral valve disease
dog
title Machine Learning Techniques for Canine Myxomatous Mitral Valve Disease Classification: Integrating Anamnesis, Quality of Life Survey, and Physical Examination
title_full Machine Learning Techniques for Canine Myxomatous Mitral Valve Disease Classification: Integrating Anamnesis, Quality of Life Survey, and Physical Examination
title_fullStr Machine Learning Techniques for Canine Myxomatous Mitral Valve Disease Classification: Integrating Anamnesis, Quality of Life Survey, and Physical Examination
title_full_unstemmed Machine Learning Techniques for Canine Myxomatous Mitral Valve Disease Classification: Integrating Anamnesis, Quality of Life Survey, and Physical Examination
title_short Machine Learning Techniques for Canine Myxomatous Mitral Valve Disease Classification: Integrating Anamnesis, Quality of Life Survey, and Physical Examination
title_sort machine learning techniques for canine myxomatous mitral valve disease classification integrating anamnesis quality of life survey and physical examination
topic anamnesis
clinical diagnosis
machine learning
predictive model
myxomatous mitral valve disease
dog
url https://www.mdpi.com/2306-7381/11/3/118
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