MACHINE LEARNING-BASED ASSESSMENT MODEL AS A PREDICTIVE TOOL FOR BLASTOCYST GRADING UTILIZING MORPHOKINETIC PARAMETERS PRIOR TO THE THIRD CLEAVAGE DIVISION

2021 ◽  
Vol 116 (3) ◽  
pp. e174
Author(s):  
Stephen Davies ◽  
Nikos Kallioras ◽  
Pantelis Tsakalis ◽  
Dimitra Christopikou ◽  
Zoe Daskalopoulou ◽  
...  
Keyword(s):  
Machine Learning ◽  
Assessment Model ◽  
Predictive Tool ◽  
Cleavage Division ◽  
The Third ◽  
Morphokinetic Parameters

scholarly journals A Novel Hybrid Method for Landslide Susceptibility Mapping-Based GeoDetector and Machine Learning Cluster: A Case of Xiaojin County, China

2021 ◽  
Vol 10 (2) ◽  
pp. 93
Author(s):  
Wei Xie ◽  
Xiaoshuang Li ◽  
Wenbin Jian ◽  
Yang Yang ◽  
Hongwei Liu ◽  
...  
Keyword(s):  
Machine Learning ◽  
Hybrid Method ◽  
Roc Curve ◽  
Landslide Susceptibility ◽  
Susceptibility Mapping ◽  
Assessment Model ◽  
Landslide Susceptibility Mapping ◽  
Support Vector ◽  
Susceptibility Map ◽  
Area Index

Landslide susceptibility mapping (LSM) could be an effective way to prevent landslide hazards and mitigate losses. The choice of conditional factors is crucial to the results of LSM, and the selection of models also plays an important role. In this study, a hybrid method including GeoDetector and machine learning cluster was developed to provide a new perspective on how to address these two issues. We defined redundant factors by quantitatively analyzing the single impact and interactive impact of the factors, which was analyzed by GeoDetector, the effect of this step was examined using mean absolute error (MAE). The machine learning cluster contains four models (artificial neural network (ANN), Bayesian network (BN), logistic regression (LR), and support vector machines (SVM)) and automatically selects the best one for generating LSM. The receiver operating characteristic (ROC) curve, prediction accuracy, and the seed cell area index (SCAI) methods were used to evaluate these methods. The results show that the SVM model had the best performance in the machine learning cluster with the area under the ROC curve of 0.928 and with an accuracy of 83.86%. Therefore, SVM was chosen as the assessment model to map the landslide susceptibility of the study area. The landslide susceptibility map demonstrated fit with landslide inventory, indicated the hybrid method is effective in screening landslide influences and assessing landslide susceptibility.

Agreement and Reliability Analysis of Machine Learning Scaling in the Assessment of Acute Proximal Weakness by Experts and Non-Experts: Clinical Feasibility Study (Preprint)

2021 ◽  
Author(s):  
Eunjeong Park ◽  
Kijeong Lee ◽  
Taehwa Han ◽  
Hyo Suk Nam
Keyword(s):  
Machine Learning ◽  
Reliability Analysis ◽  
Gold Standard ◽  
Assessment Tool ◽  
Expert Knowledge ◽  
Hybrid Approach ◽  
Assessment Model ◽  
Lower Limbs ◽  
Neurological Deficits ◽  
Percent Agreement

