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Anghele AD, Marina V, Dragomir L, Moscu CA, Anghele M, Anghel C. Predicting Deep Venous Thrombosis Using Artificial Intelligence: A Clinical Data Approach. Bioengineering (Basel) 2024; 11:1067. [PMID: 39593727 PMCID: PMC11590985 DOI: 10.3390/bioengineering11111067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2024] [Revised: 10/16/2024] [Accepted: 10/23/2024] [Indexed: 11/28/2024] Open
Abstract
Deep venous thrombosis is a critical medical condition that occurs when a blood clot forms in a deep vein, usually in the legs, and can lead to life-threatening complications such as pulmonary embolism if not detected early. Hospitalized patients, especially those with immobility or post-surgical recovery, are at higher risk of developing deep venous thrombosis, making early prediction and intervention vital for preventing severe outcomes. In this study, we evaluated the following eight machine learning models to predict deep venous thrombosis risk: logistic regression, random forest, XGBoost, artificial neural networks, k-nearest neighbors, gradient boosting, CatBoost, and LightGBM. These models were rigorously tested using key metrics, including accuracy, precision, recall, F1-score, specificity, and receiver operating characteristic curve, to determine their effectiveness in clinical prediction. Logistic regression emerged as the top-performing model, delivering high accuracy and an outstanding receiver operating characteristic curve score, which reflects its strong ability to distinguish between patients with and without deep venous thrombosis. Most importantly, the model's high recall underscores its ability to identify nearly all true deep venous thrombosis cases, significantly reducing the risk of false negatives-a critical concern in clinical settings, where delayed or missed diagnoses can result in life-threatening complications. Although models such as random forest and eXtreme Gradient Boosting also demonstrated competitive performances, logistic regression proved the most reliable across all metrics. These results suggest that machine learning models, particularly logistic regression, have great potential for early deep venous thrombosis detection, enabling timely clinical interventions and improved patient outcomes.
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Affiliation(s)
- Aurelian-Dumitrache Anghele
- Department of General Surgery, Faculty of Medicine and Pharmacy, “Dunărea de Jos” University, 47 Str. Domnească, 800201 Galati, Romania;
| | - Virginia Marina
- Medical Department of Occupational Health, Faculty of Medicine and Pharmacy, “Dunărea de Jos” University, 47 Str. Domnească, 800201 Galati, Romania
| | - Liliana Dragomir
- Clinical-Medical Department, Faculty of Medicine and Pharmacy, “Dunărea de Jos” University, 47 Str. Domnească, 800201 Galati, Romania; (L.D.); (M.A.)
| | | | - Mihaela Anghele
- Clinical-Medical Department, Faculty of Medicine and Pharmacy, “Dunărea de Jos” University, 47 Str. Domnească, 800201 Galati, Romania; (L.D.); (M.A.)
| | - Catalin Anghel
- Department of Computer Science and Information Technology, “Dunărea de Jos” University, 2 Științei St., 800146 Galati, Romania;
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Stamate E, Piraianu AI, Ciobotaru OR, Crassas R, Duca O, Fulga A, Grigore I, Vintila V, Fulga I, Ciobotaru OC. Revolutionizing Cardiology through Artificial Intelligence-Big Data from Proactive Prevention to Precise Diagnostics and Cutting-Edge Treatment-A Comprehensive Review of the Past 5 Years. Diagnostics (Basel) 2024; 14:1103. [PMID: 38893630 PMCID: PMC11172021 DOI: 10.3390/diagnostics14111103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2024] [Revised: 05/12/2024] [Accepted: 05/23/2024] [Indexed: 06/21/2024] Open
Abstract
BACKGROUND Artificial intelligence (AI) can radically change almost every aspect of the human experience. In the medical field, there are numerous applications of AI and subsequently, in a relatively short time, significant progress has been made. Cardiology is not immune to this trend, this fact being supported by the exponential increase in the number of publications in which the algorithms play an important role in data analysis, pattern discovery, identification of anomalies, and therapeutic decision making. Furthermore, with technological development, there have appeared new models of machine learning (ML) and deep learning (DP) that are capable of exploring various applications of AI in cardiology, including areas such as prevention, cardiovascular imaging, electrophysiology, interventional cardiology, and many others. In this sense, the present article aims to provide a general vision of the current state of AI use in cardiology. RESULTS We identified and included a subset of 200 papers directly relevant to the current research covering a wide range of applications. Thus, this paper presents AI applications in cardiovascular imaging, arithmology, clinical or emergency cardiology, cardiovascular prevention, and interventional procedures in a summarized manner. Recent studies from the highly scientific literature demonstrate the feasibility and advantages of using AI in different branches of cardiology. CONCLUSIONS The integration of AI in cardiology offers promising perspectives for increasing accuracy by decreasing the error rate and increasing efficiency in cardiovascular practice. From predicting the risk of sudden death or the ability to respond to cardiac resynchronization therapy to the diagnosis of pulmonary embolism or the early detection of valvular diseases, AI algorithms have shown their potential to mitigate human error and provide feasible solutions. At the same time, limits imposed by the small samples studied are highlighted alongside the challenges presented by ethical implementation; these relate to legal implications regarding responsibility and decision making processes, ensuring patient confidentiality and data security. All these constitute future research directions that will allow the integration of AI in the progress of cardiology.
