Novel CAD Diagnosis Method Based on Search, PCA, and AdaBoostM1 Techniques

Background: Cardiovascular diseases (CVDs) are the primary cause of mortality worldwide, resulting in a growing number of annual fatalities. Coronary artery disease (CAD) is one of the basic types of CVDs, and early diagnosis of CAD is crucial for convenient treatment and decreasing mortality rates. In the literature, several studies use many features for CAD diagnosis. However, due to the large number of features used in these studies, the possibility of early diagnosis is reduced. Methods: For this reason, in this study, a new method that uses only five features-age, hypertension, typical chest pain, t-wave inversion, and region with regional wall motion abnormality-and is a combination of eight different search techniques, principal component analysis (PCA), and the AdaBoostM1 algorithm has been proposed for early and accurate CAD diagnosis. Results: The proposed method is devised and tested on a benchmark dataset called Z-Alizadeh Sani. The performance of the proposed method is tested with a variety of metrics and compared with basic machine-learning techniques and the existing studies in the literature. The experimental results have shown that the proposed method is efficient and achieves the best classification performance, with an accuracy of 91.8%, ever reported on the Z-Alizadeh Sani dataset with so few features. Conclusions: As a result, medical practitioners can utilize the proposed approach for diagnosing CAD early and accurately.

Identification of Clinical Features Associated with Mortality in COVID-19 Patients

Understanding clinical features and risk factors associated with COVID-19 mortality is needed to early identify critically ill patients, initiate treatments and prevent mortality. A retrospective study on COVID-19 patients referred to a tertiary hospital in Iran between March and November 2020 was conducted. COVID-19-related mortality and its association with clinical features including headache, chest pain, symptoms on computerized tomography (CT), hospitalization, time to infection, history of neurological disorders, having a single or multiple risk factors, fever, myalgia, dizziness, seizure, abdominal pain, nausea, vomiting, diarrhoea and anorexia were investigated. Based on the investigation outcome, decision tree and dimension reduction algorithms were used to identify the aforementioned risk factors. Of the 3008 patients (mean age 59.3 ± 18.7 years, 44% women) with COVID-19, 373 died. There was a significant association between COVID-19 mortality and old age, headache, chest pain, low respiratory rate, oxygen saturation < 93%, need for a mechanical ventilator, having symptoms on CT, hospitalization, time to infection, neurological disorders, cardiovascular diseases and having a risk factor or multiple risk factors. In contrast, there was no significant association between mortality and gender, fever, myalgia, dizziness, seizure, abdominal pain, nausea, vomiting, diarrhoea and anorexia. Our results might help identify early symptoms related to COVID-19 and better manage patients according to the extracted decision tree. The proposed ML models identified a number of clinical features and risk factors associated with mortality in COVID-19 patients. These models if implemented in a clinical setting might help to early identify patients needing medical attention and care. However, more studies are needed to confirm these findings.

Artificial intelligence in atherosclerotic disease: Applications and trends

Atherosclerotic cardiovascular disease (ASCVD) is the most common cause of death globally. Increasing amounts of highly diverse ASCVD data are becoming available and artificial intelligence (AI) techniques now bear the promise of utilizing them to improve diagnosis, advance understanding of disease pathogenesis, enable outcome prediction, assist with clinical decision making and promote precision medicine approaches. Machine learning (ML) algorithms in particular, are already employed in cardiovascular imaging applications to facilitate automated disease detection and experts believe that ML will transform the field in the coming years. Current review first describes the key concepts of AI applications from a clinical standpoint. We then provide a focused overview of current AI applications in four main ASCVD domains: coronary artery disease (CAD), peripheral arterial disease (PAD), abdominal aortic aneurysm (AAA), and carotid artery disease. For each domain, applications are presented with refer to the primary imaging modality used [e.g., computed tomography (CT) or invasive angiography] and the key aim of the applied AI approaches, which include disease detection, phenotyping, outcome prediction, and assistance with clinical decision making. We conclude with the strengths and limitations of AI applications and provide future perspectives.

Breast Cancer Dataset, Classification and Detection Using Deep Learning

Incorporating scientific research into clinical practice via clinical informatics, which includes genomics, proteomics, bioinformatics, and biostatistics, improves patients' treatment. Computational pathology is a growing subspecialty with the potential to integrate whole slide images, multi-omics data, and health informatics. Pathology and laboratory medicine are critical to diagnosing cancer. This work will review existing computational and digital pathology methods for breast cancer diagnosis with a special focus on deep learning. The paper starts by reviewing public datasets related to breast cancer diagnosis. Additionally, existing deep learning methods for breast cancer diagnosis are reviewed. The publicly available code repositories are introduced as well. The paper is closed by highlighting challenges and future works for deep learning-based diagnosis.

