Machine learning models for screening carotid atherosclerosis in asymptomatic adults

Abstract Carotid atherosclerosis (CAS) is a risk factor for cardiovascular and cerebrovascular events, but duplex ultrasonography isn’t recommended in routine screening for asymptomatic populations according to medical guidelines. We aim to develop machine learning models to screen CAS in asymptomat...

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Autores principales: Jian Yu, Yan Zhou, Qiong Yang, Xiaoling Liu, Lili Huang, Ping Yu, Shuyuan Chu
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/1dc4decb32624ee5aea34fbc2bb4efa4
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spelling oai:doaj.org-article:1dc4decb32624ee5aea34fbc2bb4efa42021-11-21T12:24:45ZMachine learning models for screening carotid atherosclerosis in asymptomatic adults10.1038/s41598-021-01456-32045-2322https://doaj.org/article/1dc4decb32624ee5aea34fbc2bb4efa42021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-01456-3https://doaj.org/toc/2045-2322Abstract Carotid atherosclerosis (CAS) is a risk factor for cardiovascular and cerebrovascular events, but duplex ultrasonography isn’t recommended in routine screening for asymptomatic populations according to medical guidelines. We aim to develop machine learning models to screen CAS in asymptomatic adults. A total of 2732 asymptomatic subjects for routine physical examination in our hospital were included in the study. We developed machine learning models to classify subjects with or without CAS using decision tree, random forest (RF), extreme gradient boosting (XGBoost), support vector machine (SVM) and multilayer perceptron (MLP) with 17 candidate features. The performance of models was assessed on the testing dataset. The model using MLP achieved the highest accuracy (0.748), positive predictive value (0.743), F1 score (0.742), area under receiver operating characteristic curve (AUC) (0.766) and Kappa score (0.445) among all classifiers. It’s followed by models using XGBoost and SVM. In conclusion, the model using MLP is the best one to screen CAS in asymptomatic adults based on the results from routine physical examination, followed by using XGBoost and SVM. Those models may provide an effective and applicable method for physician and primary care doctors to screen asymptomatic CAS without risk factors in general population, and improve risk predictions and preventions of cardiovascular and cerebrovascular events in asymptomatic adults.Jian YuYan ZhouQiong YangXiaoling LiuLili HuangPing YuShuyuan ChuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jian Yu
Yan Zhou
Qiong Yang
Xiaoling Liu
Lili Huang
Ping Yu
Shuyuan Chu
Machine learning models for screening carotid atherosclerosis in asymptomatic adults
description Abstract Carotid atherosclerosis (CAS) is a risk factor for cardiovascular and cerebrovascular events, but duplex ultrasonography isn’t recommended in routine screening for asymptomatic populations according to medical guidelines. We aim to develop machine learning models to screen CAS in asymptomatic adults. A total of 2732 asymptomatic subjects for routine physical examination in our hospital were included in the study. We developed machine learning models to classify subjects with or without CAS using decision tree, random forest (RF), extreme gradient boosting (XGBoost), support vector machine (SVM) and multilayer perceptron (MLP) with 17 candidate features. The performance of models was assessed on the testing dataset. The model using MLP achieved the highest accuracy (0.748), positive predictive value (0.743), F1 score (0.742), area under receiver operating characteristic curve (AUC) (0.766) and Kappa score (0.445) among all classifiers. It’s followed by models using XGBoost and SVM. In conclusion, the model using MLP is the best one to screen CAS in asymptomatic adults based on the results from routine physical examination, followed by using XGBoost and SVM. Those models may provide an effective and applicable method for physician and primary care doctors to screen asymptomatic CAS without risk factors in general population, and improve risk predictions and preventions of cardiovascular and cerebrovascular events in asymptomatic adults.
format article
author Jian Yu
Yan Zhou
Qiong Yang
Xiaoling Liu
Lili Huang
Ping Yu
Shuyuan Chu
author_facet Jian Yu
Yan Zhou
Qiong Yang
Xiaoling Liu
Lili Huang
Ping Yu
Shuyuan Chu
author_sort Jian Yu
title Machine learning models for screening carotid atherosclerosis in asymptomatic adults
title_short Machine learning models for screening carotid atherosclerosis in asymptomatic adults
title_full Machine learning models for screening carotid atherosclerosis in asymptomatic adults
title_fullStr Machine learning models for screening carotid atherosclerosis in asymptomatic adults
title_full_unstemmed Machine learning models for screening carotid atherosclerosis in asymptomatic adults
title_sort machine learning models for screening carotid atherosclerosis in asymptomatic adults
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/1dc4decb32624ee5aea34fbc2bb4efa4
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AT xiaolingliu machinelearningmodelsforscreeningcarotidatherosclerosisinasymptomaticadults
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