Abstract
This chapter describes the state-of-the-art in artificial intelligence and machine learning methods for cardiovascular disease diagnosis and prognosis, focusing on Coronary Artery Disease (CAD). We aim at providing a cohesive overview of the existing methodologies in the topic and the most exploitable predictors for CAD staging and evolution. Thus, the relevant literature is analysed and contrasted with respect to the acquired dataset, the examined feature space, the employed predictive modelling schemes and their discriminative or predictive capacity. Moreover, important challenges stemming from the increasing ubiquity of electronic health records, personal health records and big data are discussed and, given the limitations of current approaches, future directions are delineated.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- ATS:
-
Atherosclerosis
- AUC:
-
Area Under the ROC Curve
- BMI:
-
Body Mass Index
- CA:
-
Coronary Angiography
- CAD:
-
Coronary Artery Disease
- CART:
-
Classification and Regression Trees
- CFS:
-
Correlation-based Feature Selection
- CTA:
-
Computed Tomography Angiography
- CVD:
-
Cardiovascular Disease
- DBN:
-
Dynamic Bayesian Network
- EHR:
-
Electronic Health Record
- FFNN:
-
Feed-forward Neural Network
- FRS:
-
Framingham Risk Score
- FURIA:
-
Fuzzy Unordered Rule Induction Algorithm
- GAM:
-
Generalized Additive Model
- GBT:
-
Gradient Boosted Trees
- HDL:
-
High-density Lipoprotein
- IVUS:
-
Intravascular Ultrasound
- LAD:
-
Left Anterior Descending
- LCX:
-
Left Circumflex
- LDL:
-
Low-density Lipoprotein
- LR:
-
Logistic Regression
- MRI:
-
Magnetic Resonance Imaging
- NPV:
-
Negative Predictive Value
- OCT:
-
Optical Coherence Tomography
- PHR:
-
Personal Health Record
- PPV:
-
Positive Predictive Value
- RBF:
-
Radial Basis Function Network
- RCA:
-
Right Coronary Artery
- RF:
-
Random Forest
- ROC:
-
Receiver Operating Curve
- RTF:
-
Rotation Forest
- SMOTE:
-
Synthetic Minority Oversampling Technique
- SOFM:
-
Self-organizing Feature Map
- SVM:
-
Support Vector Machine
- TA:
-
Temporal Abstraction
References
Stone PH, Saito S, Takahashi S, Makita Y, Nakamura S, Kawasaki T, Takahashi A, Katsuki T, Nakamura S, Namiki A, Hirohata A, Matsumura T, Yamazaki S, Yokoi H, Tanaka S, Otsuji S, Yoshimachi F, Honye J, Harwood D, Reitman M, Coskun AU, Papafaklis MI, Feldman CL (2012) Prediction of progression of coronary artery disease and clinical outcomes using vascular profiling of endothelial shear stress and arterial plaque characteristics: the PREDICTION study. Circulation 126(2):172–181. https://doi.org/10.1161/circulationaha.112.096438
Sakellarios A, Bourantas CV, Papadopoulou S-L, Tsirka Z, de Vries T, Kitslaar PH, Girasis C, Naka KK, Fotiadis DI, Veldhof S, Stone GW, Reiber JHC, Michalis LK, Serruys PW, de Feyter PJ, Garcia-Garcia HM (2017) Prediction of atherosclerotic disease progression using LDL transport modelling: a serial computed tomographic coronary angiographic study. Eur Heart J Cardiovasc Imaging 18(1):11–18. https://doi.org/10.1093/ehjci/jew035
Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, Cooney MT, Corra U, Cosyns B, Deaton C, Graham I, Hall MS, Hobbs FD, Lochen ML, Lollgen H, Marques-Vidal P, Perk J, Prescott E, Redon J, Richter DJ, Sattar N, Smulders Y, Tiberi M, van der Worp HB, van Dis I, Verschuren WM (2016) European Guidelines on cardiovascular disease prevention in clinical practice: the Sixth Joint Task Force of the European Society of Cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur Heart J 37(29):2315–2381. https://doi.org/10.1093/eurheartj/ehw106
Ferguson JF, Allayee H, Gerszten RE, Ideraabdullah F, Kris-Etherton PM, Ordovas JM, Rimm EB, Wang TJ, Bennett BJ (2016) Nutrigenomics, the microbiome, and gene-environment interactions: new directions in cardiovascular disease research, prevention, and treatment: a scientific statement from the American Heart Association. Circ Cardiovasc Genet 9(3):291–313. https://doi.org/10.1161/hcg.0000000000000030
