Cardiovascular Disease Diagnosis from DXA Scan and Retinal Images Using Deep Learning

<div><p>Cardiovascular diseases (CVD) are the leading cause of death worldwide. People affected by CVDs may go undiagnosed until the occurrence of a serious heart failure event such as stroke, heart attack, and myocardial infraction. In Qatar, there is a lack of studies focusing on CVD d...

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Main Author: Hamada R. H. Al-Absi (16726299) (author)
Other Authors: Mohammad Tariqul Islam (7854059) (author), Mahmoud Ahmed Refaee (16896423) (author), Muhammad E. H. Chowdhury (14150526) (author), Tanvir Alam (638619) (author)
Published: 2022
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author Hamada R. H. Al-Absi (16726299)
author2 Mohammad Tariqul Islam (7854059)
Mahmoud Ahmed Refaee (16896423)
Muhammad E. H. Chowdhury (14150526)
Tanvir Alam (638619)
author2_role author
author
author
author
author_facet Hamada R. H. Al-Absi (16726299)
Mohammad Tariqul Islam (7854059)
Mahmoud Ahmed Refaee (16896423)
Muhammad E. H. Chowdhury (14150526)
Tanvir Alam (638619)
author_role author
dc.creator.none.fl_str_mv Hamada R. H. Al-Absi (16726299)
Mohammad Tariqul Islam (7854059)
Mahmoud Ahmed Refaee (16896423)
Muhammad E. H. Chowdhury (14150526)
Tanvir Alam (638619)
dc.date.none.fl_str_mv 2022-06-07T03:00:00Z
dc.identifier.none.fl_str_mv 10.3390/s22124310
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Cardiovascular_Disease_Diagnosis_from_DXA_Scan_and_Retinal_Images_Using_Deep_Learning/25663857
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biological sciences
Biochemistry and cell biology
Chemical sciences
Analytical chemistry
Engineering
Electrical engineering
Electronics, sensors and digital hardware
cardiovascular diseases
DXA
retina
deep learning
machine learning
Qatar Biobank (QBB)
dc.title.none.fl_str_mv Cardiovascular Disease Diagnosis from DXA Scan and Retinal Images Using Deep Learning
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <div><p>Cardiovascular diseases (CVD) are the leading cause of death worldwide. People affected by CVDs may go undiagnosed until the occurrence of a serious heart failure event such as stroke, heart attack, and myocardial infraction. In Qatar, there is a lack of studies focusing on CVD diagnosis based on non-invasive methods such as retinal image or dual-energy X-ray absorptiometry (DXA). In this study, we aimed at diagnosing CVD using a novel approach integrating information from retinal images and DXA data. We considered an adult Qatari cohort of 500 participants from Qatar Biobank (QBB) with an equal number of participants from the CVD and the control groups. We designed a case-control study with a novel multi-modal (combining data from multiple modalities—DXA and retinal images)—to propose a deep learning (DL)-based technique to distinguish the CVD group from the control group. Uni-modal models based on retinal images and DXA data achieved 75.6% and 77.4% accuracy, respectively. The multi-modal model showed an improved accuracy of 78.3% in classifying CVD group and the control group. We used gradient class activation map (GradCAM) to highlight the areas of interest in the retinal images that influenced the decisions of the proposed DL model most. It was observed that the model focused mostly on the centre of the retinal images where signs of CVD such as hemorrhages were present. This indicates that our model can identify and make use of certain prognosis markers for hypertension and ischemic heart disease. From DXA data, we found higher values for bone mineral density, fat content, muscle mass and bone area across majority of the body parts in CVD group compared to the control group indicating better bone health in the Qatari CVD cohort. This seminal method based on DXA scans and retinal images demonstrate major potentials for the early detection of CVD in a fast and relatively non-invasive manner.</p><p> </p></div><h2>Other Information</h2> <p> Published in: Sensors<br> License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3390/s22124310" target="_blank">https://dx.doi.org/10.3390/s22124310</a></p>
eu_rights_str_mv openAccess
id Manara2_bb35b4203ac03d3eb21c4508042c90d8
identifier_str_mv 10.3390/s22124310
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/25663857
