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Risk Prediction of Cardiovascular Events by Exploration of Molecular Data with Explainable Artificial Intelligence
Annie M Westerlund1,2, Johann S Hawe1, Matthias Heinig2,3
1Department of Cardiology, Deutsches Herzzentrum München, Technical University Munich, Lazarettstrasse 36, 80636 Munich, Germany.
Insights
Predicting recurrent cardiovascular events (CVEs) is crucial. Multi-omics data and artificial intelligence (AI) offer new ways to improve risk prediction and personalized treatment strategies for better patient outcomes.
Area of Science:
- Cardiovascular Medicine
- Biomolecular Sciences
- Computational Biology
Background:
- Cardiovascular diseases (CVD) cause millions of deaths globally, with recurrent events posing significant challenges.
- Recurrent cardiovascular events lead to high healthcare costs and necessitate personalized prevention strategies.
- Traditional risk factors are insufficient for precise prognosis, highlighting the need for advanced predictive tools.
Purpose of the Study:
- To review recent advancements in predicting recurrent cardiovascular events.
- To discuss the utility of multi-omics data and biomarkers in cardiovascular risk stratification.
- To explore the role of artificial intelligence (AI) in enhancing cardiovascular event prediction and clinical decision-making.
Main Methods:
- Review of current literature on cardiovascular disease risk prediction.
- Analysis of the integration of multi-omics data for a systems biology approach.
- Discussion of artificial intelligence (AI) and explainable AI (XAI) applications in cardiovascular medicine.
Main Results:
- Multi-omics data provide a holistic patient view, revealing novel insights into disease mechanisms.
- AI excels at identifying complex patterns in large datasets, improving risk prediction accuracy.
- Explainable AI (XAI) promises to enhance clinical decision support by increasing prediction transparency.
Conclusions:
- Integrating multi-omics data with AI holds significant potential for personalized cardiovascular risk prediction.
- Biomarkers derived from multi-omics analyses are key to understanding disease pathways.
- Explainable AI can bridge the gap between complex predictions and clinical practice, improving patient care.
Abstract:
Cardiovascular diseases (CVD) annually take almost 18 million lives worldwide. Most lethal events occur months or years after the initial presentation. Indeed, many patients experience repeated complications or require multiple interventions (recurrent events). Apart from affecting the individual, this leads to high medical costs for society. Personalized treatment strategies aiming at prediction and prevention of recurrent events rely on early diagnosis and precise prognosis. Complementing the traditional environmental and clinical risk factors, multi-omics data provide a holistic view of the patient and disease progression, enabling studies to probe novel angles in risk stratification. Specifically, predictive molecular markers allow insights into regulatory networks, pathways, and mechanisms underlying disease. Moreover, artificial intelligence (AI) represents a powerful, yet adaptive, framework able to recognize complex patterns in large-scale clinical and molecular data with the potential to improve risk prediction. Here, we review the most recent advances in risk prediction of recurrent cardiovascular events, and discuss the value of molecular data and biomarkers for understanding patient risk in a systems biology context. Finally, we introduce explainable AI which may improve clinical decision systems by making predictions transparent to the medical practitioner.
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