D’Agostino RB Sr, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, Kannel WB (2008) General cardiovascular risk profile for use in primary care: the Framingham Heart Study. Circulation 117(6):743–753. https://doi.org/10.1161/circulationaha.107.699579
Conroy RM, Pyorala K, Fitzgerald AP, Sans S, Menotti A, De Backer G, De Bacquer D, Ducimetiere P, Jousilahti P, Keil U, Njolstad I, Oganov RG, Thomsen T, Tunstall-Pedoe H, Tverdal A, Wedel H, Whincup P, Wilhelmsen L, Graham IM (2003) Estimation of ten-year risk of fatal cardiovascular disease in Europe: the SCORE project. Eur Heart J 24(11):987–1003
Hippisley-Cox J, Coupland C, Robson J, Brindle P (2010) Derivation, validation, and evaluation of a new QRISK model to estimate lifetime risk of cardiovascular disease: cohort study using QResearch database. BMJ (Clinical research ed) 341:c6624. https://doi.org/10.1136/bmj.c6624
Damen JA, Hooft L, Schuit E, Debray TP, Collins GS, Tzoulaki I, Lassale CM, Siontis GC, Chiocchia V, Roberts C, Schlussel MM, Gerry S, Black JA, Heus P, van der Schouw YT, Peelen LM, Moons KG (2016) Prediction models for cardiovascular disease risk in the general population: systematic review. BMJ (Clinical research ed) 353:i2416. https://doi.org/10.1136/bmj.i2416
Goldstein BA, Navar AM, Carter RE (2017) Moving beyond regression techniques in cardiovascular risk prediction: applying machine learning to address analytic challenges. Eur Heart J 38(23):1805–1814. https://doi.org/10.1093/eurheartj/ehw302
Volzke H, Schmidt CO, Baumeister SE, Ittermann T, Fung G, Krafczyk-Korth J, Hoffmann W, Schwab M, Meyer zu Schwabedissen HE, Dorr M, Felix SB, Lieb W, Kroemer HK (2013) Personalized cardiovascular medicine: concepts and methodological considerations. Nat Rev Cardiol 10(6):308–316. https://doi.org/10.1038/nrcardio.2013.35
Ng K, Steinhubl SR, deFilippi C, Dey S, Stewart WF (2016) Early detection of heart failure using electronic health records: practical implications for time before diagnosis, data diversity, data quantity, and data density. Circ Cardiovasc Qual Outcomes 9(6):649–658. https://doi.org/10.1161/circoutcomes.116.002797
Karaolis MA, Moutiris JA, Hadjipanayi D, Pattichis CS (2010) Assessment of the risk factors of coronary heart events based on data mining with decision trees. IEEE Trans Inf Technol Biomed 14(3):559–566. https://doi.org/10.1109/TITB.2009.2038906
Nahar J, Imam T, Tickle KS, Chen Y-PP (2013) Association rule mining to detect factors which contribute to heart disease in males and females. Expert Syst Appl 40(4):1086–1093. https://doi.org/10.1016/j.eswa.2012.08.028
Austin PC, Tu JV, Ho JE, Levy D, Lee DS (2013) Using methods from the data-mining and machine-learning literature for disease classification and prediction: a case study examining classification of heart failure subtypes. J Clin Epidemiol 66(4):398–407. https://doi.org/10.1016/j.jclinepi.2012.11.008
Kurt I, Ture M, Kurum AT (2008) Comparing performances of logistic regression, classification and regression tree, and neural networks for predicting coronary artery disease. Expert Syst Appl 34(1):366–374. https://doi.org/10.1016/j.eswa.2006.09.004
Choi E, Schuetz A, Stewart WF, Sun J (2017) Using recurrent neural network models for early detection of heart failure onset. J Am Med Inform Assoc JAMIA 24(2):361–370. https://doi.org/10.1093/jamia/ocw112
Hassan N, Sayed OR, Khalil AM, Ghany MA (2016) Fuzzy soft expert system in prediction of coronary artery disease. Int J Fuzzy Syst. https://doi.org/10.1007/s40815-016-0255-0
