Post-revascularization Ejection Fraction Prediction for Patients Undergoing Percutaneous Coronary Intervention Based on Myocardial Perfusion SPECT Imaging Radiomics: a Preliminary Machine Learning Study.

In this study, the ability of radiomics features extracted from myocardial perfusion imaging with SPECT (MPI-SPECT) was investigated for the prediction of ejection fraction (EF) post-percutaneous coronary intervention (PCI) treatment. A total of 52 patients who had undergone pre-PCI MPI-SPECT were e...

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Published in:Journal of Digital Imaging Vol. 36; no. 4; pp. 1348 - 1364
Main Authors: Mohebi, Mobin, Amini, Mehdi, Alemzadeh-Ansari, Mohammad Javad, Alizadehasl, Azin, Rajabi, Ahmad Bitarafan, Shiri, Isaac, Zaidi, Habib, Orooji, Mahdi
Format: pictorial research tables/charts Journal Article
Published: Springer Nature Aug2023
Online Access:View this record in EBSCOhost
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      dt: Aug2023
      vid: 36
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-023-00820-1
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        atl: Post-revascularization Ejection Fraction Prediction for Patients Undergoing Percutaneous Coronary Intervention Based on Myocardial Perfusion SPECT Imaging Radiomics: a Preliminary Machine Learning Study.
      aug:
        au:
          Mohebi, Mobin
          Amini, Mehdi
          Alemzadeh-Ansari, Mohammad Javad
          Alizadehasl, Azin
          Rajabi, Ahmad Bitarafan
          Shiri, Isaac
          Zaidi, Habib
          Orooji, Mahdi
        affil: Department of Biomedical Engineering, Tarbiat Modares University, Tehran, Iran
      sug:
        subj:
          Myocardial Revascularization
          Ventricular Ejection Fraction
          Risk Assessment
          Percutaneous Coronary Intervention
          Perfusion Imaging
          Tomography, Emission-Computed, Single-Photon
          Machine Learning
          Human
          Imaging, Three-Dimensional
          Sensitivity and Specificity
          Funding Source
      ab: In this study, the ability of radiomics features extracted from myocardial perfusion imaging with SPECT (MPI-SPECT) was investigated for the prediction of ejection fraction (EF) post-percutaneous coronary intervention (PCI) treatment. A total of 52 patients who had undergone pre-PCI MPI-SPECT were enrolled in this study. After normalization of the images, features were extracted from the left ventricle, initially automatically segmented by k-means and active contour methods, and finally edited and approved by an expert radiologist. More than 1700 2D and 3D radiomics features were extracted from each patient's scan. A cross-combination of three feature selections and seven classifier methods was implemented. Three classes of no or dis-improvement (class 1), improved EF from 0 to 5% (class 2), and improved EF over 5% (class 3) were predicted by using tenfold cross-validation. Lastly, the models were evaluated based on accuracy, AUC, sensitivity, specificity, precision, and F-score. Neighborhood component analysis (NCA) selected the most predictive feature signatures, including Gabor, first-order, and NGTDM features. Among the classifiers, the best performance was achieved by the fine KNN classifier, which yielded mean accuracy, AUC, sensitivity, specificity, precision, and F-score of 0.84, 0.83, 0.75, 0.87, 0.78, and 0.76, respectively, in 100 iterations of classification, within the 52 patients with 10-fold cross-validation. The MPI-SPECT-based radiomic features are well suited for predicting post-revascularization EF and therefore provide a helpful approach for deciding on the most appropriate treatment.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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