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Published on: November 29, 2024
Deep learning-based diagnosis of feline hypertrophic cardiomyopathy
Jinhyung Rho1,2, Sung-Min Shin3, Kyoungsun Jhang4
1Jeonbuk Pathology Research Group, Korea Institute of Toxicology, Jeonbuk, Republic of Korea.
Insights
Deep learning models accurately diagnose feline hypertrophic cardiomyopathy (HCM) using radiography. This AI system can aid veterinarians in early detection of this common feline heart disease.
Area of Science:
- Veterinary Medicine
- Artificial Intelligence
- Cardiology
Background:
- Feline hypertrophic cardiomyopathy (HCM) affects 10-15% of cats, causing serious health issues.
- Radiography and ultrasound are diagnostic gold standards, but radiography alone has limited accuracy (75%).
- Advanced diagnostic tools are needed to improve feline HCM screening.
Purpose of the Study:
- To investigate the optimal deep learning architecture for diagnosing feline HCM via radiography.
- To evaluate the accuracy of various residual neural network architectures in detecting feline HCM.
- To assess the effectiveness of voting strategies in improving diagnostic accuracy.
Main Methods:
- Trained five residual architectures (ResNet50V2, ResNet152, InceptionResNetV2, MobileNetV2, Xception) on 231 ventrodorsal radiographic images (143 HCM, 88 normal).
- Utilized a diverse dataset from 5 independent institutions to ensure generalizability.
- Applied softmax and majority voting strategies to combined model predictions.
Main Results:
- All five models achieved over 90% accuracy, with ResNet50V2, ResNet152, InceptionResNetV2, MobileNetV2, and Xception all reaching 95.45%.
- Softmax voting strategy achieved 95% accuracy on combined test data.
- The deep learning system demonstrated high potential for assisting in feline HCM diagnosis.
Conclusions:
- Automated deep learning systems using residual architectures show high accuracy in diagnosing feline HCM from radiographs.
- These AI tools can significantly assist veterinary radiologists in screening for feline hypertrophic cardiomyopathy.
- Further development of AI in veterinary diagnostics can improve early detection and management of feline heart disease.
Abstract:
Feline hypertrophic cardiomyopathy (HCM) is a common heart disease affecting 10-15% of all cats. Cats with HCM exhibit breathing difficulties, lethargy, and heart murmur; furthermore, feline HCM can also result in sudden death. Among various methods and indices, radiography and ultrasound are the gold standards in the diagnosis of feline HCM. However, only 75% accuracy has been achieved using radiography alone. Therefore, we trained five residual architectures (ResNet50V2, ResNet152, InceptionResNetV2, MobileNetV2, and Xception) using 231 ventrodorsal radiographic images of cats (143 HCM and 88 normal) and investigated the optimal architecture for diagnosing feline HCM through radiography. To ensure the generalizability of the data, the x-ray images were obtained from 5 independent institutions. In addition, 42 images were used in the test. The test data were divided into two; 22 radiographic images were used in prediction analysis and 20 radiographic images of cats were used in the evaluation of the peeking phenomenon and the voting strategy. As a result, all models showed > 90% accuracy; Resnet50V2: 95.45%; Resnet152: 95.45; InceptionResNetV2: 95.45%; MobileNetV2: 95.45% and Xception: 95.45. In addition, two voting strategies were applied to the five CNN models; softmax and majority voting. As a result, the softmax voting strategy achieved 95% accuracy in combined test data. Our findings demonstrate that an automated deep-learning system using a residual architecture can assist veterinary radiologists in screening HCM.
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