Motwani M, Dey D, Berman DS, Germano G, Achenbach S, Al-Mallah MH, Andreini D, Budoff MJ, Cademartiri F, Callister TQ, Chang H-J, Chinnaiyan K, Chow BJW, Cury RC, Delago A, Gomez M, Gransar H, Hadamitzky M, Hausleiter J, Hindoyan N, Feuchtner G, Kaufmann PA, Kim Y-J, Leipsic J, Lin FY, Maffei E, Marques H, Pontone G, Raff G, Rubinshtein R, Shaw LJ, Stehli J, Villines TC, Dunning A, Min JK, Slomka PJ (2017) Machine learning for prediction of all-cause mortality in patients with suspected coronary artery disease: a 5-year multicentre prospective registry analysis. Eur Heart J 38(7):500–507. https://doi.org/10.1093/eurheartj/ehw188
Weng SF, Reps J, Kai J, Garibaldi JM, Qureshi N (2017) Can machine-learning improve cardiovascular risk prediction using routine clinical data? PLoS One 12(4):e0174944. https://doi.org/10.1371/journal.pone.0174944
Rao VSH, Kumar MN (2013) Novel approaches for predicting risk factors of atherosclerosis. IEEE J Biomed Health Inform 17(1):183–189. https://doi.org/10.1109/TITB.2012.2227271
Kukar M, Kononenko I, Grošelj C (2011) Modern parameterization and explanation techniques in diagnostic decision support system: a case study in diagnostics of coronary artery disease. Artif Intell Med 52(2):77–90. https://doi.org/10.1016/j.artmed.2011.04.009
Shouman M, Turner T, Stocker R (2012) Using data mining techniques in heart disease diagnosis and treatment. In: 2012 Japan-Egypt conference on electronics, communications and computers, 6–9 March 2012, pp 173–177. https://doi.org/10.1109/jec-ecc.2012.6186978
Melillo P, Izzo R, Orrico A, Scala P, Attanasio M, Mirra M, De Luca N, Pecchia L (2015) Automatic prediction of cardiovascular and cerebrovascular events using heart rate variability analysis. PLoS One 10(3):e0118504. https://doi.org/10.1371/journal.pone.0118504
Rumsfeld JS, Joynt KE, Maddox TM (2016) Big data analytics to improve cardiovascular care: promise and challenges. Nat Rev Cardiol 13(6):350–359. https://doi.org/10.1038/nrcardio.2016.42
Groeneveld PW, Rumsfeld JS (2016) Can big data fulfill its promise? Circ Cardiovasc Qual Outcomes 9(6):679–682. https://doi.org/10.1161/circoutcomes.116.003097
Tsipouras MG, Exarchos TP, Fotiadis DI, Kotsia AP, Vakalis KV, Naka KK, Michalis LK (2008) Automated diagnosis of coronary artery disease based on data mining and fuzzy modeling. IEEE Trans Inf Technol Biomed 12(4):447–458. https://doi.org/10.1109/TITB.2007.907985
Anooj PK (2012) Clinical decision support system: Risk level prediction of heart disease using weighted fuzzy rules. J King Saud Univ-Comput Inf Sci 24(1):27–40. https://doi.org/10.1016/j.jksuci.2011.09.002
Karabulut EM, Ibrikci T (2012) Effective diagnosis of coronary artery disease using the rotation forest ensemble method. J Med Syst 36(5):3011–3018. https://doi.org/10.1007/s10916-011-9778-y
Nahar J, Imam T, Tickle KS, Chen Y-PP (2013) Computational intelligence for heart disease diagnosis: a medical knowledge driven approach. Expert Syst Appl 40(1):96–104. https://doi.org/10.1016/j.eswa.2012.07.032
Alizadehsani R, Habibi J, Hosseini MJ, Mashayekhi H, Boghrati R, Ghandeharioun A, Bahadorian B, Sani ZA (2013) A data mining approach for diagnosis of coronary artery disease. Comput Methods Programs Biomed 111(1):52–61. https://doi.org/10.1016/j.cmpb.2013.03.004
Alizadehsani R, Zangooei MH, Hosseini MJ, Habibi J, Khosravi A, Roshanzamir M, Khozeimeh F, Sarrafzadegan N, Nahavandi S (2016) Coronary artery disease detection using computational intelligence methods. Knowl-Based Syst 109:187–197. https://doi.org/10.1016/j.knosys.2016.07.004
Verma L, Srivastava S, Negi PC (2016) A hybrid data mining model to predict coronary artery disease cases using non-invasive clinical data. J Med Syst 40(7):178. https://doi.org/10.1007/s10916-016-0536-z
Detrano R, Janosi A, Steinbrunn W, Pfisterer M, Schmid JJ, Sandhu S, Guppy KH, Lee S, Froelicher V (1989) International application of a new probability algorithm for the diagnosis of coronary artery disease. Am J Cardiol 64(5):304–310
