Deep learning-based computer-aided heart sound analysis in children with left-to-right shunt congenital heart disease. (1st February 2022)

• Record Type: Journal Article
• Authors: Liu, Jia; Wang, Haolin; Yang, Zhen; Quan, Junjun; Liu, Lingjuan; Tian, Jie
• Is Part Of: International journal of cardiology. Volume 348(2022)
• Page Start: 58
• Page End: 64
• Publication Date: 2022-02-01
• Subjects: Congenital heart disease -- Heart sounds -- Deep learning -- RCRnet; Cardiology -- Periodicals; Electronic journals; 616.12
• DOI: 10.1016/j.ijcard.2021.12.012
• Languages: English
• ISSNs: 0167-5273

Abstract

Abstract: Objective: The purpose of this study was to explore a new algorithm model capable of leverage deep learning to screen and diagnose specific types of left-to-right shunt congenital heart disease (CHD) in children. Methods: Using deep learning, screening models were constructed to identify 884 heart sound recordings from children with left-to-right shunt CHD. The most suitable model for each type was summarized and compared with expert auscultation. An exploratory analysis was conducted to assess whether there were correlations between heart sounds and left ventricular ejection fraction (LVEF), pulmonary artery pressure, and malformation size. Results: The residual convolution recurrent neural network (RCRnet) classification model had higher accuracy than other models with respect to atrial septal defect (ASD), ventricular septum defect (VSD), patent ductus arteriosus (PDA) and combined CHD, and the best auscultation sites were determined to be the 4th, 5th, 2nd and 3rd auscultation areas, respectively. The diagnostic results of this model were better than those derived from expert auscultation, with sensitivity values of 0.932–1.000, specificity values of 0.944–0.997, precision values of 0.888–0.997 and accuracy values of 0.940–0.994. Absolute Pearson correlation coefficient values between heart sounds of the four types of CHD and LVEF, right ventricular systolic pressure (RVSP) and malformation size were all less than 0.3. Conclusions: The RCRnet model can preliminarily determine types of left-to-right shunt CHD and improve diagnostic efficiency, which may provide a new choice algorithmic CHD screening in children. Highlights: Delayed diagnosis of congenital heart disease (CHD) can lead to a series of irreversible complications. RCRnet model can preliminarily identify specific types of left-to-right shunt CHD and improve screening detection rate. The diagnostic effect of RCRnet model is better than that of many experienced cardiovascular physicians.