scholarly journals Optimization of treatment strategy by using a machine learning model to predict survival time of patients with malignant glioma after radiotherapy

2019 ◽  
Vol 60 (6) ◽  
pp. 818-824 ◽  
Author(s):  
Takuya Mizutani ◽  
Taiki Magome ◽  
Hiroshi Igaki ◽  
Akihiro Haga ◽  
Kanabu Nawa ◽  
...  

ABSTRACT The purpose of this study was to predict the survival time of patients with malignant glioma after radiotherapy with high accuracy by considering additional clinical factors and optimize the prescription dose and treatment duration for individual patient by using a machine learning model. A total of 35 patients with malignant glioma were included in this study. The candidate features included 12 clinical features and 192 dose–volume histogram (DVH) features. The appropriate input features and parameters of the support vector machine (SVM) were selected using the genetic algorithm based on Akaike’s information criterion, i.e. clinical, DVH, and both clinical and DVH features. The prediction accuracy of the SVM models was evaluated through a leave-one-out cross-validation test with residual error, which was defined as the absolute difference between the actual and predicted survival times after radiotherapy. Moreover, the influences of various values of prescription dose and treatment duration on the predicted survival time were evaluated. The prediction accuracy was significantly improved with the combined use of clinical and DVH features compared with the separate use of both features (P < 0.01, Wilcoxon signed rank test). Mean ± standard deviation of the leave-one-out cross-validation using the combined clinical and DVH features, only clinical features and only DVH features were 104.7 ± 96.5, 144.2 ± 126.1 and 204.5 ± 186.0 days, respectively. The prediction accuracy could be improved with the combination of clinical and DVH features, and our results show the potential to optimize the treatment strategy for individual patients based on a machine learning model.

Author(s):  
Yuhong Huang ◽  
Wenben Chen ◽  
Xiaoling Zhang ◽  
Shaofu He ◽  
Nan Shao ◽  
...  

Aim: After neoadjuvant chemotherapy (NACT), tumor shrinkage pattern is a more reasonable outcome to decide a possible breast-conserving surgery (BCS) than pathological complete response (pCR). The aim of this article was to establish a machine learning model combining radiomics features from multiparametric MRI (mpMRI) and clinicopathologic characteristics, for early prediction of tumor shrinkage pattern prior to NACT in breast cancer.Materials and Methods: This study included 199 patients with breast cancer who successfully completed NACT and underwent following breast surgery. For each patient, 4,198 radiomics features were extracted from the segmented 3D regions of interest (ROI) in mpMRI sequences such as T1-weighted dynamic contrast-enhanced imaging (T1-DCE), fat-suppressed T2-weighted imaging (T2WI), and apparent diffusion coefficient (ADC) map. The feature selection and supervised machine learning algorithms were used to identify the predictors correlated with tumor shrinkage pattern as follows: (1) reducing the feature dimension by using ANOVA and the least absolute shrinkage and selection operator (LASSO) with 10-fold cross-validation, (2) splitting the dataset into a training dataset and testing dataset, and constructing prediction models using 12 classification algorithms, and (3) assessing the model performance through an area under the curve (AUC), accuracy, sensitivity, and specificity. We also compared the most discriminative model in different molecular subtypes of breast cancer.Results: The Multilayer Perception (MLP) neural network achieved higher AUC and accuracy than other classifiers. The radiomics model achieved a mean AUC of 0.975 (accuracy = 0.912) on the training dataset and 0.900 (accuracy = 0.828) on the testing dataset with 30-round 6-fold cross-validation. When incorporating clinicopathologic characteristics, the mean AUC was 0.985 (accuracy = 0.930) on the training dataset and 0.939 (accuracy = 0.870) on the testing dataset. The model further achieved good AUC on the testing dataset with 30-round 5-fold cross-validation in three molecular subtypes of breast cancer as following: (1) HR+/HER2–: 0.901 (accuracy = 0.816), (2) HER2+: 0.940 (accuracy = 0.865), and (3) TN: 0.837 (accuracy = 0.811).Conclusions: It is feasible that our machine learning model combining radiomics features and clinical characteristics could provide a potential tool to predict tumor shrinkage patterns prior to NACT. Our prediction model will be valuable in guiding NACT and surgical treatment in breast cancer.


