Transfer learning for a tabular-to-image approach: A case study for cardiovascular disease prediction
Francisco J Lara-Abelenda1, David Chushig-Muzo1, Pablo Peiro-Corbacho1
1Department of Signal Theory and Communications, Telematics and Computing Systems, Rey Juan Carlos University, Madrid, Spain.
Journal of Biomedical Informatics
|April 10, 2025
Summary
This study shows that converting tabular data into images and using convolutional neural networks (CNNs) with transfer learning can improve cardiovascular disease (CVD) risk prediction. This approach outperforms traditional machine learning models on limited datasets.
Area of Science:
- Machine learning and artificial intelligence in healthcare
- Medical image analysis and computational pathology
- Data science and predictive modeling for disease risk assessment
Background:
- Machine learning (ML) models are widely used for tabular data classification.
- Transforming tabular data into images enables the use of powerful convolutional neural networks (CNNs).
- Existing tabular-to-image methods struggle with datasets having few samples and mixed data types.
Purpose of the Study:
- To evaluate the 'low mixed-image generator for tabular data' (LM-IGTD) method for converting tabular data into images.
- To assess the effectiveness of transfer learning and fine-tuning CNNs for improving predictions on tabular data.
- To advance cardiovascular disease (CVD) diagnosis through enhanced predictive modeling.
Main Methods:
- Two public CVD datasets (Framingham and Steno) were utilized.
- Tabular data were converted into images using the LM-IGTD method.
- CNN models were trained on the Framingham dataset and then fine-tuned on the Steno dataset using transfer learning to predict CVD risk.
Main Results:
- The CNN model with transfer learning achieved the highest Area Under the ROC Curve (AUCORC) of 0.855 on the Steno dataset.
- This approach demonstrated a 2% improvement in accuracy compared to the best traditional model, TabPFN.
- The CNN-based transfer learning method outperformed other ML models including decision trees, K-nearest neighbors, LASSO, and support vector machine.
Conclusions:
- This is the first study to evaluate transfer learning and fine-tuning on tabular data via tabular-to-image conversion.
- The proposed method leverages CNNs' predictive power for improved CVD risk prediction.
- This framework supports early clinical intervention and decision-making in CVD diagnosis.