Automatic prediction of coronary artery disease using differential evolution-based support vector machine

Coronary artery disease (CAD) is a common heart disease that causes the blockage of coronary arteries. To reduce fatality, an accurate diagnosis of this disease is very important. Angiography is one of the most trustworthy and conventional methods for CAD diagnosis however, it is risky, expensive, and time-consuming. Therefore in this study, we proposed a differential evolution-based support vector machine (SVM) for early and accurate detection of CAD. To improve the accuracy, different data preprocessing techniques such as one-hot encoding and normalization are also used with differential evolution for feature selection before performing classification. The proposed approach is benchmarked with the Z-Alizadeh Sani and Cleveland datasets against four state-of-the-art machine learning algorithms, and a highly cited genetic algorithm-based SVM (N2GC-nuSVM). The experimental results show that our proposed differential evolution-based SVM outperforms all the compared algorithms. The proposed method provides accuracies of 95±1% and 86.22% for predicting CAD on the benchmark datasets.

Diagnosis of each main coronary artery stenosis based on whale optimization algorithm and stacking model

Cardiovascular disease is currently one of the diseases with high morbidity and mortality worldwide. One of the main types is coronary artery disease (CAD), which occurs when one or more of the three main arteries, the left anterior descending (LAD) artery, the left circumflex (LCX) artery, and the right coronary artery (RCA), are narrowed. In this paper, we introduce a computer-aided diagnosis model, which uses the k-nearest neighbor (KNN)-based whale optimization algorithm (WOA) for feature selection and combines stacking model for CAD diagnosis and prediction. In WOA, the values in the solution vectors are all continuous, and a threshold is set for binary-conversion to obtain the optimal feature subsets of each main coronary artery. Then we develop a two-layer stacking model based on the selected feature subsets to diagnosis LAD, LCX and RCA. By the proposed method, we select 17 features for each main artery diagnosis, and the classification accuracy on LAD, LCX, and RCA test sets is 89.68, 88.71 and 85.81%, respectively. On the Z-Alizadeh Sani dataset, we compare the proposed feature selection method with other metaheuristics and compare the performance of WOA based on different wrappers. The experimental results show that, the KNN-based WOA method selects the optimal feature subsets, and the classification performance of the stacking model is better than other machine learning algorithms.

Coronary Artery Disease Classification Using Deep Neural Network and Ensemble Models Optimized by Particle Swarm Optimization

Nowadays, many people are suffering from several health related issues in which Coronary Artery Disease (CAD) is an important one. Identification, prevention and diagnosis of diseases is a very challenging task in the field of medical science. This paper proposes a new feature optimization technique known as PSO-Ensemble1 to reduce the number of features from CAD datasets. The proposed model is based on Particle Swarm Optimization (PSO) with Ensemble1 classifier as the objective function and is compared with other optimization techniques like PSO-CFSE and PSO-J48 with two benchmark CAD datasets. The main objective of this research work is to classify CAD with the proposed PSO-Ensemble1 model using the Ensemble Technique.

Ensemble of heterogeneous classifiers for diagnosis and prediction of coronary artery disease with reduced feature subset

BACKGROUND AND OBJECTIVE

Coronary artery disease (CAD) is considered one of the most prominent health issues causing high mortality in the world population. Hence, earlier diagnosis and prediction of CAD is essential for the proper medication of patients. The objective of this study is to develop a machine learning algorithm that will help in accurate diagnosis of CAD.

METHODS

In this paper, we have proposed a novel heterogeneous ensemble method combining three base classifiers viz., K-Nearest Neighbour, Random Forest, and Support Vector Machine for effective diagnosis of CAD. The results of base classifiers are combined using ensemble voting technique based on average-voting (AVEn), majority-voting (MVEn), and weighted-average voting (WAVEn) for prediction of CAD. The random forest-based Boruta wrapper feature selection algorithm and feature importance of SVM are used for relevant feature selection based on attribute importance and rank.

RESULTS

The proposed ensemble algorithm is developed using 5 features selected based on the feature importance and the performance of the algorithm is evaluated using the Z-Alizadeh Sani dataset. Further, the dataset is balanced using Synthetic Minority Over-sampling Technique and its performance is evaluated. The result analysis shows that the WAVEn algorithm achieves better classification accuracy, sensitivity, specificity and precision of 98.97%, 100%, 96.3% and 98.3% respectively for the original dataset. The WAVEn algorithm applied on the balanced dataset achieves 100% accuracy, sensitivity, specificity and precision in diagnosing CAD. To the best of author's knowledge, the accuracy achieved by WAVEn is the highest accuracy when compared with the state-of-the-art algorithms in the literature for both original and balanced dataset.

CONCLUSIONS

The statistical results prove the robustness of the WAVEn algorithm in reliably discriminating the CAD patients from healthy ones with high precision, and therefore it can be used for developing a decision support system for diagnosing CAD at an early stage.

