A1 Refereed original research article in a scientific journal

Classification of ischemia from myocardial polar maps in 15 O-H 2 O cardiac perfusion imaging using a convolutional neural network




AuthorsTeuho Jarmo, Schultz Jussi, Klén Riku, Knuuti Juhani, Saraste Antti, Ono Naoaki, Kanaya Shigehiko

PublisherNATURE PORTFOLIO

Publication year2022

JournalScientific Reports

Journal name in sourceSCIENTIFIC REPORTS

Journal acronymSCI REP-UK

Article number 2839

Volume12

Number of pages12

ISSN2045-2322

eISSN2045-2322

DOIhttps://doi.org/10.1038/s41598-022-06604-x

Web address https://doi.org/10.1038/s41598-022-06604-x

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/174961824


Abstract

We implemented a two-dimensional convolutional neural network (CNN) for classification of polar maps extracted from Carimas (Turku PET Centre, Finland) software used for myocardial perfusion analysis. 138 polar maps from O-15-H2O stress perfusion study in JPEG format from patients classified as ischemic or non-ischemic based on finding obstructive coronary artery disease (CAD) on invasive coronary artery angiography were used. The CNN was evaluated against the clinical interpretation. The classification accuracy was evaluated with: accuracy (ACC), area under the receiver operating characteristic curve (AUC), F1 score (F1S), sensitivity (SEN), specificity (SPE) and precision (PRE). The CNN had a median ACC of 0.8261, AUC of 0.8058, F1S of 0.7647, SEN of 0.6500, SPE of 0.9615 and PRE of 0.9286. In comparison, clinical interpretation had ACC of 0.8696, AUC of 0.8558, F1S of 0.8333, SEN of 0.7500, SPE of 0.9615 and PRE of 0.9375. The CNN classified only 2 cases differently than the clinical interpretation. The clinical interpretation and CNN had similar accuracy in classifying false positives and true negatives. Classification of ischemia is feasible in 15O-H2O stress perfusion imaging using JPEG polar maps alone with a custom CNN and may be useful for the detection of obstructive CAD.


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Last updated on 2024-26-11 at 20:52