scholarly journals A Deep Learning Model for Screening Type 2 Diabetes from Retinal Photographs

2021 ◽  
Author(s):  
Jae-Seung Yun ◽  
Jaesik Kim ◽  
Sang-Hyuk Jung ◽  
Seon-Ah Cha ◽  
Seung-Hyun Ko ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Deep Learning ◽  
Learning Algorithm ◽  
Learning Model ◽  
Retinal Images ◽  
Uk Biobank ◽  
Non Invasive ◽  
Deep Learning Algorithm ◽  
Deep Learning Model

Objective: We aimed to develop and evaluate a non-invasive deep learning algorithm for screening type 2 diabetes in UK Biobank participants using retinal images. Research Design and Methods: The deep learning model for prediction of type 2 diabetes was trained on retinal images from 50,077 UK Biobank participants and tested on 12,185 participants. We evaluated its performance in terms of predicting traditional risk factors (TRFs) and genetic risk for diabetes. Next, we compared the performance of three models in predicting type 2 diabetes using 1) an image-only deep learning algorithm, 2) TRFs, 3) the combination of the algorithm and TRFs. Assessing net reclassification improvement (NRI) allowed quantification of the improvement afforded by adding the algorithm to the TRF model. Results: When predicting TRFs with the deep learning algorithm, the areas under the curve (AUCs) obtained with the validation set for age, sex, and HbA1c status were 0.931 (0.928-0.934), 0.933 (0.929-0.936), and 0.734 (0.715-0.752), respectively. When predicting type 2 diabetes, the AUC of the composite logistic model using non-invasive TRFs was 0.810 (0.790-0.830), and that for the deep learning model using only fundus images was 0.731 (0.707-0.756). Upon addition of TRFs to the deep learning algorithm, discriminative performance was improved to 0.844 (0.826-0.861). The addition of the algorithm to the TRFs model improved risk stratification with an overall NRI of 50.8%. Conclusions: Our results demonstrate that this deep learning algorithm can be a useful tool for stratifying individuals at high risk of type 2 diabetes in the general population.

309-OR: Deep Learning Model of Pancreatic Islet Epigenome Refines Association Signals at Type 2 Diabetes Susceptibility Loci

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 309-OR
Author(s):  
AGATA WESOLOWSKA-ANDERSEN ◽  
MATTHIAS THURNER ◽  
ANUBHA MAHAJAN ◽  
FERNANDO ABAITUA ◽  
JASON TORRES ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Deep Learning ◽  
Pancreatic Islet ◽  
Learning Model ◽  
Susceptibility Loci ◽  
Diabetes Susceptibility ◽  
Deep Learning Model

Extracting non-small cell lung cancer (NSCLC) diagnosis and diagnosis dates from electronic health record (EHR) text using a deep learning algorithm.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 1556-1556
Author(s):  
Alexander S. Rich ◽  
Barry Leybovich ◽  
Melissa Estevez ◽  
Jamie Irvine ◽  
Nisha Singh ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Deep Learning ◽  
Real World ◽  
Learning Algorithm ◽  
Learning Model ◽  
Early Stage Disease ◽  
Deep Learning Algorithm ◽  
The Impact ◽  
Deep Learning Model ◽  
Diagnosis Date