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Affiliation(s)
- Elena Stamate
- Department of Cardiology, Emergency University Hospital of Bucharest, 050098 Bucharest, Romania; (E.S.); (V.V.)
- Faculty of Medicine and Pharmacy, University “Dunarea de Jos” of Galati, 35 AI Cuza Street, 800010 Galati, Romania; (O.D.); (A.F.); (I.G.); (I.F.); (O.C.C.)
| | - Alin-Ionut Piraianu
- Faculty of Medicine and Pharmacy, University “Dunarea de Jos” of Galati, 35 AI Cuza Street, 800010 Galati, Romania; (O.D.); (A.F.); (I.G.); (I.F.); (O.C.C.)
| | - Oana Roxana Ciobotaru
- Faculty of Medicine and Pharmacy, University “Dunarea de Jos” of Galati, 35 AI Cuza Street, 800010 Galati, Romania; (O.D.); (A.F.); (I.G.); (I.F.); (O.C.C.)
- Railway Hospital Galati, 800223 Galati, Romania
| | - Rodica Crassas
- Emergency County Hospital Braila, 810325 Braila, Romania;
| | - Oana Duca
- Faculty of Medicine and Pharmacy, University “Dunarea de Jos” of Galati, 35 AI Cuza Street, 800010 Galati, Romania; (O.D.); (A.F.); (I.G.); (I.F.); (O.C.C.)
- Emergency County Hospital Braila, 810325 Braila, Romania;
| | - Ana Fulga
- Faculty of Medicine and Pharmacy, University “Dunarea de Jos” of Galati, 35 AI Cuza Street, 800010 Galati, Romania; (O.D.); (A.F.); (I.G.); (I.F.); (O.C.C.)
- Saint Apostle Andrew Emergency County Clinical Hospital, 177 Brailei Street, 800578 Galati, Romania
| | - Ionica Grigore
- Faculty of Medicine and Pharmacy, University “Dunarea de Jos” of Galati, 35 AI Cuza Street, 800010 Galati, Romania; (O.D.); (A.F.); (I.G.); (I.F.); (O.C.C.)
- Emergency County Hospital Braila, 810325 Braila, Romania;
| | - Vlad Vintila
- Department of Cardiology, Emergency University Hospital of Bucharest, 050098 Bucharest, Romania; (E.S.); (V.V.)
- Clinical Department of Cardio-Thoracic Pathology, University of Medicine and Pharmacy “Carol Davila” Bucharest, 37 Dionisie Lupu Street, 4192910 Bucharest, Romania
| | - Iuliu Fulga
- Faculty of Medicine and Pharmacy, University “Dunarea de Jos” of Galati, 35 AI Cuza Street, 800010 Galati, Romania; (O.D.); (A.F.); (I.G.); (I.F.); (O.C.C.)
- Saint Apostle Andrew Emergency County Clinical Hospital, 177 Brailei Street, 800578 Galati, Romania
| | - Octavian Catalin Ciobotaru
- Faculty of Medicine and Pharmacy, University “Dunarea de Jos” of Galati, 35 AI Cuza Street, 800010 Galati, Romania; (O.D.); (A.F.); (I.G.); (I.F.); (O.C.C.)
- Railway Hospital Galati, 800223 Galati, Romania
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Abstract
In brain–computer interfaces (BCIs), it is crucial to process brain signals to improve the accuracy of the classification of motor movements. Machine learning (ML) algorithms such as artificial neural networks (ANNs), linear discriminant analysis (LDA), decision tree (D.T.), K-nearest neighbor (KNN), naive Bayes (N.B.), and support vector machine (SVM) have made significant progress in classification issues. This paper aims to present a signal processing analysis of electroencephalographic (EEG) signals among different feature extraction techniques to train selected classification algorithms to classify signals related to motor movements. The motor movements considered are related to the left hand, right hand, both fists, feet, and relaxation, making this a multiclass problem. In this study, nine ML algorithms were trained with a dataset created by the feature extraction of EEG signals.The EEG signals of 30 Physionet subjects were used to create a dataset related to movement. We used electrodes C3, C1, CZ, C2, and C4 according to the standard 10-10 placement. Then, we extracted the epochs of the EEG signals and applied tone, amplitude levels, and statistical techniques to obtain the set of features. LabVIEW™2015 version custom applications were used for reading the EEG signals; for channel selection, noise filtering, band selection, and feature extraction operations; and for creating the dataset. MATLAB 2021a was used for training, testing, and evaluating the performance metrics of the ML algorithms. In this study, the model of Medium-ANN achieved the best performance, with an AUC average of 0.9998, Cohen’s Kappa coefficient of 0.9552, a Matthews correlation coefficient of 0.9819, and a loss of 0.0147. These findings suggest the applicability of our approach to different scenarios, such as implementing robotic prostheses, where the use of superficial features is an acceptable option when resources are limited, as in embedded systems or edge computing devices.
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