BACKGROUND Assessing the symptoms of proximal weakness caused by neurological deficits requires expert knowledge and experienced neurologists. Recent advances in artificial intelligence and the Internet of Things have resulted in the development of automated systems that emulate physicians’ assessments. OBJECTIVE This study provides an agreement and reliability analysis of using an automated scoring system to evaluate proximal weakness by experts and non-experts. METHODS We collected 144 observations from acute stroke patients in a neurological intensive care unit to measure the symptom of proximal weakness of upper and lower limbs. A neurologist performed a gold standard assessment and two medical students performed identical tests as non-expert assessments for manual and machine learning-based scaling of Medical Research Council (MRC) proximal scores. The system collects signals from sensors attached on patients’ limbs and trains a machine learning assessment model using the hybrid approach of data-level and algorithm-level methods for the ordinal and imbalanced classification in multiple classes. For the agreement analysis, we investigated the percent agreement of MRC proximal scores and Bland-Altman plots of kinematic features between the expert- and non-expert scaling. In the reliability analysis, we analysed the intra-class correlation coefficients (ICCs) of kinematic features and Krippendorff’s alpha of the three observers’ scaling. RESULTS The mean percent agreement between the gold standard and the non-expert scaling was 0.542 for manual scaling and 0.708 for IoT-assisted machine learning scaling, with 30.63% enhancement. The ICCs of kinematic features measured using sensors ranged from 0.742 to 0.850, whereas the Krippendorff’s alpha of manual scaling for the three observers was 0.275. The Krippendorff’s alpha of machine learning scaling increased to 0.445, with 61.82% improvement. CONCLUSIONS Automated scaling using sensors and machine learning provided higher inter-rater agreement and reliability in assessing acute proximal weakness. The enhanced assessment supported by the proposed system can be utilized as a reliable assessment tool for non-experts in various emergent environments.

Implementing clinical decision support for oncology advanced care planning: A systems engineering framework to optimize the usability and utility of a machine learning predictive model in clinical practice.

2021 ◽  
Vol 39 (28_suppl) ◽  
pp. 330-330
Author(s):  
Teja Ganta ◽  
Stephanie Lehrman ◽  
Rachel Pappalardo ◽  
Madalene Crow ◽  
Meagan Will ◽  
...  
Keyword(s):  
Machine Learning ◽  
High Risk ◽  
Predictive Model ◽  
Systems Engineering ◽  
Care Planning ◽  
Learning Models ◽  
Predictive Tool ◽  
Risk Of Death ◽  
The Impact ◽  
Machine Learning Models

330 Background: Machine learning models are well-positioned to transform cancer care delivery by providing oncologists with more accurate or accessible information to augment clinical decisions. Many machine learning projects, however, focus on model accuracy without considering the impact of using the model in real-world settings and rarely carry forward to clinical implementation. We present a human-centered systems engineering approach to address clinical problems with workflow interventions utilizing machine learning algorithms. Methods: We aimed to develop a mortality predictive tool, using a Random Forest algorithm, to identify oncology patients at high risk of death within 30 days to move advance care planning (ACP) discussions earlier in the illness trajectory. First, a project sponsor defined the clinical need and requirements of an intervention. The data scientists developed the predictive algorithm using data available in the electronic health record (EHR). A multidisciplinary workgroup was assembled including oncology physicians, advanced practice providers, nurses, social workers, chaplain, clinical informaticists, and data scientists. Meeting bi-monthly, the group utilized human-centered design (HCD) methods to understand clinical workflows and identify points of intervention. The workgroup completed a workflow redesign workshop, a 90-minute facilitated group discussion, to integrate the model in a future state workflow. An EHR (Epic) analyst built the user interface to support the intervention per the group’s requirements. The workflow was piloted in thoracic oncology and bone marrow transplant with plans to scale to other cancer clinics. Results: Our predictive model performance on test data was acceptable (sensitivity 75%, specificity 75%, F-1 score 0.71, AUC 0.82). The workgroup identified a “quality of life coordinator” who: reviews an EHR report of patients scheduled in the upcoming 7 days who have a high risk of 30-day mortality; works with the oncology team to determine ACP clinical appropriateness; documents the need for ACP; identifies potential referrals to supportive oncology, social work, or chaplain; and coordinates the oncology appointment. The oncologist receives a reminder on the day of the patient’s scheduled visit. Conclusions: This workgroup is a viable approach that can be replicated at institutions to address clinical needs and realize the full potential of machine learning models in healthcare. The next steps for this project are to address end-user feedback from the pilot, expand the intervention to other cancer disease groups, and track clinical metrics.

scholarly journals Random Forest Model in the Diagnosis of Dementia Patients with Normal Mini-Mental State Examination Scores

2022 ◽  
Vol 12 (1) ◽  
pp. 37
Author(s):  
Jie Wang ◽  
Zhuo Wang ◽  
Ning Liu ◽  
Caiyan Liu ◽  
Chenhui Mao ◽  
...  
Keyword(s):  
Machine Learning ◽  
Cognitive Impairment ◽  
Random Forest ◽  
Mental State ◽  
Mini Mental State Examination ◽  
Machine Learning Algorithms ◽  
Assessment Model ◽  
Test Time ◽  
Cognitive Screening ◽  
State Examination