1556 Background: Identifying patients with a particular cancer and determining the date of that diagnosis from EHR data is important for selecting real world research cohorts and conducting downstream analyses. However, cancer diagnoses and their dates are often not accurately recorded in the EHR in a structured form. We developed a unified deep learning model for identifying patients with NSCLC and their initial and advanced diagnosis date(s). Methods: The study used a cohort of 52,834 patients with lung cancer ICD codes from the nationwide deidentified Flatiron Health EHR-derived database. For all patients in the cohort, abstractors used an in-house technology-enabled platform to identify an NSCLC diagnosis, advanced disease, and relevant diagnosis date(s) via chart review. Advanced NSCLC was defined as stage IIIB or IV disease at diagnosis or early stage disease that recurred or progressed. The deep learning model was trained on 38,517 patients, with a separate 14,317 patient test cohort. The model input was a set of sentences containing keywords related to (a)NSCLC, extracted from a patient’s EHR documents. Each sentence was associated with a date, using the document timestamp or, if present, a date mentioned explicitly in the sentence. The sentences were processed by a GRU network, followed by an attentional network that integrated across sentences, outputting a prediction of whether the patient had been diagnosed with (a)NSCLC and the diagnosis date(s) if so. We measured sensitivity and positive predictive value (PPV) of extracting the presence of initial and advanced diagnoses in the test cohort. Among patients with both model-extracted and abstracted diagnosis dates, we also measured 30-day accuracy, defined as the proportion of patients where the dates match to within 30 days. Real world overall survival (rwOS) for patients abstracted vs. model-extracted as advanced was calculated using Kaplan-Meier methods (index date: abstracted vs. model-extracted advanced diagnosis date). Results: Results in the Table show the sensitivity, PPV, and accuracy of the model extracted diagnoses and dates. RwOS was similar using model extracted aNSCLC diagnosis dates (median = 13.7) versus abstracted diagnosis dates (median = 13.3), with a difference of 0.4 months (95% CI = [0.0, 0.8]). Conclusions: Initial and advanced diagnosis of NSCLC and dates of diagnosis can be accurately extracted from unstructured clinical text using a deep learning algorithm. This can further enable the use of EHR data for research on real-world treatment patterns and outcomes analysis, and other applications such as clinical trials matching. Future work should aim to understand the impact of model errors on downstream analyses.[Table: see text]

scholarly journals A Deep-Learning Algorithm (ECG12Net) for Detecting Hypokalemia and Hyperkalemia by Electrocardiography: Algorithm Development

10.2196/15931 ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. e15931 ◽  
Author(s):  
Chin-Sheng Lin ◽  
Chin Lin ◽  
Wen-Hui Fang ◽  
Chia-Jung Hsu ◽  
Sy-Jou Chen ◽  
...  
Keyword(s):  
Deep Learning ◽  
Cardiac Tissue ◽  
Learning Algorithm ◽  
Area Under The Curve ◽  
Absolute Error ◽  
Learning Model ◽  
Cardiac Events ◽  
Deep Learning Algorithm ◽  
And Performance ◽  
Deep Learning Model

Background The detection of dyskalemias—hypokalemia and hyperkalemia—currently depends on laboratory tests. Since cardiac tissue is very sensitive to dyskalemia, electrocardiography (ECG) may be able to uncover clinically important dyskalemias before laboratory results. Objective Our study aimed to develop a deep-learning model, ECG12Net, to detect dyskalemias based on ECG presentations and to evaluate the logic and performance of this model. Methods Spanning from May 2011 to December 2016, 66,321 ECG records with corresponding serum potassium (K+) concentrations were obtained from 40,180 patients admitted to the emergency department. ECG12Net is an 82-layer convolutional neural network that estimates serum K+ concentration. Six clinicians—three emergency physicians and three cardiologists—participated in human-machine competition. Sensitivity, specificity, and balance accuracy were used to evaluate the performance of ECG12Net with that of these physicians. Results In a human-machine competition including 300 ECGs of different serum K+ concentrations, the area under the curve for detecting hypokalemia and hyperkalemia with ECG12Net was 0.926 and 0.958, respectively, which was significantly better than that of our best clinicians. Moreover, in detecting hypokalemia and hyperkalemia, the sensitivities were 96.7% and 83.3%, respectively, and the specificities were 93.3% and 97.8%, respectively. In a test set including 13,222 ECGs, ECG12Net had a similar performance in terms of sensitivity for severe hypokalemia (95.6%) and severe hyperkalemia (84.5%), with a mean absolute error of 0.531. The specificities for detecting hypokalemia and hyperkalemia were 81.6% and 96.0%, respectively. Conclusions A deep-learning model based on a 12-lead ECG may help physicians promptly recognize severe dyskalemias and thereby potentially reduce cardiac events.

