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使用心脏机械模态对经导管主动脉瓣置换术前和术后的主动脉瓣狭窄进行分类。

Classification of Aortic Stenosis Before and After Transcatheter Aortic Valve Replacement Using Cardio-mechanical Modalities.

作者信息

Yang Chenxi, Ojha Banish, Aranoff Nicole D, Green Philip, Tavassolian Negar

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2020 Jul;2020:2820-2823. doi: 10.1109/EMBC44109.2020.9176321.

Abstract

This paper reports our study on the impact of transcatheter aortic valve replacement (TAVR) on the classification of aortic stenosis (AS) patients using cardio-mechanical modalities. Machine learning algorithms such as decision tree, random forest, and neural network were applied to conduct two tasks. Firstly, the pre- and post-TAVR data are evaluated with the classifiers trained in the literature. Secondly, new classifiers are trained to classify between pre- and post-TAVR data. Using analysis of variance, the features that are significantly different between pre- and post-TAVR patients are selected and compared to the features used in the pre-trained classifiers. The results suggest that pre-TAVR subjects could be classified as AS patients but post-TAVR could not be classified as healthy subjects. The features which differentiate pre- and post-TAVR patients reveal different distributions compared to the features that classify AS patients and healthy subjects. These results could guide future work in the classification of AS as well as the evaluation of the recovery status of patients after TAVR treatment.

摘要

本文报告了我们关于经导管主动脉瓣置换术(TAVR)对使用心脏机械模态的主动脉瓣狭窄(AS)患者分类影响的研究。应用决策树、随机森林和神经网络等机器学习算法来执行两项任务。首先,使用文献中训练的分类器对TAVR术前和术后的数据进行评估。其次,训练新的分类器对TAVR术前和术后的数据进行分类。使用方差分析,选择TAVR术前和术后患者之间显著不同的特征,并与预训练分类器中使用的特征进行比较。结果表明,TAVR术前的受试者可被分类为AS患者,但TAVR术后的受试者不能被分类为健康受试者。与区分AS患者和健康受试者的特征相比,区分TAVR术前和术后患者的特征显示出不同的分布。这些结果可为AS分类以及TAVR治疗后患者恢复状态评估的未来工作提供指导。

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