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Editorial
. 2023 Jan 11;2(1):100166.
doi: 10.1016/j.jacadv.2022.100166. eCollection 2023 Jan.

Machine Learning Algorithms: Selection of Appropriate Validation Populations for Cardiology Research-Be Careful!

Affiliations
Editorial

Machine Learning Algorithms: Selection of Appropriate Validation Populations for Cardiology Research-Be Careful!

William E Sanders Jr et al. JACC Adv. .
No abstract available

Keywords: artificial intelligence; coronary artery disease; digital health; machine learning; validation populations.

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Conflict of interest statement

CorVista Health funded the collection of subject data. Dr Sanders, Mr Burton, Dr Khosousi, Dr Fathieh, Dr Ramchandani, and Mr Shadforth are employees of CorVista Health. Dr Rabbat is a member of the Medical Advisory Board for CorVista Health. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

Figure 1
Figure 1
Variance in Area Under the Receiver-Operating Characteristic Curve Using Different Validation Populations Three ROC curves generated by applying the same coronary artery disease (CAD) classification algorithm to the same positive population, with 3 distinct negative populations: Group 1 (green curve) = subjects shown to have no significant CAD by invasive coronary angiography (ICA) (AUC = 0.5944); group 2 (blue curve) = subjects shown to have no significant CAD by computed tomography angiography (CTA) (AUC = 0.7641); group 3 (orange curve) = subjects assumed to have no significant CAD as they have no known CAD, no symptoms of CAD, and no risk factors for cardiovascular disease (AUC = 0.9253).

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