The automatic detection of coronary stenosis is a very important task in computer aided diagnosis systems in the cardiology area. The main contribution of this paper is the identification of a suitable subset of 20 features that allows for the classification of stenosis cases in X-ray coronary images with a high performance overcoming different state-of-the-art classification techniques including deep learning strategies. The automatic feature selection stage was driven by the Univariate Marginal Distribution Algorithm and carried out by statistical comparison between five metaheuristics in order to explore the search space, which is O(249) computational complexity. Moreover, the proposed method is compared with six state-of-the-art classification methods, probing its effectiveness in terms of the Accuracy and Jaccard Index evaluation metrics. All the experiments were performed using two X-ray image databases of coronary angiograms. The first database contains 500 instances and the second one 250 images. In the experimental results, the proposed method achieved an Accuracy rate of 0.89 and 0.88 and Jaccard Index of 0.80 and 0.79, respectively. Finally, the average computational time of the proposed method to classify stenosis cases was ≈0.02 s, which made it highly suitable to be used in clinical practice.

In this paper, a novel method for the automatic classification of coronary stenosis based on a feature selection strategy driven by a hybrid evolutionary algorithm is proposed. The main contribution is the characterization of the coronary stenosis anomaly based on the automatic selection of an efficient feature subset. The initial feature set consists of 49 features involving intensity, texture and morphology. Since the feature selection search space was O(2n), being n=49, it was treated as a high-dimensional combinatorial problem. For this reason, different single and hybrid evolutionary algorithms were compared, where the hybrid method based on the Boltzmann univariate marginal distribution algorithm (BUMDA) and simulated annealing (SA) achieved the best performance using a training set of X-ray coronary angiograms. Moreover, two different databases with 500 and 2700 stenosis images, respectively, were used for training and testing of the proposed method. In the experimental results, the proposed method for feature selection obtained a subset of 11 features, achieving a feature reduction rate of 77.5% and a classification accuracy of 0.96 using the training set. In the testing step, the proposed method was compared with different state-of-the-art classification methods in both databases, obtaining a classification accuracy and Jaccard coefficient of 0.90 and 0.81 in the first one, and 0.92 and 0.85 in the second one, respectively. In addition, based on the proposed method’s execution time for testing images (0.02 s per image), it can be highly suitable for use as part of a clinical decision support system.

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