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A new approach based on a discrete hidden Markov model using the Rocchio algorithm for the diagnosis of heart valve diseases

Abstract: Application of the Doppler ultrasound technique in the diagnosis of heart diseases has been increasing in the last decade since it is non‐invasive, practicable and reliable. In this study, a new approach based on the discrete hidden Markov model (DHMM) is proposed for the diagnosis of heart valve disorders. For the calculation of hidden Markov model (HMM) parameters according to the maximum likelihood approach, HMM parameters belonging to each class are calculated by using training samples that only belong to their own classes. In order to calculate the parameters of DHMMs, not only training samples of the related class but also training samples of other classes are included in the calculation. Therefore HMM parameters that reflect a class's characteristics are more represented than other class parameters. For this aim, the approach was to use a hybrid method by adapting the Rocchio algorithm. The proposed system was used in the classification of the Doppler signals obtained from aortic and mitral heart valves of 215 subjects. The performance of this classification approach was compared with the classification performances in previous studies which used the same data set and the efficiency of the new approach was tested. The total classification accuracy of the proposed approach (95.12%) is higher than the total accuracy rate of standard DHMM (94.31%), continuous HMM (93.5%) and support vector machine (92.67%) classifiers employed in our previous studies and comparable with the performance levels of classifications using artificial neural networks (95.12%) and fuzzy‐C‐means/CHMM (95.12%).