1. Enhancing the diagnosis of functionally relevant coronary artery disease with machine learning
- Author
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Christian Bock, Joan Elias Walter, Bastian Rieck, Ivo Strebel, Klara Rumora, Ibrahim Schaefer, Michael J. Zellweger, Karsten Borgwardt, and Christian Müller
- Subjects
Science - Abstract
Abstract Functionally relevant coronary artery disease (fCAD) can result in premature death or nonfatal acute myocardial infarction. Its early detection is a fundamentally important task in medicine. Classical detection approaches suffer from limited diagnostic accuracy or expose patients to possibly harmful radiation. Here we show how machine learning (ML) can outperform cardiologists in predicting the presence of stress-induced fCAD in terms of area under the receiver operating characteristic (AUROC: 0.71 vs. 0.64, p = 4.0E-13). We present two ML approaches, the first using eight static clinical variables, whereas the second leverages electrocardiogram signals from exercise stress testing. At a target post-test probability for fCAD of
- Published
- 2024
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