scholarly journals A Deep Learning Model for Screening Type 2 Diabetes from Retinal Photographs

2022 ◽  
Author(s):  
Jae-Seung Yun ◽  
Jaesik Kim ◽  
Sang-Hyuk Jung ◽  
Seon-Ah Cha ◽  
Seung-Hyun Ko ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Deep Learning ◽  
Learning Model ◽  
Retinal Photographs ◽  
Deep Learning Model

scholarly journals Progress in developing a hybrid deep learning algorithm for identifying and locating primary vertices

2021 ◽  
Vol 251 ◽  
pp. 04012
Author(s):  
Simon Akar ◽  
Gowtham Atluri ◽  
Thomas Boettcher ◽  
Michael Peters ◽  
Henry Schreiner ◽  
...  
Keyword(s):  
Deep Learning ◽  
High Efficiency ◽  
Learning Algorithm ◽  
Learning Model ◽  
Operating Conditions ◽  
Proton Collision ◽  
Proton Proton ◽  
Deep Learning Algorithm ◽  
Proton Proton Collision ◽  
Deep Learning Model

The locations of proton-proton collision points in LHC experiments are called primary vertices (PVs). Preliminary results of a hybrid deep learning algorithm for identifying and locating these, targeting the Run 3 incarnation of LHCb, have been described at conferences in 2019 and 2020. In the past year we have made significant progress in a variety of related areas. Using two newer Kernel Density Estimators (KDEs) as input feature sets improves the fidelity of the models, as does using full LHCb simulation rather than the “toy Monte Carlo” originally (and still) used to develop models. We have also built a deep learning model to calculate the KDEs from track information. Connecting a tracks-to-KDE model to a KDE-to-hists model used to find PVs provides a proof-of-concept that a single deep learning model can use track information to find PVs with high efficiency and high fidelity. We have studied a variety of models systematically to understand how variations in their architectures affect performance. While the studies reported here are specific to the LHCb geometry and operating conditions, the results suggest that the same approach could be used by the ATLAS and CMS experiments.

scholarly journals Testing a Deep Learning Algorithm for Detection of Diabetic Retinopathy in a Spanish Diabetic Population and with MESSIDOR Database

Diagnostics ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 1385
Author(s):  
Marc Baget-Bernaldiz ◽  
Romero-Aroca Pedro ◽  
Esther Santos-Blanco ◽  
Raul Navarro-Gil ◽  
Aida Valls ◽  
...  
Keyword(s):  
Deep Learning ◽  
Predictive Value ◽  
Operating Characteristic ◽  
Learning Algorithm ◽  
Characteristic Curve ◽  
Retinal Images ◽  
Deep Learning Algorithm ◽  
Type 2 Dm ◽  
Diabetic Population

Background: The aim of the present study was to test our deep learning algorithm (DLA) by reading the retinographies. Methods: We tested our DLA built on convolutional neural networks in 14,186 retinographies from our population and 1200 images extracted from MESSIDOR. The retinal images were graded both by the DLA and independently by four retina specialists. Results of the DLA were compared according to accuracy (ACC), sensitivity (S), specificity (SP), positive predictive value (PPV), negative predictive value (NPV), and area under the receiver operating characteristic curve (AUC), distinguishing between identification of any type of DR (any DR) and referable DR (RDR). Results: The results of testing the DLA for identifying any DR in our population were: ACC = 99.75, S = 97.92, SP = 99.91, PPV = 98.92, NPV = 99.82, and AUC = 0.983. When detecting RDR, the results were: ACC = 99.66, S = 96.7, SP = 99.92, PPV = 99.07, NPV = 99.71, and AUC = 0.988. The results of testing the DLA for identifying any DR with MESSIDOR were: ACC = 94.79, S = 97.32, SP = 94.57, PPV = 60.93, NPV = 99.75, and AUC = 0.959. When detecting RDR, the results were: ACC = 98.78, S = 94.64, SP = 99.14, PPV = 90.54, NPV = 99.53, and AUC = 0.968. Conclusions: Our DLA performed well, both in detecting any DR and in classifying those eyes with RDR in a sample of retinographies of type 2 DM patients in our population and the MESSIDOR database.

