Yu, S. ; Han, S. ; Shi, M. ; Harada, M. ; Ge, J. ; Li, X.* ; Cai, X.* ; Heier, M. ; Kastenmüller, G. ; Suhre, K.* ; Gieger, C. ; Koenig, W.* ; Rathmann, W.* ; Peters, A. ; Wang-Sattler, R.
Prediction of myocardial infarction using a combined generative adversarial network model and feature-enhanced loss function.
Metabolites 14:258 (2024)
Accurate risk prediction for myocardial infarction (MI) is crucial for preventive strategies, given its significant impact on global mortality and morbidity. Here, we propose a novel deep-learning approach to enhance the prediction of incident MI cases by incorporating metabolomics alongside clinical risk factors. We utilized data from the KORA cohort, including the baseline S4 and follow-up F4 studies, consisting of 1454 participants without prior history of MI. The dataset comprised 19 clinical variables and 363 metabolites. Due to the imbalanced nature of the dataset (78 observed MI cases and 1376 non-MI individuals), we employed a generative adversarial network (GAN) model to generate new incident cases, augmenting the dataset and improving feature representation. To predict MI, we further utilized multi-layer perceptron (MLP) models in conjunction with the synthetic minority oversampling technique (SMOTE) and edited nearest neighbor (ENN) methods to address overfitting and underfitting issues, particularly when dealing with imbalanced datasets. To enhance prediction accuracy, we propose a novel GAN for feature-enhanced (GFE) loss function. The GFE loss function resulted in an approximate 2% improvement in prediction accuracy, yielding a final accuracy of 70%. Furthermore, we evaluated the contribution of each clinical variable and metabolite to the predictive model and identified the 10 most significant variables, including glucose tolerance, sex, and physical activity. This is the first study to construct a deep-learning approach for producing 7-year MI predictions using the newly proposed loss function. Our findings demonstrate the promising potential of our technique in identifying novel biomarkers for MI prediction.
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Publication type
Article: Journal article
Document type
Scientific Article
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Keywords
Gan For Feature-enhanced ; Gfe Loss Function ; Feature Enhancement ; Generative Adversarial Networks ; Limited And Imbalanced Incident Cases ; Myocardial Infarction ; Prediction; Population; Disease; Risk; Outcomes; Profile; Kora
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Language
english
Publication Year
2024
Prepublished in Year
0
HGF-reported in Year
2024
ISSN (print) / ISBN
2218-1989
e-ISSN
2218-1989
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Volume: 14,
Issue: 5,
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Article Number: 258
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MDPI
Publishing Place
St Alban-anlage 66, Ch-4052 Basel, Switzerland
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Reviewing status
Peer reviewed
POF-Topic(s)
30205 - Bioengineering and Digital Health
30202 - Environmental Health
Research field(s)
Genetics and Epidemiology
Enabling and Novel Technologies
PSP Element(s)
G-506700-001
G-504000-006
G-503891-001
G-504091-004
G-504000-010
G-504090-001
Grants
Innovative Medicines Initiative 2 Joint Undertaking (JU)
Copyright
Erfassungsdatum
2024-07-08