Evidence map›Paper›PMID 35013839›Full record

ArticleRheumatology international2022

Cardiovascular disease detection using machine learning and carotid/femoral arterial imaging frameworks in rheumatoid arthritis patients.

George Konstantonis, Krishna V Singh, Petros P Sfikakis, Ankush D Jamthikar, George D Kitas, Suneet K Gupta, Luca Saba, Kleio Verrou, Narendra N Khanna, Zoltan Ruzsa and 6 more

Open access · greenAbstract readValidation Study
PubMed Publisher
In one paragraph

Article in Rheumatology international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 12 institutions in 7 countries.

George KonstantonisRheumatology Unit, National Kapodistrian University of Athens, Athens, Greece.
Krishna V SinghResearch Intern, AtheroPoint™, Roseville, CA, USA.ORCID http://orcid.org/0000-0003-4311-8730
Petros P SfikakisRheumatology Unit, National Kapodistrian University of Athens, Athens, Greece.ORCID http://orcid.org/0000-0001-5484-2930
Ankush D JamthikarResearch Scientist, AtheroPoint™, USA, Roseville, CA, USA.ORCID http://orcid.org/0000-0002-3030-7236
George D KitasAcademic Affairs, Dudley Group NHS Foundation Trust, Dudley, UK.ORCID http://orcid.org/0000-0002-0828-6176
Suneet K GuptaDepartment of Computer Science, Bennett University, Gr. Noida, India.ORCID http://orcid.org/0000-0001-7935-8598
Luca SabaDepartment of Radiology, University of Cagliari, Cagliari, Italy.ORCID http://orcid.org/0000-0003-2870-3771
Kleio VerrouDepartment of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Narendra N KhannaDepartment of Cardiology, Indraprastha Apollo Hospitals, New Delhi, India.ORCID http://orcid.org/0000-0002-6935-0039
Zoltan RuzsaDepartment of Internal Medicines, Invasive Cardiology Division, University of Szeged, Szeged, Hungary.ORCID http://orcid.org/0000-0002-2474-5723
Aditya M SharmaDivision of Cardiovascular Medicine, University of Virginia, Charlottesville, VA, USA.ORCID http://orcid.org/0000-0003-1756-2504
John R LairdHeart and Vascular Institute, Adventist Health St. Helena, St Helena, CA, USA.ORCID http://orcid.org/0000-0003-2095-2191
Amer M JohriDepartment of Medicine, Division of Cardiology, Queen's University, Kingston, ON, Canada.ORCID http://orcid.org/0000-0001-7044-8212
Manudeep KalraDepartment of Radiology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, USA.ORCID http://orcid.org/0000-0001-9938-7476
Athanasios ProtogerouCardiovascular Prevention Unit, Department of Pathophysiology, National Kapodistrian University of Athens, Athens, Greece.ORCID http://orcid.org/0000-0002-3825-532X
Jasjit S SuriStroke Monitoring and Diagnostic Division, AtheroPoint™, Roseville, CA, 95661, USA. jasjit.suri@atheropoint.com.
National and Kapodistrian University of Athens · GRBennett University · INDudley Group NHS Foundation Trust · GBIndraprastha Apollo Hospitals · INMassachusetts General Hospital · USQueen's University · CARhopoint Instruments (United Kingdom) · GBSt. Helena Hospital · USUniversity of Cagliari · ITUniversity of Szeged · HUUniversity of Virginia · USVisvesvaraya National Institute of Technology · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The study proposes a novel machine learning (ML) paradigm for cardiovascular disease (CVD) detection in individuals at medium to high cardiovascular risk using data from a Greek cohort of 542 individuals with rheumatoid arthritis, or diabetes mellitus, and/or arterial hypertension, using conventional or office-based, laboratory-based blood biomarkers and carotid/femoral ultrasound image-based phenotypes. Two kinds of data (CVD risk factors and presence of CVD-defined as stroke, or myocardial infarction, or coronary artery syndrome, or peripheral artery disease, or coronary heart disease) as ground truth, were collected at two-time points: (i) at visit 1 and (ii) at visit 2 after 3 years. The CVD risk factors were divided into three clusters (conventional or office-based, laboratory-based blood biomarkers, carotid ultrasound image-based phenotypes) to study their effect on the ML classifiers. Three kinds of ML classifiers (Random Forest, Support Vector Machine, and Linear Discriminant Analysis) were applied in a two-fold cross-validation framework using the data augmented by synthetic minority over-sampling technique (SMOTE) strategy. The performance of the ML classifiers was recorded. In this cohort with overall 46 CVD risk factors (covariates) implemented in an online cardiovascular framework, that requires calculation time less than 1 s per patient, a mean accuracy and area-under-the-curve (AUC) of 98.40% and 0.98 (p < 0.0001) for CVD presence detection at visit 1, and 98.39% and 0.98 (p < 0.0001) at visit 2, respectively. The performance of the cardiovascular framework was significantly better than the classical CVD risk score. The ML paradigm proved to be powerful for CVD prediction in individuals at medium to high cardiovascular risk.

Indexed as

Machine LearningArthritis, RheumatoidCardiovascular DiseasesCarotid ArteriesCross-Sectional StudiesFemaleFemoral ArteryHeart Disease Risk FactorsHumansMalePilot ProjectsPlaque, AtheroscleroticReproducibility of ResultsAnd machine learningCardiovascular diseaseCardiovascular risk estimationConventional risk factorsThree-year follow-upUltrasound

Identifiers

PMID35013839
OpenAlexW4206547439

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.