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Prediction of coronary heart disease based on combined reinforcement multitask progressive time-series networks
Wenqi Li1, Ming Zuo2, Hongjin Zhao3
1School of Computer Science and Technology, Donghua University, Shanghai, China; Artificial Intelligence Lab, China UnionPay Headquarters, Shanghai, China.
Insights
A new model predicts coronary heart disease (CHD) severity using non-invasive data like echocardiograms and blood tests. This approach offers a less invasive and potentially more accessible diagnostic tool for coronary heart disease.
Area of Science:
- Cardiology
- Artificial Intelligence
- Medical Informatics
Background:
- Coronary heart disease (CHD) is a leading cause of mortality globally.
- Current diagnostic methods like coronary angiography are invasive, costly, and carry risks.
- Existing non-invasive data (echocardiography, blood tests, patient demographics) offer partial insights into heart damage.
Purpose of the Study:
- To develop and validate a novel computational model for predicting coronary heart disease (CHD) grade.
- To leverage a combination of non-invasive patient data for improved diagnostic accuracy.
- To offer a less invasive and potentially more cost-effective alternative to coronary angiography.
Main Methods:
- Proposed a combined reinforcement multitask progressive time-series networks (CRMPTN) model.
- Employed deep reinforcement learning (DRL) with asynchronous advantage actor-critic (A3C) for pre-training.
- Utilized recurrent neural networks (RNNs) and parameter sharing modules for multitask learning and prediction.
Main Results:
- The CRMPTN model demonstrated satisfactory performance in predicting CHD grade.
- DRL pre-training enhanced the interaction and collaborative learning among multiple tasks within the model.
- The proposed model outperformed existing state-of-the-art methods in predicting coronary heart disease status.
Conclusions:
- The CRMPTN model offers a promising non-invasive approach for coronary heart disease diagnosis.
- Integrating diverse patient data through advanced AI techniques can improve diagnostic capabilities.
- This method holds potential for wider application, especially in resource-limited settings.
Abstract:
Coronary heart disease is the first killer of human health. At present, the most widely used approach of coronary heart disease diagnosis is coronary angiography, a surgery that could potentially cause some physical damage to the patients, together with some complications and adverse reactions. Furthermore, coronary angiography is expensive thus cannot be widely used in under development country. On the other hand, the heart color Doppler echocardiography report, blood biochemical indicators and personal information, such as gender, age and diabetes, can reflect the degree of heart damage in patients to some extent. This paper proposes a combined reinforcement multitask progressive time-series networks (CRMPTN) model to predict the grade of coronary heart disease through heart color Doppler echocardiography report, blood biochemical indicators and ten basic body information items about the patients. In this model, the first step is to perform deep reinforcement learning (DRL) pre-training through asynchronous advantage actor-critic (A3C). Training data is adopted to optimize the recurrent neural network (RNN) that parameterizes the stochastic policy. In the second step, soft parameter sharing module, hard parameter sharing module and progressive time-series networks are used to predict the status of coronary heart disease. The experimental results show that after DRL pre-training, the multiple tasks in the model interact with each other and learn together to achieve satisfactory results and outperform other state-of-the-art methods.
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