scholarly journals Deep learning for automatically predicting early haematoma expansion in Chinese patients

2021 ◽  
pp. svn-2020-000647
Author(s):  
Jia-wei Zhong ◽  
Yu-jia Jin ◽  
Zai-jun Song ◽  
Bo Lin ◽  
Xiao-hui Lu ◽  
...  
Keyword(s):  
Deep Learning ◽  
Learning Algorithm ◽  
Learning Model ◽  
Chinese Patients ◽  
Deep Learning Algorithm ◽  
Haematoma Volume ◽  
C Statistic ◽  
Haematoma Expansion ◽  
Contrast Ct ◽  
Deep Learning Model

Background and purposeEarly haematoma expansion is determinative in predicting outcome of intracerebral haemorrhage (ICH) patients. The aims of this study are to develop a novel prediction model for haematoma expansion by applying deep learning model and validate its prediction accuracy.MethodsData of this study were obtained from a prospectively enrolled cohort of patients with primary supratentorial ICH from our centre. We developed a deep learning model to predict haematoma expansion and compared its performance with conventional non-contrast CT (NCCT) markers. To evaluate the predictability of this model, it was also compared with a logistic regression model based on haematoma volume or the BAT score.ResultsA total of 266 patients were finally included for analysis, and 74 (27.8%) of them experienced early haematoma expansion. The deep learning model exhibited highest C statistic as 0.80, compared with 0.64, 0.65, 0.51, 0.58 and 0.55 for hypodensities, black hole sign, blend sign, fluid level and irregular shape, respectively. While the C statistics for swirl sign (0.70; p=0.211) and heterogenous density (0.70; p=0.141) were not significantly higher than that of the deep learning model. Moreover, the predictive value for the deep learning model was significantly superior to that of the logistic model of haematoma volume (0.62; p=0.042) and the BAT score (0.65; p=0.042).ConclusionsCompared with the conventional NCCT markers and BAT predictive model, the deep learning algorithm showed superiority for predicting early haematoma expansion in ICH patients.

scholarly journals Non-invasive cuff-less blood pressure estimation using a hybrid deep learning model

2021 ◽  
Vol 53 (2) ◽  
Author(s):  
Sen Yang ◽  
Yaping Zhang ◽  
Siu-Yeung Cho ◽  
Ricardo Correia ◽  
Stephen P. Morgan
Keyword(s):  
Machine Learning ◽  
Blood Pressure ◽  
Deep Learning ◽  
Absolute Error ◽  
Learning Model ◽  
Physiological Measurement ◽  
British Hypertension Society ◽  
Non Invasive ◽  
Blood Pressure Estimation ◽  
Deep Learning Model

AbstractConventional blood pressure (BP) measurement methods have different drawbacks such as being invasive, cuff-based or requiring manual operations. There is significant interest in the development of non-invasive, cuff-less and continual BP measurement based on physiological measurement. However, in these methods, extracting features from signals is challenging in the presence of noise or signal distortion. When using machine learning, errors in feature extraction result in errors in BP estimation, therefore, this study explores the use of raw signals as a direct input to a deep learning model. To enable comparison with the traditional machine learning models which use features from the photoplethysmogram and electrocardiogram, a hybrid deep learning model that utilises both raw signals and physical characteristics (age, height, weight and gender) is developed. This hybrid model performs best in terms of both diastolic BP (DBP) and systolic BP (SBP) with the mean absolute error being 3.23 ± 4.75 mmHg and 4.43 ± 6.09 mmHg respectively. DBP and SBP meet the Grade A and Grade B performance requirements of the British Hypertension Society respectively.

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