Biophotonics Laboratory, National Research Tomsk State University, Tomsk, Russia.
Department of Emergency Cardiology, Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia.
J Breath Res. 2021 Mar 18;15(2). doi: 10.1088/1752-7163/abebd4.
Conventional acute myocardial infarction (AMI) diagnosis is quite accurate and has proved its effectiveness. However, despite this, discovering more operative methods of this disease detection is underway. From this point of view, the application of exhaled air analysis for a similar diagnosis is valuable. The aim of the paper is to research effective machine learning algorithms for the predictive model for AMI diagnosis constructing, using exhaled air spectral data. The target group included 30 patients with primary myocardial infarction. The control group included 42 healthy volunteers. The 'LaserBreeze' laser gas analyzer (Special Technologies Ltd, Russia), based on the dual-channel resonant photoacoustic detector cell and optical parametric oscillator as the laser source, had been used. The pattern recognition approach was applied in the same manner for the set of extracted concentrations of AMI volatile markers and the set of absorption coefficients in a most informative spectral range 2.900 ± 0.125m. The created predictive model based on the set of absorption coefficients provided 0.86 of the mean values of both the sensitivity and specificity when linear support vector machine (SVM) combined with principal component analysis was used. The created predictive model based on using six volatile AMI markers (CH, NO, NO, CH, CO, CO) provided 0.82 and 0.93 of the mean values of the sensitivity and specificity, respectively, when linear SVM was used.
传统的急性心肌梗死(AMI)诊断非常准确,已被证明具有有效性。然而,尽管如此,人们仍在探索更有效的疾病检测方法。从这个角度来看,呼气分析在类似诊断中的应用具有一定的价值。本文旨在研究使用呼气光谱数据构建 AMI 诊断预测模型的有效机器学习算法。目标人群包括 30 名原发性心肌梗死患者。对照组包括 42 名健康志愿者。研究使用了基于双通道共振光声探测器和光学参量振荡器作为激光源的“LaserBreeze”激光气体分析仪(Special Technologies Ltd,俄罗斯)。同样的模式识别方法适用于提取的 AMI 挥发性标志物浓度集和最具信息量的光谱范围 2.900±0.125m 中的吸收系数集。基于吸收系数集创建的预测模型,当使用线性支持向量机(SVM)结合主成分分析时,其敏感性和特异性的平均值分别为 0.86。当使用线性 SVM 时,基于使用六种挥发性 AMI 标志物(CH、NO、NO、CH、CO、CO)的预测模型,其敏感性和特异性的平均值分别为 0.82 和 0.93。