In this paper we propose a novel supervised machine learning model to predict the polarity of sentiments expressed in microblogs. The proposed model has a stacked neural network structure consisting of Long Short Term Memory (LSTM) and Convolutional Neural Network (CNN) layers. In order to capture the long-term dependencies of sentiments in the text ordering of a microblog, the proposed model employs an LSTM layer. The encodings produced by the LSTM layer are then fed to a CNN layer, which generates localized patterns of higher accuracy. These patterns are capable of capturing both local and global long-term dependences in the text of the microblogs. It was observed that the proposed model performs better and gives improved prediction accuracy when compared to semantic, machine learning and deep neural network approaches such as SVM, CNN, LSTM, CNN-LSTM, etc. This paper utilizes the benchmark Stanford Large Movie Review dataset to show the significance of the new approach. The prediction accuracy of the proposed approach is comparable to other state-of-art approaches.


PLoS ONE ◽  
2020 ◽  
Vol 15 (7) ◽  
pp. e0236092 ◽  
Author(s):  
Bence Ferdinandy ◽  
Linda Gerencsér ◽  
Luca Corrieri ◽  
Paula Perez ◽  
Dóra Újváry ◽  
...  

PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0231055 ◽  
Author(s):  
Meysam Alizamir ◽  
Ozgur Kisi ◽  
Ali Najah Ahmed ◽  
Cihan Mert ◽  
Chow Ming Fai ◽  
...  

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252573
Author(s):  
Mustafa Abdul Salam ◽  
Sanaa Taha ◽  
Mohamed Ramadan

The current COVID-19 pandemic threatens human life, health, and productivity. AI plays an essential role in COVID-19 case classification as we can apply machine learning models on COVID-19 case data to predict infectious cases and recovery rates using chest x-ray. Accessing patient’s private data violates patient privacy and traditional machine learning model requires accessing or transferring whole data to train the model. In recent years, there has been increasing interest in federated machine learning, as it provides an effective solution for data privacy, centralized computation, and high computation power. In this paper, we studied the efficacy of federated learning versus traditional learning by developing two machine learning models (a federated learning model and a traditional machine learning model)using Keras and TensorFlow federated, we used a descriptive dataset and chest x-ray (CXR) images from COVID-19 patients. During the model training stage, we tried to identify which factors affect model prediction accuracy and loss like activation function, model optimizer, learning rate, number of rounds, and data Size, we kept recording and plotting the model loss and prediction accuracy per each training round, to identify which factors affect the model performance, and we found that softmax activation function and SGD optimizer give better prediction accuracy and loss, changing the number of rounds and learning rate has slightly effect on model prediction accuracy and prediction loss but increasing the data size did not have any effect on model prediction accuracy and prediction loss. finally, we build a comparison between the proposed models’ loss, accuracy, and performance speed, the results demonstrate that the federated machine learning model has a better prediction accuracy and loss but higher performance time than the traditional machine learning model.


Author(s):  
Michael F Gensheimer ◽  
Sonya Aggarwal ◽  
Kathryn R K Benson ◽  
Justin N Carter ◽  
A Solomon Henry ◽  
...  

Abstract Objective Being able to predict a patient’s life expectancy can help doctors and patients prioritize treatments and supportive care. For predicting life expectancy, physicians have been shown to outperform traditional models that use only a few predictor variables. It is possible that a machine learning model that uses many predictor variables and diverse data sources from the electronic medical record can improve on physicians’ performance. For patients with metastatic cancer, we compared accuracy of life expectancy predictions by the treating physician, a machine learning model, and a traditional model. Materials and Methods A machine learning model was trained using 14 600 metastatic cancer patients’ data to predict each patient’s distribution of survival time. Data sources included note text, laboratory values, and vital signs. From 2015–2016, 899 patients receiving radiotherapy for metastatic cancer were enrolled in a study in which their radiation oncologist estimated life expectancy. Survival predictions were also made by the machine learning model and a traditional model using only performance status. Performance was assessed with area under the curve for 1-year survival and calibration plots. Results The radiotherapy study included 1190 treatment courses in 899 patients. A total of 879 treatment courses in 685 patients were included in this analysis. Median overall survival was 11.7 months. Physicians, machine learning model, and traditional model had area under the curve for 1-year survival of 0.72 (95% CI 0.63–0.81), 0.77 (0.73–0.81), and 0.68 (0.65–0.71), respectively. Conclusions The machine learning model’s predictions were more accurate than those of the treating physician or a traditional model.


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