PMID- 35885524 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220731 IS - 2075-4418 (Print) IS - 2075-4418 (Electronic) IS - 2075-4418 (Linking) VI - 12 IP - 7 DP - 2022 Jul 3 TI - Comparison between Machine Learning and Multiple Linear Regression to Identify Abnormal Thallium Myocardial Perfusion Scan in Chinese Type 2 Diabetes. LID - 10.3390/diagnostics12071619 [doi] LID - 1619 AB - Type 2 diabetes mellitus (T2DM) patients have a high risk of coronary artery disease (CAD). Thallium-201 myocardial perfusion scan (Th-201 scan) is a non-invasive and extensively used tool in recognizing CAD in clinical settings. In this study, we attempted to compare the predictive accuracy of evaluating abnormal Th-201 scans using traditional multiple linear regression (MLR) with four machine learning (ML) methods. From the study, we can determine whether ML surpasses traditional MLR and rank the clinical variables and compare them with previous reports.In total, 796 T2DM, including 368 men and 528 women, were enrolled. In addition to traditional MLR, classification and regression tree (CART), random forest (RF), stochastic gradient boosting (SGB) and eXtreme gradient boosting (XGBoost) were also used to analyze abnormal Th-201 scans. Stress sum score was used as the endpoint (dependent variable). Our findings show that all four root mean square errors of ML are smaller than with MLR, which implies that ML is more precise than MLR in determining abnormal Th-201 scans by using clinical parameters. The first seven factors, from the most important to the least are:body mass index, hemoglobin, age, glycated hemoglobin, Creatinine, systolic and diastolic blood pressure. In conclusion, ML is not inferior to traditional MLR in predicting abnormal Th-201 scans, and the most important factors are body mass index, hemoglobin, age, glycated hemoglobin, creatinine, systolic and diastolic blood pressure. ML methods are superior in these kinds of studies. FAU - Lin, Jiunn-Diann AU - Lin JD AD - Division of Endocrinology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23651, Taiwan. AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei City 11031, Taiwan. FAU - Pei, Dee AU - Pei D AD - School of Medicine, College of Medicine, Fu Jen Catholic University, New Taipei 24205, Taiwan. AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Fu Jen Catholic University Hospital, New Taipei 24352, Taiwan. FAU - Chen, Fang-Yu AU - Chen FY AD - School of Medicine, College of Medicine, Fu Jen Catholic University, New Taipei 24205, Taiwan. AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Fu Jen Catholic University Hospital, New Taipei 24352, Taiwan. FAU - Wu, Chung-Ze AU - Wu CZ AUID- ORCID: 0000-0001-6118-6070 AD - Division of Endocrinology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23651, Taiwan. AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei City 11031, Taiwan. FAU - Lu, Chieh-Hua AU - Lu CH AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, No. 325. Sec. 2, Chenggong Rd., Neihu District, Taipei City 11490, Taiwan. FAU - Huang, Li-Ying AU - Huang LY AD - School of Medicine, College of Medicine, Fu Jen Catholic University, New Taipei 24205, Taiwan. AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Fu Jen Catholic University Hospital, New Taipei 24352, Taiwan. FAU - Kuo, Chun-Heng AU - Kuo CH AUID- ORCID: 0000-0001-7673-3567 AD - School of Medicine, College of Medicine, Fu Jen Catholic University, New Taipei 24205, Taiwan. AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Fu Jen Catholic University Hospital, New Taipei 24352, Taiwan. FAU - Kuo, Shi-Wen AU - Kuo SW AUID- ORCID: 0000-0002-0051-2407 AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 289, Jianguo Rd., Xindian Dist., New Taipei City 23142, Taiwan. FAU - Chen, Yen-Lin AU - Chen YL AD - Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, No. 325. Sec. 2, Chenggong Rd., Neihu District, Taipei City 11490, Taiwan. LA - eng PT - Journal Article DEP - 20220703 PL - Switzerland TA - Diagnostics (Basel) JT - Diagnostics (Basel, Switzerland) JID - 101658402 PMC - PMC9324130 OTO - NOTNLM OT - coronary artery disease OT - machine learning OT - thallium-201 myocardial perfusion scan OT - type 2 diabetes mellitus COIS- The authors declare no conflict of interest. EDAT- 2022/07/28 06:00 MHDA- 2022/07/28 06:01 PMCR- 2022/07/03 CRDT- 2022/07/27 01:15 PHST- 2022/06/04 00:00 [received] PHST- 2022/06/27 00:00 [revised] PHST- 2022/06/30 00:00 [accepted] PHST- 2022/07/27 01:15 [entrez] PHST- 2022/07/28 06:00 [pubmed] PHST- 2022/07/28 06:01 [medline] PHST- 2022/07/03 00:00 [pmc-release] AID - diagnostics12071619 [pii] AID - diagnostics-12-01619 [pii] AID - 10.3390/diagnostics12071619 [doi] PST - epublish SO - Diagnostics (Basel). 2022 Jul 3;12(7):1619. doi: 10.3390/diagnostics12071619.