ISSN 2149-2263 | E-ISSN 2149-2271
The Anatolian Journal of Cardiology
Application of Artificial Intelligence-Based Auxiliary Diagnosis in Congenital Heart Disease Screening [Anatol J Cardiol]
Anatol J Cardiol. 2023; 27(4): 205-216 | DOI: 10.14744/AnatolJCardiol.2022.1386

Application of Artificial Intelligence-Based Auxiliary Diagnosis in Congenital Heart Disease Screening

Hongbo Yang1, Jiahua Pan1, Weilian Wang2, Tao Guo1, Tengyuan Ma1
1Department of Cardiology, Affiliated Cardiovascular Hospital of Kunming Medical University, Kunming, China;Fuwai Yunnan Cardiovascular Hospital, Kunming, China
2School of Information Science and Technology, Yunnan University, Kunming, China

Background: To evaluate the application value of artificial intelligence-based auxiliary diagnosis for congenital heart disease.

Methods: From May 2017 to December 2019, 1892 cases of congenital heart disease heart sounds were collected for learning- and memory-assisted diagnosis. The diagnosis rate and classification recognition were verified in 326 congenital heart disease cases. Auscultation and artificial intelligence-assisted diagnosis were used in 518 258 congenital heart disease screenings, and the detection accuracies of congenital heart disease and pulmonary hypertension were compared.

Results: Female sex and age > 14 years were predominant in atrial septal defect (P <.001) compared with ventricular septal defect/patent ductus arteriosus cases. Family history was more prominent in patent ductus arteriosus patients (P <.001). Compared with no pulmonary arterial hypertension, a male predominance was seen in cases of congenital heart disease–pulmonary arterial hypertension (P <.001), and age was significantly associated with pulmonary arterial hypertension (P =.008). A high prevalence of extracardiac anomalies was found in the pulmonary arterial hypertension group. A total of 326 patients were examined by artificial intelligence. The detection rate of atrial septal
defect was 73.8%, which was different from that of auscultation (P =.008). The detection rate of ventricular septal defect was 78.8, and the detection rate of patent ductus arte-riosus was 88.9%. A total of 518 258 people from 82 towns and 1220 schools were screened including 15 453 suspected and 3930 (7.58%) confirmed cases. The detection accuracy of artificial intelligence in ventricular septal defect (P =.007) and patent ductus arteriosus (P =.021) classification was higher than that of auscultation. For normal cases, the recurrent neural network had a high accuracy of 97.77% in congenital heart disease–pulmonary arterial hypertension diagnosis (P =.032).

Conclusion: Artificial intelligence-based diagnosis is an effective assistance method for congenital heart disease screening.

Keywords: Artificial intelligence, congenital heart disease, heart sound

Hongbo Yang, Jiahua Pan, Weilian Wang, Tao Guo, Tengyuan Ma. Application of Artificial Intelligence-Based Auxiliary Diagnosis in Congenital Heart Disease Screening. Anatol J Cardiol. 2023; 27(4): 205-216

Corresponding Author: Tao Guo
Manuscript Language: English

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