Cancer classification using machine learning and HRV analysis: preliminary evidence from a pilot study

Abstract Most cancer patients exhibit autonomic dysfunction with attenuated heart rate variability (HRV) levels compared to healthy controls. This research aimed to create and evaluate a machine learning (ML) model enabling discrimination between cancer patients and healthy controls based on 5-min-E...

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Autores principales: Marta Vigier, Benjamin Vigier, Elisabeth Andritsch, Andreas R. Schwerdtfeger
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/edee2d171ae24450a6c36316b4192424
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spelling oai:doaj.org-article:edee2d171ae24450a6c36316b41924242021-11-21T12:25:03ZCancer classification using machine learning and HRV analysis: preliminary evidence from a pilot study10.1038/s41598-021-01779-12045-2322https://doaj.org/article/edee2d171ae24450a6c36316b41924242021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-01779-1https://doaj.org/toc/2045-2322Abstract Most cancer patients exhibit autonomic dysfunction with attenuated heart rate variability (HRV) levels compared to healthy controls. This research aimed to create and evaluate a machine learning (ML) model enabling discrimination between cancer patients and healthy controls based on 5-min-ECG recordings. We selected 12 HRV features based on previous research and compared the results between cancer patients and healthy individuals using Wilcoxon sum-rank test. Recursive Feature Elimination (RFE) identified the top five features, averaged over 5 min and employed them as input to three different ML. Next, we created an ensemble model based on a stacking method that aggregated the predictions from all three base classifiers. All HRV features were significantly different between the two groups. SDNN, RMSSD, pNN50%, HRV triangular index, and SD1 were selected by RFE and used as an input to three different ML. All three base-classifiers performed above chance level, RF being the most efficient with a testing accuracy of 83%. The ensemble model showed a classification accuracy of 86% and an AUC of 0.95. The results obtained by ML algorithms suggest HRV parameters could be a reliable input for differentiating between cancer patients and healthy controls. Results should be interpreted in light of some limitations that call for replication studies with larger sample sizes.Marta VigierBenjamin VigierElisabeth AndritschAndreas R. SchwerdtfegerNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Marta Vigier
Benjamin Vigier
Elisabeth Andritsch
Andreas R. Schwerdtfeger
Cancer classification using machine learning and HRV analysis: preliminary evidence from a pilot study
description Abstract Most cancer patients exhibit autonomic dysfunction with attenuated heart rate variability (HRV) levels compared to healthy controls. This research aimed to create and evaluate a machine learning (ML) model enabling discrimination between cancer patients and healthy controls based on 5-min-ECG recordings. We selected 12 HRV features based on previous research and compared the results between cancer patients and healthy individuals using Wilcoxon sum-rank test. Recursive Feature Elimination (RFE) identified the top five features, averaged over 5 min and employed them as input to three different ML. Next, we created an ensemble model based on a stacking method that aggregated the predictions from all three base classifiers. All HRV features were significantly different between the two groups. SDNN, RMSSD, pNN50%, HRV triangular index, and SD1 were selected by RFE and used as an input to three different ML. All three base-classifiers performed above chance level, RF being the most efficient with a testing accuracy of 83%. The ensemble model showed a classification accuracy of 86% and an AUC of 0.95. The results obtained by ML algorithms suggest HRV parameters could be a reliable input for differentiating between cancer patients and healthy controls. Results should be interpreted in light of some limitations that call for replication studies with larger sample sizes.
format article
author Marta Vigier
Benjamin Vigier
Elisabeth Andritsch
Andreas R. Schwerdtfeger
author_facet Marta Vigier
Benjamin Vigier
Elisabeth Andritsch
Andreas R. Schwerdtfeger
author_sort Marta Vigier
title Cancer classification using machine learning and HRV analysis: preliminary evidence from a pilot study
title_short Cancer classification using machine learning and HRV analysis: preliminary evidence from a pilot study
title_full Cancer classification using machine learning and HRV analysis: preliminary evidence from a pilot study
title_fullStr Cancer classification using machine learning and HRV analysis: preliminary evidence from a pilot study
title_full_unstemmed Cancer classification using machine learning and HRV analysis: preliminary evidence from a pilot study
title_sort cancer classification using machine learning and hrv analysis: preliminary evidence from a pilot study
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/edee2d171ae24450a6c36316b4192424
work_keys_str_mv AT martavigier cancerclassificationusingmachinelearningandhrvanalysispreliminaryevidencefromapilotstudy
AT benjaminvigier cancerclassificationusingmachinelearningandhrvanalysispreliminaryevidencefromapilotstudy
AT elisabethandritsch cancerclassificationusingmachinelearningandhrvanalysispreliminaryevidencefromapilotstudy
AT andreasrschwerdtfeger cancerclassificationusingmachinelearningandhrvanalysispreliminaryevidencefromapilotstudy
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