Machine Learning Models for the Identification of Cardiovascular Diseases Using UK Biobank Data

Sheikh Mohammed Shariful Islam, Moloud Abrar, Teketo Tegegne, Liliana Loranjo, Chandan Karmakar, Md Abdul Awal, Md. Shahadat Hossain, Muhammad Ashad Kabir, Mufti Mahmud, Abbas Khosravi, George Siopis, Jeban C Moses, Ralph Maddison
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Abstract

Machine learning models have the potential to identify cardiovascular diseases (CVDs) early and accurately in primary healthcare settings, which is crucial for delivering timely treatment and management. Although population-based CVD risk models have been used traditionally, these models often do not consider variations in lifestyles, socioeconomic conditions, or genetic predispositions. Therefore, we aimed to develop machine learning models for CVD detection using primary healthcare data, compare the performance of different models, and identify the best models. We used data from the UK Biobank study, which included over 500,000 middle-aged participants from different primary healthcare centers in the UK. Data collected at baseline (2006--2010) and during imaging visits after 2014 were used in this study. Baseline characteristics, including sex, age, and the Townsend Deprivation Index, were included. Participants were classified as having CVD if they reported at least one of the following conditions: heart attack, angina, stroke, or high blood pressure. Cardiac imaging data such as electrocardiogram and echocardiography data, including left ventricular size and function, cardiac output, and stroke volume, were also used. We used 9 machine learning models (LSVM, RBFSVM, GP, DT, RF, NN, AdaBoost, NB, and QDA), which are explainable and easily interpretable. We reported the accuracy, precision, recall, and F-1 scores; confusion matrices; and area under the curve (AUC) curves.
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利用英国生物库数据识别心血管疾病的机器学习模型
机器学习模型具有在初级医疗保健环境中早期准确识别心血管疾病(CVD)的潜力,这对于提供及时的治疗和管理至关重要。虽然传统上一直使用基于人群的心血管疾病风险模型,但这些模型往往没有考虑生活方式、社会经济条件或遗传倾向的变化。因此,我们旨在利用初级医疗保健数据开发用于心血管疾病检测的机器学习模型,比较不同模型的性能,并找出最佳模型。我们使用了英国生物库研究的数据,其中包括来自英国不同初级医疗保健中心的 50 多万名中年参与者。基线特征包括性别、年龄和汤森贫困指数(Townsend DeprivationIndex)。如果参与者至少报告了以下一种情况,则被归类为患有心血管疾病:心脏病发作、心绞痛、中风或高血压。我们还使用了心电图和超声心动图等心脏成像数据,包括左心室大小和功能、心输出量和每搏容积。我们使用了 9 种机器学习模型(LSVM、RBFSVM、GP、DT、RF、NN、AdaBoost、NB 和 QDA),这些模型易于解释和说明。我们报告了准确度、精确度、召回率和 F-1 分数、混淆矩阵和曲线下面积 (AUC) 曲线。
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