Coronary artery disease detection using artificial intelligence techniques: A survey of trends, geographical differences and diagnostic features 1991-2020

While coronary angiography is the gold standard diagnostic tool for coronary artery disease (CAD), but it is associated with procedural risk, it is an invasive technique requiring arterial puncture, and it subjects the patient to radiation and iodinated contrast exposure. Artificial intelligence (AI) can provide a pretest probability of disease that can be used to triage patients for angiography. This review comprehensively investigates published papers in the domain of CAD detection using different AI techniques from 1991 to 2020, in order to discern broad trends and geographical differences. Moreover, key decision factors affecting CAD diagnosis are identified for different parts of the world by aggregating the results from different studies. In this study, all datasets that have been used for the studies for CAD detection, their properties, and achieved performances using various AI techniques, are presented, compared, and analyzed. In particular, the effectiveness of machine learning (ML) and deep learning (DL) techniques to diagnose and predict CAD are reviewed. From PubMed, Scopus, Ovid MEDLINE, and Google Scholar search, 500 papers were selected to be investigated. Among these selected papers, 256 papers met our criteria and hence were included in this study. Our findings demonstrate that AI-based techniques have been increasingly applied for the detection of CAD since 2008. AI-based techniques that utilized electrocardiography (ECG), demographic characteristics, symptoms, physical examination findings, and heart rate signals, reported high accuracy for the detection of CAD. In these papers, the authors ranked the features based on their assessed clinical importance with ML techniques. The results demonstrate that the attribution of the relative importance of ML features for CAD diagnosis is different among countries. More recently, DL methods have yielded high CAD detection performance using ECG signals, which drives its burgeoning adoption.

A new machine learning technique for an accurate diagnosis of coronary artery disease

BACKGROUND AND OBJECTIVE

Coronary artery disease (CAD) is one of the commonest diseases around the world. An early and accurate diagnosis of CAD allows a timely administration of appropriate treatment and helps to reduce the mortality. Herein, we describe an innovative machine learning methodology that enables an accurate detection of CAD and apply it to data collected from Iranian patients.

METHODS

We first tested ten traditional machine learning algorithms, and then the three-best performing algorithms (three types of SVM) were used in the rest of the study. To improve the performance of these algorithms, a data preprocessing with normalization was carried out. Moreover, a genetic algorithm and particle swarm optimization, coupled with stratified 10-fold cross-validation, were used twice: for optimization of classifier parameters and for parallel selection of features.

RESULTS

The presented approach enhanced the performance of all traditional machine learning algorithms used in this study. We also introduced a new optimization technique called N2Genetic optimizer (a new genetic training). Our experiments demonstrated that N2Genetic-nuSVM provided the accuracy of 93.08% and F1-score of 91.51% when predicting CAD outcomes among the patients included in a well-known Z-Alizadeh Sani dataset. These results are competitive and comparable to the best results in the field.

CONCLUSIONS

We showed that machine-learning techniques optimized by the proposed approach, can lead to highly accurate models intended for both clinical and research use.

Machine learning-based coronary artery disease diagnosis: A comprehensive review

Coronary artery disease (CAD) is the most common cardiovascular disease (CVD) and often leads to a heart attack. It annually causes millions of deaths and billions of dollars in financial losses worldwide. Angiography, which is invasive and risky, is the standard procedure for diagnosing CAD. Alternatively, machine learning (ML) techniques have been widely used in the literature as fast, affordable, and noninvasive approaches for CAD detection. The results that have been published on ML-based CAD diagnosis differ substantially in terms of the analyzed datasets, sample sizes, features, location of data collection, performance metrics, and applied ML techniques. Due to these fundamental differences, achievements in the literature cannot be generalized. This paper conducts a comprehensive and multifaceted review of all relevant studies that were published between 1992 and 2019 for ML-based CAD diagnosis. The impacts of various factors, such as dataset characteristics (geographical location, sample size, features, and the stenosis of each coronary artery) and applied ML techniques (feature selection, performance metrics, and method) are investigated in detail. Finally, the important challenges and shortcomings of ML-based CAD diagnosis are discussed.

An Efficient Coronary Disease Diagnosis System Using Dual-Phase Multi-Objective Optimization and Embedded Feature Selection

Developments in healthcare technologies have significantly enhanced spatial resolution and improved contrast resolution, permitting analysis of additional subtle structures than formerly attainable. An approach for Automatic recognition and quantification of calcifications from arteries in computed tomography (CT) scans is developed which is a key necessity in planning the treatment of individuals with suspected coronary artery disease. First, a Dual-Phase Multi-_objective Optimization approach using an Active Contour Model-based region-growing technique is developed. Second, an embedded feature selection method is developed with an expert classifier to detect calcified objects in the segmented artery with great accuracy. Finally, the Agatston scoring method is utilized to quantify the level of coronary artery calcium plaque. Coronary CT images from the AS+CT scanner with a slice thickness of 3 mm were obtained from clinical practice. Experimental results demonstrate that our proposed method improves the accuracy of lesion detection for better treatment planning.