publishDate 2022
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv CC BY 4.0
spelling Cardiovascular Disease Diagnosis from DXA Scan and Retinal Images Using Deep LearningHamada R. H. Al-Absi (16726299)Mohammad Tariqul Islam (7854059)Mahmoud Ahmed Refaee (16896423)Muhammad E. H. Chowdhury (14150526)Tanvir Alam (638619)Biological sciencesBiochemistry and cell biologyChemical sciencesAnalytical chemistryEngineeringElectrical engineeringElectronics, sensors and digital hardwarecardiovascular diseasesDXAretinadeep learningmachine learningQatar Biobank (QBB)<div><p>Cardiovascular diseases (CVD) are the leading cause of death worldwide. People affected by CVDs may go undiagnosed until the occurrence of a serious heart failure event such as stroke, heart attack, and myocardial infraction. In Qatar, there is a lack of studies focusing on CVD diagnosis based on non-invasive methods such as retinal image or dual-energy X-ray absorptiometry (DXA). In this study, we aimed at diagnosing CVD using a novel approach integrating information from retinal images and DXA data. We considered an adult Qatari cohort of 500 participants from Qatar Biobank (QBB) with an equal number of participants from the CVD and the control groups. We designed a case-control study with a novel multi-modal (combining data from multiple modalities—DXA and retinal images)—to propose a deep learning (DL)-based technique to distinguish the CVD group from the control group. Uni-modal models based on retinal images and DXA data achieved 75.6% and 77.4% accuracy, respectively. The multi-modal model showed an improved accuracy of 78.3% in classifying CVD group and the control group. We used gradient class activation map (GradCAM) to highlight the areas of interest in the retinal images that influenced the decisions of the proposed DL model most. It was observed that the model focused mostly on the centre of the retinal images where signs of CVD such as hemorrhages were present. This indicates that our model can identify and make use of certain prognosis markers for hypertension and ischemic heart disease. From DXA data, we found higher values for bone mineral density, fat content, muscle mass and bone area across majority of the body parts in CVD group compared to the control group indicating better bone health in the Qatari CVD cohort. This seminal method based on DXA scans and retinal images demonstrate major potentials for the early detection of CVD in a fast and relatively non-invasive manner.</p><p> </p></div><h2>Other Information</h2> <p> Published in: Sensors<br> License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3390/s22124310" target="_blank">https://dx.doi.org/10.3390/s22124310</a></p>2022-06-07T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.3390/s22124310https://figshare.com/articles/journal_contribution/Cardiovascular_Disease_Diagnosis_from_DXA_Scan_and_Retinal_Images_Using_Deep_Learning/25663857CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/256638572022-06-07T03:00:00Z
spellingShingle Cardiovascular Disease Diagnosis from DXA Scan and Retinal Images Using Deep Learning
Hamada R. H. Al-Absi (16726299)
Biological sciences
Biochemistry and cell biology
Chemical sciences
Analytical chemistry
Engineering
Electrical engineering
Electronics, sensors and digital hardware
cardiovascular diseases
DXA
retina
deep learning
machine learning
Qatar Biobank (QBB)
status_str publishedVersion
title Cardiovascular Disease Diagnosis from DXA Scan and Retinal Images Using Deep Learning
title_full Cardiovascular Disease Diagnosis from DXA Scan and Retinal Images Using Deep Learning
title_fullStr Cardiovascular Disease Diagnosis from DXA Scan and Retinal Images Using Deep Learning
title_full_unstemmed Cardiovascular Disease Diagnosis from DXA Scan and Retinal Images Using Deep Learning
title_short Cardiovascular Disease Diagnosis from DXA Scan and Retinal Images Using Deep Learning
title_sort Cardiovascular Disease Diagnosis from DXA Scan and Retinal Images Using Deep Learning
topic Biological sciences
Biochemistry and cell biology
Chemical sciences
Analytical chemistry
Engineering
Electrical engineering
Electronics, sensors and digital hardware
cardiovascular diseases
DXA
retina
deep learning
machine learning
Qatar Biobank (QBB)