RT Journal Article T1 Hyperparameter optimization of YOLO models for invasive coronary angiography lesion detection and assessment A1 Pascual-González, Mario A1 Jiménez-Partinen, Ariadna A1 Palomo-Ferrer, Esteban José A1 López-Rubio, Ezequiel A1 Ortega-Gómez, Almudena K1 Corazón - Angiografía K1 Angiocardiografía K1 Aprendizaje automático (Inteligencia artificial) AB Coronary artery disease (CAD) remains the leading cause of mortality, creating an urgent need for reproducible, image-based decision support. Although YOLOv8-based detectors underpin much of today’s state-of-the-art stenosis detection, their accuracy is sensitive to dozens of interacting hyperparameters. We therefore perform a systematic study of hyperparameter optimizers for YOLO-style models, pairing YOLOv8 and its Double Coordinate Attention (DCA) variant with three model-based engines: Covariance-Matrix-Adaptation Evolution Strategy (CMA-ES), Tree-structured Parzen Estimator (TPE), and a Gaussian-process sampler; and contrasting them with Random Search and the mutation-only routine that serves as the default optimizer in the ultralytics package.Optimization targets binary detection and was benchmarked using the CADICA (full sequences) and ARCADE (single key-frames) datasets, maximizing the F1-Score under stratified three-fold cross-validation within a fixed compute budget. Model-based methods consistently lift the F1-speed Pareto frontier: CMA-ES attains on v8l, while Bayesian strategies top the medium and small backbones with (v8m) and (v8s). All surpass the default optimizer and yield more lesion-centric EigenCAM saliency, confirming the value of adaptive probabilistic search for tuning high-dimensional YOLO-based CAD pipelines. The complete code-base is open-source and released at https://github.com/MarioPasc/Coronary_Angiography_Detection. PB Elsevier YR 2025 FD 2025 LK https://hdl.handle.net/10630/39616 UL https://hdl.handle.net/10630/39616 LA eng NO Mario Pascual-González, Ariadna Jiménez-Partinen, Esteban J. Palomo, Ezequiel López-Rubio, Almudena Ortega-Gómez, Hyperparameter optimization of YOLO models for invasive coronary angiography lesion detection and assessment, Computers in Biology and Medicine, Volume 196, Part B, 2025, 110697, ISSN 0010-4825, https://doi.org/10.1016/j.compbiomed.2025.110697. NO Funding for open access charge: Universidad de Málaga / CBUA DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 12 abr 2026