Machine Learning-based Biomarker Identification for Cardiovascular Disease Prediction: Combining X-ray with Electrocardiogram Analysis

Authors

  • Heeyoon Choi Shanghai American School Puxi
  • Gregory Rose Shanghai American School Puxi

DOI:

https://doi.org/10.47611/jsrhs.v13i2.6856

Keywords:

Cardiovascular Disease, Chest X-ray, Electrocardiogram, Machine Learning

Abstract

Cardiovascular disease (CVD) is a major health problem worldwide. As there currently is no cure for cardiovascular disease, early diagnosis is imperative in maintaining a high quality of life for patients. Traditional method of diagnosis for cardiovascular disease involves assessing a coronary artery calcium score (CACS) through computerized tomography (CT). However, this method cannot achieve early diagnosis of cardiovascular disease. This study aims to find a novel biomarker for cardiovascular disease using X-rays and electrocardiograms (ECG). A machine learning-based approach will be used to create a multimodal algorithm that can diagnose the severity of CVD through using CACS benchmarks. Numerous experimental results indicate that the proposed multimodal approach enhances the accuracy of diagnosing the severity of CVD. The proposed multimodal approach was evaluated with several state-of-the-art convolutional neural network architectures, resulting in an impressive accuracy rate of 93.8% on a large-scale CVD dataset comprised of 21,625 patient samples. These findings demonstrate the feasibility of utilizing biomarkers such as ECG and X-ray for diagnosing CVD.

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References or Bibliography

Abdar, M., Książek, W., Acharya, U. R., Tan, R. S., Makarenkov, V., & Pławiak, P. (2019, October 1). A new machine learning technique for an accurate diagnosis of coronary artery disease. Computer Methods and Programs in Biomedicine. https://doi.org/10.1016/j.cmpb.2019.104992.

Abubaker, M.B., and Babayiğit, B (2022). Detection of Cardiovascular Diseases in ECG Images Using Machine Learning and Deep Learning Methods. IEEE Transactions on Artificial Intelligence, 4(2), https://doi.org/10.1109/TAI.2022.3159505.

Alfaras, M., Soriano, M. C., & Ortín, S. (2019). A fast machine learning model for ECG-based heartbeat classification and arrhythmia detection. Frontiers in Physics, 103.

Al‐Zaiti, S. S., Martin‐Gill, C., Zègre‐Hemsey, J., Bouzid, Z., Faramand, Z., Alrawashdeh, M., Gregg, R. E., Helman, S., Riek, N. T., Kraevsky-Phillips, K., Clermont, G., Akçakaya, M., Sereika, S. M., Van Dam, P., Smith, S. W., Birnbaum, Y., Saba, S., Sejdić, E., & Callaway, C. W. (2023, June 29). Machine learning for ECG diagnosis and risk stratification of occlusion myocardial infarction. Nature Medicine. https://doi.org/10.1038/s41591-023-02396-3

D’Ancona, G., Massussi, M., Savardi, M., Signoroni, A., Di Bacco, L., Farina, D., Metra, M., Maroldi, R., Muneretto, C., İnce, H., Costabile, D., Murero, M., Chizzola, G., Curello, S., & Benussi, S. (2023, January 1). Deep learning to detect significant coronary artery disease from plain chest radiographs AI4CAD. International Journal of Cardiology. https://doi.org/10.1016/j.ijcard.2022.10.154

Eem, C., Hong, H. K., & Noh, Y. (2020, December 7). Deep-Learning Model to Predict Coronary Artery Calcium Scores in Humans from Electrocardiogram Data. Applied Sciences. https://doi.org/10.3390/app10238746

He, K., Zhang, X., Ren, S., & Sun, J. (2016). Deep residual learning for image recognition. In Proceedings of the IEEE conference on computer vision and pattern recognition (pp. 770-778). https://doi.org/10.48550/arXiv.1512.03385

Hu, J., Shen, L., & Sun, G. (2018). Squeeze-and-excitation networks. In Proceedings of the IEEE conference on computer vision and pattern recognition (pp. 7132-7141).

Jeong, H., Park, H.-B., Hong, J., Lee, J., Ha, S., Heo, R., Jung, J., Hong, Y., & Chang, H.-J. (2023). Identifying Coronary Artery Calcification Using Chest X-ray Radiographs and Machine Learning. Journal of Thoracic Imaging. https://doi.org/10.1097/rti.0000000000000757

Kamel, P.I., Yi, P.H., Sair, H.I., and Lin, C.T (2021). Prediction of Coronary Artery Calcium and Cardiovascular Risk on Chest Radiographs Using Deep Learning. Radiology: Cardiothoracic Imaging, 3(3), https://doi.org/10.1148/ryct.2021200486

Kolossváry, M., Raghu, V.K., Nagurney, J.T., Hoffman, U., and Lu, M.T (2023). Deep Learning Analysis of Chest Radiographs to Triage Patients with Acute Chest Pain Syndrome. Radiology, 306(2), https://doi.org/10.1148/radiol.221926.

‌Morris, F., Brady, W. J., & Camm, A. J. (Eds.). (2009). ABC of clinical electrocardiography. John Wiley & Sons.

Sandler, M., Howard, A., Zhu, M., Zhmoginov, A., & Chen, L. C. (2018). Mobilenetv2: Inverted residuals and linear bottlenecks. In Proceedings of the IEEE conference on computer vision and pattern recognition (pp. 4510-4520). https://doi.org/10.48550/arXiv.1801.04381

Simonyan, K., & Zisserman, A. (2014). Very deep convolutional networks for large-scale image recognition. arXiv preprint arXiv:1409.1556. https://doi.org/10.48550/arXiv.1409.1556

Wang, J., Sun, K., Cheng, T., Jiang, B., Deng, C., Zhao, Y., ... & Xiao, B. (2020). Deep high-resolution representation learning for visual recognition. IEEE transactions on pattern analysis and machine intelligence, 43(10), 3349-3364. https://doi.org/10.48550/arXiv.1908.07919

Xie, S., Girshick, R., Dollár, P., Tu, Z., & He, K. (2017). Aggregated residual transformations for deep neural networks. In Proceedings of the IEEE conference on computer vision and pattern recognition (pp. 1492-1500).

Published

05-31-2024

How to Cite

Choi, H., & Rose, G. (2024). Machine Learning-based Biomarker Identification for Cardiovascular Disease Prediction: Combining X-ray with Electrocardiogram Analysis. Journal of Student Research, 13(2). https://doi.org/10.47611/jsrhs.v13i2.6856

Issue

Section

HS Research Articles