This study focuses on integration of anatomical left ventricle myocardium features and optimized extreme learning machine (ELM) for discrimination of subjects with normal, mild, moderate and severe abnormal ejection fraction (EF). The physiological alterations in myocardium have diagnostic relevance to the etiology of cardiovascular diseases (CVD) with reduced EF.

This assessment is carried out on cardiovascular magnetic resonance (CMR) images of 104 subjects available in Kaggle Second Annual Data Science Bowl. The Segment CMR framework is used to segment myocardium from cardiac MR images, and it is subdivided into 16 sectors. 86 clinically significant anatomical features are extracted and subjected to ELM framework. Regularization coefficient and hidden neurons influence the prediction accuracy of ELM. The optimal value for these parameters is achieved with the butterfly optimizer (BO). A comparative study of BOELM framework with different activation functions and feature set has been conducted.

Among the individual feature set, myocardial volume at ED gives a better classification accuracy of 83.3% compared to others. Further, the given BOELM framework is able to provide higher multi-class accuracy of 95.2% with the entire feature set than ELM. Better discrimination of healthy and moderate abnormal subjects is achieved than other sub groups.

The combined anatomical sector wise myocardial features assisted BOELM is able to predict the severity levels of CVDs. Thus, this study supports the radiologists in the mass diagnosis of cardiac disorder.