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August 12, 2025IEEE Transactions on Biomedical Engineering

Adversarial Debiasing for Equitable and Fair Detection of Acute Coronary Syndrome using 12-Lead ECG

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Authors

RJRui Qi JiNRNathan T. RiekZBZeineb Bouzid

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Overview

Machine learning enhances diagnostic accuracy for acute coronary syndrome, mitigating racial disparities in detection.

Key Points

  • After using adversarial debiasing, the sensitivity gap between Black and non-Black populations reduced significantly, from 9.8% to 1.3%.
  • The study achieved ROC scores of 0.810 and 0.817, indicating high effectiveness in diagnosing acute coronary syndrome.
  • Machine learning models, including a random forest classifier, were tested using multiple strategies to improve diagnostic fairness.
  • The findings suggest adversarial debiasing can be a valuable approach for enhancing equitable healthcare across diverse populations.

Cite This Study

Ji et al. (2025) studied this question.

synapsesocial.com/papers/68a3633d0a429f7973329f21https://doi.org/10.1109/tbme.2025.3597527
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