1991
DOI: 10.7326/0003-4819-115-11-843
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Use of an Artificial Neural Network for the Diagnosis of Myocardial Infarction

Abstract: An artificial neural network trained to identify myocardial infarction in adult patients presenting to an emergency department may be a valuable aid to the clinical diagnosis of myocardial infarction; however, this possibility must be confirmed through prospective testing on a larger patient sample.

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Cited by 427 publications
(178 citation statements)
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“…Fuzzy expert systems [31,32] manage to keep this feature without applying strict threshold values. ANNs [4,21,[26][27][28][29] due to their non-linear characteristics and learning capabilities have provided good performance results. The above methods when tested with the ESC ST-T database demonstrated a Se that ranged from 71 to 94% and a PPA from 66 to 90%.…”
Section: Discussionmentioning
confidence: 99%
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“…Fuzzy expert systems [31,32] manage to keep this feature without applying strict threshold values. ANNs [4,21,[26][27][28][29] due to their non-linear characteristics and learning capabilities have provided good performance results. The above methods when tested with the ESC ST-T database demonstrated a Se that ranged from 71 to 94% and a PPA from 66 to 90%.…”
Section: Discussionmentioning
confidence: 99%
“…The above methods when tested with the ESC ST-T database demonstrated a Se that ranged from 71 to 94% and a PPA from 66 to 90%. Some works [3][4][5]15,20,21,25,32] report better results, which are not comparable since they refer to their own datasets. In [28] a non-linear PCA neural network is proposed for ischemic beat classification instead of episode detection.…”
Section: Discussionmentioning
confidence: 99%
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“…Second, as opposed to statistical methods, ANNs are non-linear and may perform better than their statistical, linear counterparts (10). This means that they may identify relationships between variables not previously appreciated (8). However, statistical methods and ANNs are essentially identical in many respects (6).…”
Section: Discussionmentioning
confidence: 99%
“…Generally, neural networks have performed at least as well as other methods, with coronary artery disease and breast cancer among the most widely studied databases. For example, in a well publicized study, Baxt (1991) used backpropagation to identify myocardial infarction; on a coronary artery disease database, Rosenberg, Ercl, & Atlan (1993) found performance of a radial basis function network to be comparable with that of human experts and superior to various backpropagation methods; and for breast cancer detection, researchers have successfully applied backpropagation (Floyd et al 1994;, ART 2 and fractal analysis (Downes, 1994), the neocognitron (Lo et al, 1995), convolution neural networks , and decision trees (Bohren, Hadzikadic, & Hanley, 1995).…”
Section: Neural Network and Medical Diagnosismentioning
confidence: 99%