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模式识别工具在急性冠状动脉综合征分类中的应用:一种综合医学建模

Application of pattern recognition tools for classifying acute coronary syndrome: an integrated medical modeling.

作者信息

Salari Nader, Shohaimi Shamarina, Najafi Farid, Nallappan Meenakshii, Karishnarajah Isthrinayagy

机构信息

Department of Biology, Faculty of Science, University Putra Malaysia, Serdang, Selangor, Malaysia.

出版信息

Theor Biol Med Model. 2013 Sep 18;10:57. doi: 10.1186/1742-4682-10-57.

Abstract

OBJECTIVE

The classification of Acute Coronary Syndrome (ACS), using artificial intelligence (AI), has recently drawn the attention of the medical researchers. Using this approach, patients with myocardial infarction can be differentiated from those with unstable angina. The present study aims to develop an integrated model, based on the feature selection and classification, for the automatic classification of ACS.

METHODS

A dataset containing medical records of 809 patients suspected to suffer from ACS was used. For each subject, 266 clinical factors were collected. At first, a feature selection was performed based on interviews with 20 cardiologists; thereby 40 seminal features for classifying ACS were selected. Next, a feature selection algorithm was also applied to detect a subset of the features with the best classification accuracy. As a result, the feature numbers considerably reduced to only seven. Lastly, based on the seven selected features, eight various common pattern recognition tools for classification of ACS were used.

RESULTS

The performance of the aforementioned classifiers was compared based on their accuracy computed from their confusion matrices. Among these methods, the multi-layer perceptron showed the best performance with the 83.2% accuracy.

CONCLUSION

The results reveal that an integrated AI-based feature selection and classification approach is an effective method for the early and accurate classification of ACS and ultimately a timely diagnosis and treatment of this disease.

摘要

目的

利用人工智能(AI)对急性冠状动脉综合征(ACS)进行分类,最近引起了医学研究人员的关注。采用这种方法,可以将心肌梗死患者与不稳定型心绞痛患者区分开来。本研究旨在基于特征选择和分类开发一种综合模型,用于ACS的自动分类。

方法

使用了一个包含809例疑似ACS患者病历的数据集。为每个受试者收集了266个临床因素。首先,基于对20位心脏病专家的访谈进行特征选择;从而选择了40个用于分类ACS的关键特征。接下来,还应用了一种特征选择算法来检测具有最佳分类准确性的特征子集。结果,特征数量大幅减少至仅7个。最后,基于这7个选定的特征,使用了8种用于ACS分类的常见模式识别工具。

结果

根据从混淆矩阵计算出的准确率,对上述分类器的性能进行了比较。在这些方法中,多层感知器表现最佳,准确率为83.2%。

结论

结果表明,基于AI的综合特征选择和分类方法是一种对ACS进行早期准确分类的有效方法,最终有助于对该疾病进行及时诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc87/3848855/65970bf446b1/1742-4682-10-57-1.jpg

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