Background: Mini-Mental State Examination (MMSE) is the most widely used tool in cognitive screening. Some individuals with normal MMSE scores have extensive cognitive impairment. Systematic neuropsychological assessment should be performed in these patients. This study aimed to optimize the systematic neuropsychological test battery (NTB) by machine learning and develop new classification models for distinguishing mild cognitive impairment (MCI) and dementia among individuals with MMSE ≥ 26. Methods: 375 participants with MMSE ≥ 26 were assigned a diagnosis of cognitively unimpaired (CU) (n = 67), MCI (n = 174), or dementia (n = 134). We compared the performance of five machine learning algorithms, including logistic regression, decision tree, SVM, XGBoost, and random forest (RF), in identifying MCI and dementia. Results: RF performed best in identifying MCI and dementia. Six neuropsychological subtests with high-importance features were selected to form a simplified NTB, and the test time was cut in half. The AUC of the RF model was 0.89 for distinguishing MCI from CU, and 0.84 for distinguishing dementia from nondementia. Conclusions: This simplified cognitive assessment model can be useful for the diagnosis of MCI and dementia in patients with normal MMSE. It not only optimizes the content of cognitive evaluation, but also improves diagnosis and reduces missed diagnosis.

scholarly journals Advances in Computational Intelligence of Polymer Composite Materials: Machine Learning Assisted Modeling, Analysis and Design

2021 ◽  
Author(s):  
Aanchna Sharma ◽  
Tanmoy Mukhopadhyay ◽  
Sanjay Mavinkere Rangappa ◽  
Suchart Siengchin ◽  
Vinod Kushvaha
Keyword(s):  
Machine Learning ◽  
Polymer Composites ◽  
Relevant Literature ◽  
Future Research ◽  
Extensive Literature ◽  
Feature Identification ◽  
Predictive Tool ◽  
Analysis And Design ◽  
Increasing Demand ◽  
System Properties

Abstract The superior multi-functional properties of polymer composites have made them an ideal choice for aerospace, automobile, marine, civil, and many other technologically demanding industries. The increasing demand of these composites calls for an extensive investigation of their physical, chemical and mechanical behavior under different exposure conditions. Machine learning (ML) has been recognized as a powerful predictive tool for data-driven multi-physical modeling, leading to unprecedented insights and exploration of the system properties beyond the capability of traditional computational and experimental analyses. Here we aim to abridge the findings of the large volume of relevant literature and highlight the broad spectrum potential of ML in applications like prediction, optimization, feature identification, uncertainty quantification, reliability and sensitivity analysis along with the framework of different ML algorithms concerning polymer composites. Challenges like the curse of dimensionality, overfitting, noise and mixed variable problems are discussed, including the latest advancements in ML that have the potential to be integrated in the field of polymer composites. Based on the extensive literature survey, a few recommendations on the exploitation of various ML algorithms for addressing different critical problems concerning polymer composites are provided along with insightful perspectives on the potential directions of future research.

Detection of cancer signal for over 50 AJCC cancer types with a multi-cancer early-detection test.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 3072-3072
Author(s):  
Habte Aragaw Yimer ◽  
Wai Hong Wilson Tang ◽  
Mohan K. Tummala ◽  
Spencer Shao ◽  
Gina G. Chung ◽  
...  
Keyword(s):  
Machine Learning ◽  
Early Detection ◽  
Cancer Type ◽  
Anatomic Site ◽  
The Third ◽  
Cancer Early Detection ◽  
Wide Range ◽  
Source Data ◽  
Cancer Types

