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Machine Learning Algorithms to Detect Sex in Myocardial Perfusion Imaging
Erito Marques de Souza Filho1,2, Fernando de Amorim Fernandes1,3, Maria Gabriela Ribeiro Portela4
1Post-graduation in Cardiovascular Sciences, Universidade Federal Fluminense, Niterói, Brazil.
Frontiers in Cardiovascular Medicine
|November 15, 2021
Summary
Machine learning models can accurately determine sex from myocardial perfusion imaging (MPI) scans. This finding raises important considerations for patient data privacy under the General Data Protection Regulation (GDPR).
Area of Science:
- Cardiology
- Medical Imaging
- Artificial Intelligence
Background:
- Myocardial perfusion imaging (MPI) is crucial for diagnosing coronary artery disease.
- Machine learning (ML) offers transformative potential in healthcare applications.
- The General Data Protection Regulation (GDPR) emphasizes data security and individual privacy.
Purpose of the Study:
- To develop and evaluate ML models for sex determination using MPI data.
- To assess the performance of various ML algorithms in classifying sex from myocardial scintigraphy.
- To explore the implications of these findings on patient data privacy and GDPR.
Main Methods:
- Trained seven ML models (CART, NB, KNN, SVM, AB, RF, GB) on 260 MPI polar maps (140 male, 120 female).
- Utilized a cross-validation strategy for model evaluation.
- Assessed model performance using accuracy, standard deviation, precision, and area under the ROC curve.
Main Results:
- All ML models achieved >82% accuracy in sex determination from MPI.
- Support Vector Machine (SVM) reached 90% accuracy, with KNN, RF, AB, and GB also showing high performance.
- SVM and Random Forests (RF) demonstrated the best area under the ROC curve (0.93).
Conclusions:
- ML algorithms are effective for assessing patient sex from myocardial scintigraphy.
- High accuracy in sex determination presents challenges for patient data confidentiality under GDPR.
- The study contributes to the ongoing debate on defining sensitive data in the context of data protection regulations.

