应用机器学习分析和检测心绞痛诊断的危险因素

O. Ozhan, ipek ek, Zeynep Al
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摘要

目的:将机器学习(ML)方法之一Bagged CART方法应用于开放获取的心绞痛数据集,对女性心绞痛(AP)进行分类。另一个目的是通过建模揭示与女性AP相关的风险因素。材料和方法:在目前的研究中,使用Bagged CART技术利用包含与AP相关因素的开放获取数据集进行建模。模型结果通过准确性(ACC)、敏感性(Sen)、平衡准确性(BACC)、阳性预测值(PPV)、特异性(Spe)、阴性预测值(NPV)和f1评分性能标准进行评估。此外,在建模阶段采用了5倍交叉验证方法。最后,通过建模推导出变量重要性。结果:Bagged CART模型的ACC、BACC、Sen、Spe、PPV、NPV和f1评分分别为98.5%、98.5%、99.0%、98.0%、98.0%、99.0%和98.5%。根据当前研究中所调查的输入变量计算的变量重要性值,年龄、心肌梗死家族史:yes、每天平均吸烟数、吸烟状况:当前、心绞痛家族史:yes、高血压状况:中度、吸烟状况:ex、高血压状况:轻度、卒中家族史:yes、女性是否患有糖尿病:yes作为与ap相关的最重要变量。使用ML模型,AP数据集被成功分类,并揭示了相关的风险因素。ML模型可以作为早期诊断和治疗的临床决策支持系统。
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Analyzing And Detecting Risk Factors For The Diagnosis Of Angina Pectoris With Machine Learning
Aim: To classify angina pectoris (AP) in women by applying the Bagged CART approach, which is one of the machine learning (ML) methods, to the open-access AP dataset. Another aim is to reveal the risk factors associated with AP in women through modeling. Materials and Methods: In the current study, modeling was done with the Bagged CART technique utilizing an open-access data set containing the factors associated with AP. Model results were assessed with accuracy (ACC), sensitivity (Sen), balanced accuracy (BACC), positive predictive value (PPV), specificity (Spe), negative predictive value (NPV), and F1-score performance criteria. In addition, a 5-fold cross-validation approach was applied in the modeling phase. Finally, variable importance was derived with modeling. Results: ACC, BACC, Sen, Spe, PPV, NPV, and F1-score from Bagged CART modeling were 98.5%, 98.5%, 99.0%, 98.0%, 98.0%, 99.0%, and 98.5%, respectively. Depending on the variable importance values calculated for the input variables investigated in the current study, age, family history of myocardial infarction: yes, the average number of cigarettes smoked per day smoking status: current, family history of angina: yes, hypertensive condition: moderate, smoking status: ex, hypertensive condition: mild, family history of stroke: yes, whether the woman has diabetes: yes were obtained as the most important variables associated with AP. Conclusion: With the ML model used, the AP dataset was classified successfully, and the associated risk factors were revealed. ML models can be used as clinical decision support systems for early diagnosis and treatment.
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