Scientific article
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Left Ventricular Myocardial Dysfunction Evaluation in Thalassemia Patients Using Echocardiographic Radiomic Features and Machine Learning Algorithms

Published inJournal of digital imaging, vol. 36, no. 6, p. 2494-2506
Publication date2023-12
First online date2023-09-21
Abstract

Heart failure caused by iron deposits in the myocardium is the primary cause of mortality in beta-thalassemia major patients. Cardiac magnetic resonance imaging (CMRI) T2* is the primary screening technique used to detect myocardial iron overload, but inherently bears some limitations. In this study, we aimed to differentiate beta-thalassemia major patients with myocardial iron overload from those without myocardial iron overload (detected by T2*CMRI) based on radiomic features extracted from echocardiography images and machine learning (ML) in patients with normal left ventricular ejection fraction (LVEF > 55%) in echocardiography. Out of 91 cases, 44 patients with thalassemia major with normal LVEF (> 55%) and T2* ≤ 20 ms and 47 people with LVEF > 55% and T2* > 20 ms as the control group were included in the study. Radiomic features were extracted for each end-systolic (ES) and end-diastolic (ED) image. Then, three feature selection (FS) methods and six different classifiers were used. The models were evaluated using various metrics, including the area under the ROC curve (AUC), accuracy (ACC), sensitivity (SEN), and specificity (SPE). Maximum relevance-minimum redundancy-eXtreme gradient boosting (MRMR-XGB) (AUC = 0.73, ACC = 0.73, SPE = 0.73, SEN = 0.73), ANOVA-MLP (AUC = 0.69, ACC = 0.69, SPE = 0.56, SEN = 0.83), and recursive feature elimination-K-nearest neighbors (RFE-KNN) (AUC = 0.65, ACC = 0.65, SPE = 0.64, SEN = 0.65) were the best models in ED, ES, and ED&ES datasets. Using radiomic features extracted from echocardiographic images and ML, it is feasible to predict cardiac problems caused by iron overload.

Keywords
  • Echocardiography / methods
  • Humans
  • Iron Overload / complications
  • Iron Overload / diagnostic imaging
  • Magnetic Resonance Imaging / methods
  • Myocardium
  • Stroke Volume
  • Thalassemia / complications
  • Thalassemia / diagnostic imaging
  • Ventricular Dysfunction, Left / complications
  • Ventricular Dysfunction, Left / etiology
  • Ventricular Function, Left
  • Beta-Thalassemia / complications
  • Beta-Thalassemia / diagnostic imaging
Citation (ISO format)
TALEIE, Haniyeh et al. Left Ventricular Myocardial Dysfunction Evaluation in Thalassemia Patients Using Echocardiographic Radiomic Features and Machine Learning Algorithms. In: Journal of digital imaging, 2023, vol. 36, n° 6, p. 2494–2506. doi: 10.1007/s10278-023-00891-0
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Article (Published version)
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Appendix - suppl. figures and table
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Identifiers
Additional URL for this publicationhttps://link.springer.com/10.1007/s10278-023-00891-0
Journal ISSN0897-1889
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Technical informations

Creation21/09/2023 21:04:55
First validation24/10/2023 12:16:01
Update24/10/2023 12:16:01
Status update24/10/2023 12:16:01
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