Non-invasive ML methods for diagnosis of congenital heart disease associated with pulmonary arterial hypertension

ObjectiveCongenital heart disease with pulmonary arterial hypertension (CHD-PAH), caused by CHD, is associated with high clinical mortality. Hence, timely diagnosis is imperative for treatment.ApproachTwo non-invasive diagnosis algorithms of CHD-PAH were put forward in this review, which were direct...

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Bibliographic Details
Main Authors: Yuyang Gao, Pengyue Ma, Jiahua Pan, Hongbo Yang, Tao Guo, Weilian Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Physiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2024.1502725/full
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Summary:ObjectiveCongenital heart disease with pulmonary arterial hypertension (CHD-PAH), caused by CHD, is associated with high clinical mortality. Hence, timely diagnosis is imperative for treatment.ApproachTwo non-invasive diagnosis algorithms of CHD-PAH were put forward in this review, which were direct three-divided and two-stage classification models. Pre-processing in both algorithms focuses on segmentation of heart sounds into discrete cardiac cycles. Both the dual-threshold and Bi-LSTM (Bi-directional Long Short-Term Memory) methods demonstrate efficacy. In the feature extraction phase, the direct three-divided model integrate time-, frequency-, and energy-domain features with deep learning features. While the two-stage classification model sequentially extracts sub-band envelopes and short-time energy of cardiac cycle. In the classification phase, considering the lack of CHD-PAH data, ensemble learning was widely used.Main resultsAn accuracy of 88.61% was achieved with direct three-divided model and 90.9% with two-stage classification model.SignificanceBy analyzing and discussing these algorithms, future research directions of CHD-PAH assisted diagnosis were discussed. It is hoped that it will provide insight into prediction of CHD-PAH. Thus saving people from death due to untimely assistance.
ISSN:1664-042X