Construction of machine learning diagnostic models for cardiovascular pan-disease based on blood routine and biochemical detection data

Cardiovasc DiabetolPublished Diagnostic accuracy study

Authors' conclusion

The present study constructed multiple models using 50 features from the blood routine and biochemical detection data for the diagnosis of various circulation system diseases. At the same time, the unique hematologic features of various circulation system diseases, including some metabolic-related indicators, were also explored. This cost-effective work will benefit more people and help diagnose and prevent circulation system diseases.

Study context

Population
Healthy people and circulation system disease patients with blood routine and biochemical detection data
Participants
25,794 vs 32,822
Comparison
Machine learning models for diagnosis of circulation system disease
  • Healthyn = 25,794reference
  • Circulation system diseasen = 32,822
Outcome
Circulation system disease prediction, XGBoost model (best performance)
Methodological detailsmachine learning models, SHAP interpretation
  • Machine learning models
  • SHAP interpretation

Performance

As reported in the abstract

Test or modelAUCAccuracySensitivitySpecificityPPVNPVMCCF1 score
XGBoost0.9921 (0.9911-0.9930)0.9618 (0.9588-0.9645)0.9690 (0.9655-0.9723)0.9526 (0.9477-0.9572)0.9631 (0.9592-0.9668)0.9600 (0.9556-0.9644)0.9224 (0.9165-0.9279)0.9661 (0.9634-0.9686)

XGBoost

AUC0.9921 (0.9911-0.9930)
Accuracy0.9618 (0.9588-0.9645)
Sensitivity0.9690 (0.9655-0.9723)
Specificity0.9526 (0.9477-0.9572)
PPV0.9631 (0.9592-0.9668)
NPV0.9600 (0.9556-0.9644)
MCC0.9224 (0.9165-0.9279)
F1 score0.9661 (0.9634-0.9686)

Further findings

Distinguishing dilated cardiomyopathy from other circulation system diseases (best subtype model)

AUC
0.9267 (0.8663-0.9752)
Most models distinguishing various circulation system diseases also had good performance

SHAP feature importance

Biochemical features (K, total protein (TP), albumin (ALB), NBIL) made major contributions to predicting circulation system disease
Top 4 features subdividing circulation system diseases: RBC, K, direct bilirubin (DBIL), glucose (GLU)

Original publication

Construction of machine learning diagnostic models for cardiovascular pan-disease based on blood routine and biochemical detection data. Cardiovasc Diabetol. Published 28 September 2024. doi:10.1186/s12933-024-02439-0

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