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基于逻辑回归和人工神经网络的冠心病患者冠状动脉狭窄风险预测。

Risk Prediction of Coronary Artery Stenosis in Patients with Coronary Heart Disease Based on Logistic Regression and Artificial Neural Network.

机构信息

Department of Cardiology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.

Department of Cardiology, Hefei Third Clinical College, Anhui Medical University (Hefei Third People's Hospital), Hefei 230022, China.

出版信息

Comput Math Methods Med. 2022 Mar 19;2022:3684700. doi: 10.1155/2022/3684700. eCollection 2022.

Abstract

OBJECTIVE

Coronary heart disease (CHD) is considered an inflammatory relative disease. This study is aimed at analyzing the health information of serum interferon in CHD based on logistic regression and artificial neural network (ANN) model.

METHOD

A total of 155 CHD patients diagnosed by coronary angiography in our department from January 2017 to March 2020 were included. All patients were randomly divided into a training set ( = 108) and a test set ( = 47). Logistic regression and ANN models were constructed using the training set data. The predictive factors of coronary artery stenosis were screened, and the predictive effect of the model was evaluated by using the test set data. All the health information of participants was collected. Expressions of serum IFN-, MIG, and IP-10 were detected by double antibody sandwich ELISA. Spearman linear correlation analysis determined the relationship between the interferon and degree of stenosis. The logistic regression model was used to evaluate independent risk factors of CHD.

RESULT

The Spearman correlation analysis showed that the degree of stenosis was positively correlated with serum IFN-, MIG, and IP-10 levels. The logistic regression analysis and ANN model showed that the MIG and IP-10 were independent predictors of Gensini score: MIG (95% CI: 0.8760.934, < 0.001) and IP-10 (95% CI: 1.0091.039, < 0.001). There was no statistically significant difference between the logistic regression and the ANN model ( > 0.05).

CONCLUSION

The logistic regression model and ANN model have similar predictive performance for coronary artery stenosis risk factors in patients with CHD. In patients with CHD, the expression levels of IFN-, IP-10, and MIG are positively correlated with the degree of stenosis. The IP-10 and MIG are independent risk factors for coronary artery stenosis.

摘要

目的

冠心病(CHD)被认为是一种炎症相关疾病。本研究旨在基于逻辑回归和人工神经网络(ANN)模型分析 CHD 患者血清干扰素的健康信息。

方法

选取 2017 年 1 月至 2020 年 3 月在我院行冠状动脉造影诊断为 CHD 的 155 例患者,所有患者均采用随机数字表法分为训练集(n = 108)和测试集(n = 47)。采用训练集数据构建逻辑回归和 ANN 模型,筛选出预测冠状动脉狭窄的因素,并采用测试集数据评价模型的预测效果。收集所有参与者的健康信息,采用双抗体夹心 ELISA 法检测血清 IFN-γ、MIG 和 IP-10 的表达水平。采用 Spearman 线性相关分析确定干扰素与狭窄程度的关系。采用逻辑回归模型评价 CHD 的独立危险因素。

结果

Spearman 相关性分析显示,狭窄程度与血清 IFN-γ、MIG 和 IP-10 水平呈正相关。逻辑回归分析和 ANN 模型显示,MIG 和 IP-10 是 Gensini 评分的独立预测因子:MIG(95%CI:0.8760.934,<0.001)和 IP-10(95%CI:1.0091.039,<0.001)。逻辑回归和 ANN 模型之间无统计学差异(>0.05)。

结论

逻辑回归模型和 ANN 模型对 CHD 患者冠状动脉狭窄危险因素的预测性能相似。在 CHD 患者中,IFN-γ、IP-10 和 MIG 的表达水平与狭窄程度呈正相关。IP-10 和 MIG 是冠状动脉狭窄的独立危险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7eb/8957440/a8eaca99b952/CMMM2022-3684700.001.jpg

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