Key result
Unsupervised machine learning successfully identified four distinct clinical subgroups among 1,170 patients suspected of coronary artery disease, enabling assessment of aorta dimension ranges.
Why the study?
To assess whether unsupervised machine learning could interpret clinical data to uncover clinically significant subgroups of patients suspected of coronary artery disease and identify ranges of aorta dimensions within them.
Does unsupervised machine learning identify clinically relevant subgroups and ranges of ascending aorta dimensions in patients suspected of coronary artery disease?
Observational (n=1,170)
Does unsupervised machine learning identify clinically relevant subgroups and ranges of ascending aorta dimensions in patients suspected of coronary artery disease?
Unsupervised machine learning applied to clinical and cardiac CT data can identify distinct patient subgroups with specific ascending aorta dimensions, potentially improving risk stratification.
UML may identify subgroups in suspected cardiac patients; leaves open clinical utility pending validation.
The potential of precision population health lies in its capacity to utilize robust patient data for customized prevention and care targeted at specific groups. Machine learning has the potential to automatically identify clinically relevant subgroups of individuals, considering heterogeneous data sources. This study aimed to assess whether unsupervised machine learning (UML) techniques could interpret different clinical data to uncover clinically significant subgroups of patients suspected of coronary artery disease and identify different ranges of aorta dimensions in the different identified subgroups. We employed a random forest-based cluster analysis, utilizing 14 variables from 1170 (717 men/453 women) participants. The unsupervised clustering approach successfully identified four distinct subgroups of individuals with specific clinical characteristics, and this allows us to interpret and assess different ranges of aorta dimensions for each cluster. By employing flexible UML algorithms, we can effectively process heterogeneous patient data and gain deeper insights into clinical interpretation and risk assessment.
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Zanfardino et al. (2023) conducted an observational in Suspected coronary artery disease (n=1,170). Unsupervised machine learning (random forest-based cluster analysis) was evaluated on Identification of clinically relevant subgroups and ranges of aorta dimensions. Unsupervised machine learning successfully identified four distinct clinical subgroups among 1,170 patients suspected of coronary artery disease, enabling assessment of aorta dimension ranges.
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