3072 Background: The Circulating Cell-free Genome Atlas study (CCGA; NCT02889978) previously demonstrated that a blood-based multi-cancer early detection (MCED) test utilizing cell-free DNA (cfDNA) sequencing in combination with machine learning could detect cancer signals across multiple cancer types and predict cancer signal origin. Cancer classes were defined within the CCGA study for sensitivity reporting. Separately, cancer types defined by the American Joint Committee on Cancer (AJCC) criteria, which outline unique staging requirements and reflect a distinct combination of anatomic site, histology and other biologic features, were assigned to each cancer participant using the same source data for primary site of origin and histologic type. Here, we report CCGA ‘cancer class’ designation and AJCC ‘cancer type’ assignment within the third and final CCGA3 validation substudy to better characterize the diversity of tumors across which a cancer signal could be detected with the MCED test that is nearing clinical availability. Methods: CCGA is a prospective, multicenter, case-control, observational study with longitudinal follow-up (overall population N = 15,254). Plasma cfDNA from evaluable samples was analyzed using a targeted methylation bisulfite sequencing assay and a machine learning approach, and test performance, including sensitivity, was assessed. For sensitivity reporting, CCGA cancer classes were assigned to cancer participants using a combination of the type of primary cancer reported by the site and tumor characteristics abstracted from the site pathology reports by GRAIL pathologists. Each cancer participant also was separately assigned an AJCC cancer type based on the same source data using AJCC staging manual (8th edition) classifications. Results: A total of 4077 participants comprised the independent validation set with confirmed status (cancer: n = 2823; non-cancer: n = 1254 with non-cancer status confirmed at year-one follow-up). Sensitivity was reported for 24 cancer classes (sample sizes ranged from 10 to 524 participants), as well as an “other” cancer class (59 participants). According to AJCC classification, the MCED test was found to detect cancer signals across 50+ AJCC cancer types, including some types not present in the training set; some cancer types had limited representation. Conclusions: This MCED test that is nearing clinical availability and was evaluated in the third CCGA substudy detected cancer signals across 50+ AJCC cancer types. Reporting CCGA cancer classes and AJCC cancer types demonstrates the ability of the MCED test to detect cancer signals across a set of diverse cancer types representing a wide range of biologic characteristics, including cancer types that the classifier has not been trained on, and supports its use on a population-wide scale. Clinical trial information: NCT02889978.

scholarly journals Global analysis of adenylate-forming enzymes reveals β-lactone biosynthesis pathway in pathogenic Nocardia

2020 ◽  
Vol 295 (44) ◽  
pp. 14826-14839
Author(s):  
Serina L. Robinson ◽  
Barbara R. Terlouw ◽  
Megan D. Smith ◽  
Sacha J. Pidot ◽  
Timothy P. Stinear ◽  
...  
Keyword(s):  
Machine Learning ◽  
Natural Product ◽  
Global Analysis ◽  
Gene Clusters ◽  
Divergent Evolution ◽  
Acid Activation ◽  
Biosynthetic Gene ◽  
Biosynthetic Gene Clusters ◽  
Predictive Tool ◽  
Wide Range

Enzymes that cleave ATP to activate carboxylic acids play essential roles in primary and secondary metabolism in all domains of life. Class I adenylate-forming enzymes share a conserved structural fold but act on a wide range of substrates to catalyze reactions involved in bioluminescence, nonribosomal peptide biosynthesis, fatty acid activation, and β-lactone formation. Despite their metabolic importance, the substrates and functions of the vast majority of adenylate-forming enzymes are unknown without tools available to accurately predict them. Given the crucial roles of adenylate-forming enzymes in biosynthesis, this also severely limits our ability to predict natural product structures from biosynthetic gene clusters. Here we used machine learning to predict adenylate-forming enzyme function and substrate specificity from protein sequences. We built a web-based predictive tool and used it to comprehensively map the biochemical diversity of adenylate-forming enzymes across >50,000 candidate biosynthetic gene clusters in bacterial, fungal, and plant genomes. Ancestral phylogenetic reconstruction and sequence similarity networking of enzymes from these clusters suggested divergent evolution of the adenylate-forming superfamily from a core enzyme scaffold most related to contemporary CoA ligases toward more specialized functions including β-lactone synthetases. Our classifier predicted β-lactone synthetases in uncharacterized biosynthetic gene clusters conserved in >90 different strains of Nocardia. To test our prediction, we purified a candidate β-lactone synthetase from Nocardia brasiliensis and reconstituted the biosynthetic pathway in vitro to link the gene cluster to the β-lactone natural product, nocardiolactone. We anticipate that our machine learning approach will aid in functional classification of enzymes and advance natural product discovery.

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