A Hybrid Deep Learning Heart Disease Prediction Framework Utilizing Multi-Modal Medical Imaging and Novel Feature Fusion Techniques
Received: 6 July 2025 | Revised: 16 August 2025 and 23 August 2025 | Accepted: 2 September 2025 | Online: 15 October 2025
Corresponding author: P. Archana
Abstract
Heart diseases require advanced diagnostic techniques for early and accurate detection. This paper combines multi-modal data sources, such as CT images, MRI scans, and ECG signals to provide a hybrid deep learning architecture for accurate cardiac disease identification. The system uses specific feature extraction methods, such as 3D-UNet for 3D MRI and CT images and Temporal Convolutional Graph Neural Networks (TC-GNN) for ECG, and then uses genetic algorithms to optimize the features. Autoencoders, which are 1D for ECG and 3D for MRI and CT, are employed for non-linear dimensionality reduction in order to handle the high dimensionality of fused information. A Convolutional Neural Network (CNN) processes the fused compact features for the final classification. The proposed model achieved a 97.1% accuracy, outperforming known models. Accuracy, recall, F1-score, and ROC-AUC scores support its generalizability and robustness. This multi-modal and feature-aware approach significantly increases classification accuracy, reduces false positives and false negatives, and provides a scalable clinical decision support solution for cardiovascular diagnostics.
Keywords:
hybrid deep learning, multi-modal imaging, feature fusion, heart disease diagnosis, CNNDownloads
References
S. C. W. Tan, B.-B. Zheng, M.-L. Tang, H. Chu, Y.-T. Zhao, and C. Weng, "Global Burden of Cardiovascular Diseases and its Risk Factors, 1990-2021: A Systematic Analysis for the Global Burden of Disease Study 2021," QJM: monthly journal of the Association of Physicians, vol. 118, no. 6, pp. 411–422, Jun. 2025. DOI: https://doi.org/10.1093/qjmed/hcaf022
N. A. Baghdadi, S. M. Farghaly Abdelaliem, A. Malki, I. Gad, A. Ewis, and E. Atlam, "Advanced machine learning techniques for cardiovascular disease early detection and diagnosis," Journal of Big Data, vol. 10, no. 1, Sep. 2023, Art. no. 144. DOI: https://doi.org/10.1186/s40537-023-00817-1
A. P and S. S. V, "Improving the Efficiency of Predicting the Heart Diseases Using Optimized Feature Selection and Ensemble Machine Learning Techniques," International Journal of Online and Biomedical Engineering (iJOE), vol. 21, no. 09, pp. 27–42, Jul. 2025. DOI: https://doi.org/10.3991/ijoe.v21i09.55425
N. Bora, S. Gutta, and A. Hadaegh, "Using Machine Learning to Predict Heart Disease," WSEAS Transactions on Biology and Biomedicine, vol. 19, pp. 1–9, Jan. 2022. DOI: https://doi.org/10.37394/23208.2022.19.1
A. Bahuguna, M. Gupta, and R. Kumar, "Statistical Analysis and Prediction of Heart Disease Using Machine Learning," in 2023 14th International Conference on Computing Communication and Networking Technologies (ICCCNT), Delhi, India, Jul. 2023, pp. 1–5. DOI: https://doi.org/10.1109/ICCCNT56998.2023.10308166
M. Rahardi, B. P. Asaddulloh, A. Aminuddin, F. F. Abdulloh, I. Saifudin, and F. P. Kusumawijaya, "Optimizing Machine Learning Models for Class Imbalance in Heart Disease Prediction," Engineering, Technology & Applied Science Research, vol. 15, no. 3, pp. 23599–23604, Jun. 2025. DOI: https://doi.org/10.48084/etasr.10407
A. Esteva et al., "A guide to deep learning in healthcare," Nature Medicine, vol. 25, no. 1, pp. 24–29, Jan. 2019. DOI: https://doi.org/10.1038/s41591-018-0316-z
L. Kumar, C. Anitha, V. N. Ghodke, N. Nithya, V. A. Drave, and A. Farhana, "Deep Learning Based Healthcare Method for Effective Heart Disease Prediction," EAI Endorsed Transactions on Pervasive Health and Technology, vol. 9, Oct. 2023. DOI: https://doi.org/10.4108/eetpht.9.4283
A. Sharma, R. Kumar, and V. Jaiswal, "Classification of Heart Disease from MRI Images Using Convolutional Neural Network," in 2021 6th International Conference on Signal Processing, Computing and Control (ISPCC), Solan, India, Jul. 2021, pp. 358–363. DOI: https://doi.org/10.1109/ISPCC53510.2021.9609408
R. Kannan and V. Vasanthi, "Deep Learning Framework to Predict and Diagnose the Cardiac Diseases by Image Segmentation," in Innovations in Computer Science and Engineering: Proceedings of 7th ICICSE, H. S. Saini, R. Sayal, R. Buyya, and G. Aliseri, Eds. Singapore: Springer, 2020, pp. 215–224. DOI: https://doi.org/10.1007/978-981-15-2043-3_26
M. Zakariah and K. AlShalfan, "Cardiovascular Disease Detection Using MRI Data with Deep Learning Approach," International Journal of Computer and Electrical Engineering, vol. 12, no. 2, pp. 72–82, 2020. DOI: https://doi.org/10.17706/IJCEE.2020.12.2.72-82
S. Ahuja, D. Shrimankar, and A. Durge, "Design of an Iterative Method for Deep Multimodal Feature Fusion in Heart Disease Diagnostics Utilizing Explainable AI," in Proceedings of the 1st International Conference on Explainable AI for Neural and Symbolic Methods, Sep. 2025, pp. 87–95. DOI: https://doi.org/10.5220/0012899400003886
D. Alsekait et al., "Heart-Net: A Multi-Modal Deep Learning Approach for Diagnosing Cardiovascular Diseases," Computers, Materials & Continua, vol. 80, no. 3, pp. 3967–3990, 2024. DOI: https://doi.org/10.32604/cmc.2024.054591
F. Girlanda, O. Demler, B. Menze, and N. Davoudi, "Enhancing Cardiovascular Disease Prediction through Multi-Modal Self-Supervised Learning." arXiv, Nov. 08, 2024.
R. Panchal, S. Tiwari, and S. Agarwal, "Multimodal image fusion on ECG signals for congestive heart failure classification," Multimedia Tools and Applications, vol. 84, no. 10, pp. 8247–8259, Mar. 2025. DOI: https://doi.org/10.1007/s11042-024-19052-8
N. Tomar, "CT Heart Dataset." 2021, [Online]. Available: https://www.kaggle.com/datasets/nikhilroxtomar/ct-heart-segmentation.
D. Sharifrazi, "CAD Cardiac MRI Dataset," 2021. https://www.kaggle.com/datasets/danialsharifrazi/cad-cardiac-mri-dataset.
E. Spiritos, "ECG Images Dataset of Cardiac Patients," 2024. https://www.kaggle.com/datasets/evilspirit05/ecg-analysis.
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