Das R, Turkoglu I, Sengur A (2009) Effective diagnosis of heart disease through neural networks ensembles. Expert Syst Appl 36(4):7675–7680. https://doi.org/10.1016/j.eswa.2008.09.013
Exarchos KP, Carpegianni C, Rigas G, Exarchos TP, Vozzi F, Sakellarios A, Marraccini P, Naka K, Michalis L, Parodi O, Fotiadis DI (2015) A multiscale approach for modeling atherosclerosis progression. IEEE J Biomed Health Inform 19(2):709–719. https://doi.org/10.1109/jbhi.2014.2323935
Kennedy EH, Wiitala WL, Hayward RA, Sussman JB (2013) Improved cardiovascular risk prediction using nonparametric regression and electronic health record data. Med Care 51(3):251–258. https://doi.org/10.1097/MLR.0b013e31827da594
Orphanou K, Stassopoulou A, Keravnou E (2016) DBN-extended: a dynamic Bayesian network model extended with temporal abstractions for coronary heart disease prognosis. IEEE J Biomed Health Inform 20(3):944–952. https://doi.org/10.1109/jbhi.2015.2420534
Goff DC, Lloyd-Jones DM, Bennett G, Coady S, D’Agostino RB, Gibbons R, Greenland P, Lackland DT, Levy D, O’Donnell CJ, Robinson J, Schwartz JS, Shero ST, Smith SC, Sorlie P, Stone NJ, Wilson PWF (2013) 2013 ACC/AHA guideline on the assessment of cardiovascular risk. A report of the American College of Cardiology/American Heart Association Task Force on practice guidelines. https://doi.org/10.1161/01.cir.0000437741.48606.98
Goldstein BA, Navar AM, Pencina MJ, Ioannidis JP (2017) Opportunities and challenges in developing risk prediction models with electronic health records data: a systematic review. J Am Med Inform Assoc 24(1):198–208. https://doi.org/10.1093/jamia/ocw042
Batal I, Valizadegan H, Cooper GF, Hauskrecht M (2013) A temporal pattern mining approach for classifying electronic health record data. ACM Trans Intell Syst Technol 4(4). https://doi.org/10.1145/2508037.2508044
Batal I, Cooper GF, Fradkin D, Harrison J, Moerchen F, Hauskrecht M (2016) An efficient pattern mining approach for event detection in multivariate temporal data. Knowl Inf Syst 46(1):115–150. https://doi.org/10.1007/s10115-015-0819-6
Moskovitch R, Shahar Y (2015) Fast time intervals mining using the transitivity of temporal relations. Knowl Inf Syst 42(1):21–48. https://doi.org/10.1007/s10115-013-0707-x
Moskovitch R, Shahar Y (2009) Medical temporal-knowledge discovery via temporal abstraction. AMIA Annu Symp Proc 2009:452–456
Orphanou K, Stassopoulou A, Keravnou E (2014) Temporal abstraction and temporal Bayesian networks in clinical domains: a survey. Artif Intell Med 60(3):133–149. https://doi.org/10.1016/j.artmed.2013.12.007
Bellazzi R, Sacchi L, Concaro S (2009) Methods and tools for mining multivariate temporal data in clinical and biomedical applications. In: Conference proceedings: annual international conference of the IEEE engineering in medicine and biology society IEEE engineering in medicine and biology society annual conference 2009:5629–5632. https://doi.org/10.1109/iembs.2009.5333788
Miotto R, Li L, Kidd BA, Dudley JT (2016) Deep patient: an unsupervised representation to predict the future of patients from the electronic health records. Sci Rep 6:26094. https://doi.org/10.1038/srep26094
Acknowledgements
This work is partially funded by the European Commission: Project SMARTOOL, “Simulation Modeling of coronary ARTery disease: a tool for clinical decision support—SMARTool” GA number: 689068.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Georga, E.I. et al. (2019). Artificial Intelligence and Data Mining Methods for Cardiovascular Risk Prediction. In: Golemati, S., Nikita, K. (eds) Cardiovascular Computing—Methodologies and Clinical Applications. Series in BioEngineering. Springer, Singapore. https://doi.org/10.1007/978-981-10-5092-3_14
Download citation
DOI: https://doi.org/10.1007/978-981-10-5092-3_14
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-5091-6
Online ISBN: 978-981-10-5092-3
eBook Packages: EngineeringEngineering (R0)