Title
An intelligent classifier for prognosis of cardiac resynchronization therapy based on speckle-tracking echocardiograms.
Abstract
Predicting response after cardiac resynchronization therapy (CRT) has been a challenge of cardiologists. About 30% of selected patients based on the standard selection criteria for CRT do not show response after receiving the treatment. This study is aimed to build an intelligent classifier to assist in identifying potential CRT responders by speckle-tracking radial strain based on echocardiograms.The echocardiograms analyzed were acquired before CRT from 26 patients who have received CRT. Sequential forward selection was performed on the parameters obtained by peak-strain timing and phase space reconstruction on speckle-tracking radial strain to find an optimal set of features for creating intelligent classifiers. Support vector machine (SVM) with a linear, quadratic, and polynominal kernel were tested to build classifiers to identify potential responders and non-responders for CRT by selected features.Based on random sub-sampling validation, the best classification performance is correct rate about 95% with 96-97% sensitivity and 93-94% specificity achieved by applying SVM with a quadratic kernel on a set of 3 parameters. The selected 3 parameters contain both indexes extracted by peak-strain timing and phase space reconstruction.An intelligent classifier with an averaged correct rate, sensitivity and specificity above 90% for assisting in identifying CRT responders is built by speckle-tracking radial strain. The classifier can be applied to provide objective suggestion for patient selection of CRT.
Year
DOI
Venue
2012
10.1016/j.artmed.2011.09.006
Artificial Intelligence In Medicine
Keywords
Field
DocType
radial strain,correct rate,crt responder,cardiac resynchronization therapy,selected patient,potential crt responder,intelligent classifier,phase space reconstruction,selected feature,peak-strain timing,patient selection,speckle-tracking echocardiograms,support vector machine
Kernel (linear algebra),Speckle pattern,Computer science,Support vector machine,Artificial intelligence,Classifier (linguistics),Forward selection,Cardiac resynchronization therapy,Machine learning
Journal
Volume
Issue
ISSN
54
3
1873-2860
Citations 
PageRank 
References 
5
0.43
2
Authors
3
Name
Order
Citations
PageRank
Pei-Kuang Chao1132.25
Chun-Li Wang2111.65
Hsiao-Lung Chan317619.98