Predicting the Risk of Cardiovascular Diseases Based on Retinal Fundus Images Using a Deep Learning Model
Journal of Ophthalmic and Optometric Sciences,
Vol. 7 No. 3 (2023),
17 July 2024
,
Page 5-10
Abstract
Purpose: To develop a deep learning model to predict the risk of cardiovascular diseases (CVDs) events based on features found in fundus images.
Materials and Methods: We developed a predicting model for cardiovascular diseases based on retinal fundus images using the deep learning method. We trained our model using 2,091 retinal fundus images obtained from 211 patients. Our dataset included demographic information of each person, conventional CVD risk factors, CVD risk estimated number (calculated using the Framingham method), strokes and heart attack incidents during 5 years (patients who were referred to the ICU or CCU), and retinal fundus images for each person. We used receiver operating characteristic (ROC) analysis to assess the accuracy of our classification model.
Results: Our proposed algorithm was able to identify high-risk individuals from no-risk individuals with 83 % accuracy and a high confidence level (AUC = 0.91, P value< 0.0001). The results also showed that our model could predict cardiovascular events such as stroke with a probability of 72 % (AUC = 0.83, P value< 0.0001). In comparing our model's ability to predict CVD risk with the Framingham risk score, the Framingham model's accuracy was 65 % in our dataset (with a best AUC of 0.78).
Conclusion: Our deep learning prediction model developed based on retinal fundus image findings to predict the risk of CVD, showed a relatively high accuracy. Its accuracy was higher than traditional prediction models like the Framingham model and comparable to other models based on fundus images for predicting CVD.
- Prediction
- Cardiovascular Diseases
- Retina
- Fundus Image
- Deep Learning
How to Cite
References
Mendis S, Graham I, Narula J. Addressing the Global Burden of Cardiovascular Diseases; Need for Scalable and Sustainable Frameworks. Glob Heart. 2022;17(1):48.
Pandey AR, Dhimal M, Shrestha N, Sharma D, Maskey J, Dhungana RR, et al. Burden of Cardiovascular Diseases in Nepal from 1990 to 2019: The Global Burden of Disease Study, 2019. Glob Health Epidemiol Genom. 2023;2023:3700094.
Willis A, Davies M, Yates T, Khunti K. Primary prevention of cardiovascular disease using validated risk scores: a systematic review. J R Soc Med. 2012;105(8):348-56.
Damen JA, Hooft L, Schuit E, Debray TP, Collins GS, Tzoulaki I, et al. Prediction models for cardiovascular disease risk in the general population: systematic review. BMJ. 2016;353:i2416.
Krishnan G, Singh S, Pathania M, Gosavi S, Abhishek S, Parchani A, et al. Artificial intelligence in clinical medicine: catalyzing a sustainable global healthcare paradigm. Front Artif Intell. 2023;6:1227091.
Li M, Jiang Y, Zhang Y, Zhu H. Medical image analysis using deep learning algorithms. Front Public Health. 2023;11:1273253.
Coronado I, Abdelkhaleq R, Yan J, Marioni SS, Jagolino-Cole A, Channa R, et al. Towards Stroke Biomarkers on Fundus Retinal Imaging: A Comparison Between Vasculature Embeddings and General Purpose Convolutional Neural Networks. Annu Int Conf IEEE Eng Med Biol Soc. 2021;2021:3873-6.
McGeechan K, Liew G, Macaskill P, Irwig L, Klein R, Klein BE,et al. Meta-analysis: retinal vessel caliber and risk for coronary heart disease. Ann Intern Med. 2009;151(6):404-13.
Colcombe J, Mundae R, Kaiser A, Bijon J, Modi Y. Retinal Findings and Cardiovascular Risk: Prognostic Conditions, Novel Biomarkers, and Emerging Image Analysis Techniques. J Pers Med. 2023;13(11):1564.
Poplin R, Varadarajan AV, Blumer K, Liu Y, McConnell MV, Corrado GS, et al. Prediction of cardiovascular risk factors from retinal fundus photographs via deep learning. Nat Biomed Eng. 2018;2(3):158-64.
Fotouhi A, Hashemi H, Shariati M, Emamian MH, Yazdani K, Jafarzadehpur E, et al. Cohort profile: Shahroud Eye Cohort Study. Int J Epidemiol. 2013;42(5):1300-8.
Emamian MH, Hashemi H, Fotouhi A. Predicted 10-year risk of cardiovascular disease in the Islamic Republic of Iran and the body mass index paradox. East Mediterr Health J. 2020;26(12):1465-72.
Arboix A. Cardiovascular risk factors for acute stroke: Risk profiles in the different subtypes of ischemic stroke. World J Clin Cases. 2015;3(5):418-29.
Xu Z, Arnold M, Stevens D, Kaptoge S, Pennells L, Sweeting MJ, et al. Prediction of Cardiovascular Disease Risk Accounting for Future Initiation of Statin Treatment. Am J Epidemiol. 202;190(10):2000-14.
Lee YC, Cha J, Shim I, Park WY, Kang SW, Lim DH, et al. Multimodal deep learning of fundus abnormalities and traditional risk factors for cardiovascular risk prediction. NPJ Digit Med. 2023;6(1):14.
Ochoa-Astorga JE, Wang L, Du W, Peng Y. A Straightforward Bifurcation Pattern-Based Fundus Image Registration Method. Sensors (Basel). 2023;23(18):7809.
Guan H, Liu M. Domain Adaptation for Medical Image Analysis: A Survey. IEEE Trans Biomed Eng. 2022;69(3):1173-85.
Rodriguez-Vazquez J, Fernandez-Cortizas M, Perez-Saura D, Molina M, Campoy P. Overcoming Domain Shift in Neural Networks for Accurate Plant Counting in Aerial Images. Remote Sensing. 2023;15(6):1700.
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