Automated diagnosis of cardiac state in healthcare systems using computational intelligence

A study is presented for the diagnosis of a patient's heart conditions using recorded heart sounds and Computational Intelligence (CI) techniques. The digitally recorded heart sound signals are processed through Continuous Wavelet Transform (CWT) to extract time?frequency features for normal and abnormal heart conditions. The wavelet energy distributions are used as inputs to classifiers based on soft computing techniques such as Adaptive Neuro-Fuzzy Inference Systems (ANFIS) and Genetic Algorithms (GAs) for diagnosis of heart conditions. The number and the parameters of Membership Functions (MFs) used in ANFIS along with the features from wavelet energy distribution are selected using GAs, maximising the diagnosis success. ANFIS with GAs (GA-ANFIS) are trained with a subset of data with known heart conditions. The trained GA-ANFIS are tested using the other set of data (testing data), not used in training. The results are compared with Artificial Neural Network (ANN) and GA (GA-ANN). The results show the effectiveness of the proposed approach in automated diagnosis of cardiac state in healthcare systems.

[1]  Derek Abbott,et al.  Optimal wavelet denoising for phonocardiograms , 2001 .

[2]  M. Tavel,et al.  Usefulness of a new sound spectral averaging technique to distinguish an innocent systolic murmur from that of aortic stenosis. , 2005, The American journal of cardiology.

[3]  Ahmet Arslan,et al.  An expert system for diagnosis of the heart valve diseases , 2002, Expert Syst. Appl..

[4]  S. M. Debbal,et al.  Automatic measure of the split in the second cardiac sound by using the wavelet transform technique , 2007, Comput. Biol. Medicine.

[5]  Paulo J. G. Lisboa,et al.  A review of evidence of health benefit from artificial neural networks in medical intervention , 2002, Neural Networks.

[6]  J. Nazuno Haykin, Simon. Neural networks: A comprehensive foundation, Prentice Hall, Inc. Segunda Edición, 1999 , 2000 .

[7]  B. Samanta Machine Fault Detection Using Neuro-Fuzzy Inference System and Genetic Algorithms , 2005 .

[8]  Shankar M. Krishnan,et al.  Neural network classification of homomorphic segmented heart sounds , 2007, Appl. Soft Comput..

[9]  Necaattin Barişçi,et al.  Application of FFT analyzed cardiac Doppler signals to fuzzy algorithm , 2002, Comput. Biol. Medicine.

[10]  Simon Haykin,et al.  Neural Networks: A Comprehensive Foundation , 1998 .

[11]  Curt DeGroff,et al.  A classifier based on the artificial neural network approach for cardiologic auscultation in pediatrics , 2005, Artif. Intell. Medicine.

[12]  Jyh-Shing Roger Jang,et al.  ANFIS: adaptive-network-based fuzzy inference system , 1993, IEEE Trans. Syst. Man Cybern..

[13]  M. Tavel,et al.  Cardiac Auscultation: A Glorious Past—And It Does Have a Future! , 2006, Circulation.

[14]  Rocio Alba-Flores,et al.  Detection of heart murmurs using wavelet analysis and artificial neural networks. , 2005, Journal of biomechanical engineering.

[15]  Tsung O Cheng,et al.  Value and teaching of cardiac auscultation. , 2007, International journal of cardiology.

[16]  K. Furie,et al.  Heart disease and stroke statistics--2008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. , 2007, Circulation.

[17]  J.T.E. McDonnell,et al.  Time-frequency and time-scale techniques for the classification of native and bioprosthetic heart valve sounds , 1998, IEEE Transactions on Biomedical Engineering.

[18]  Emre Çomak,et al.  A decision support system based on support vector machines for diagnosis of the heart valve diseases , 2007, Comput. Biol. Medicine.

[19]  M. Silverman,et al.  A history of cardiac auscultation and some of its contributors. , 2002, The American journal of cardiology.

[20]  J. Hertzberg,et al.  Artificial Neural Network-Based Method of Screening Heart Murmurs in Children , 2001, Circulation.

[21]  James F Sallis,et al.  AHA Guidelines for Primary Prevention of Cardiovascular Disease and Stroke: 2002 Update: Consensus Panel Guide to Comprehensive Risk Reduction for Adult Patients Without Coronary or Other Atherosclerotic Vascular Diseases. American Heart Association Science Advisory and Coordinating Committee. , 2002, Circulation.

[22]  S. M. Debbal,et al.  Time-frequency analysis of the first and the second heartbeat sounds , 2007, Appl. Math. Comput..

[23]  T. Pearson,et al.  Organizing services for cardiovascular prevention , 2007, Current treatment options in cardiovascular medicine.

[24]  A. Sisko,et al.  Health spending projections through 2015: changes on the horizon. , 2006, Health affairs.

[25]  Zbigniew Michalewicz,et al.  Genetic Algorithms + Data Structures = Evolution Programs , 1996, Springer Berlin Heidelberg.

[26]  Igor Kononenko,et al.  Machine learning for medical diagnosis: history, state of the art and perspective , 2001, Artif. Intell. Medicine.

[27]  Tamer Ölmez,et al.  Classification of heart sounds using an artificial neural network , 2003, Pattern Recognit. Lett..

[28]  Nancy E. Reed,et al.  Heart sound analysis for symptom detection and computer-aided diagnosis , 2004, Simul. Model. Pract. Theory.

[29]  Georgios Dounias,et al.  Adaptive systems and hybrid computational intelligence in medicine , 2004, Artif. Intell. Medicine.

[30]  Tran Huy Dat,et al.  Heart sound as a biometric , 2008, Pattern Recognit..

[31]  R. Gibbons,et al.  ACC/AHA Guidelines for the Management of Patients With Valvular Heart Disease. Executive Summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients With Valvular Heart Disease). , 1998, The Journal of heart valve disease.

[32]  Zbigniew Michalewicz,et al.  Genetic Algorithms + Data Structures = Evolution Programs , 2000, Springer Berlin Heidelberg.