Machine learning in cardiovascular medicine: are we there yet?

Heart ◽  
2018 ◽  
Vol 104 (14) ◽  
pp. 1156-1164 ◽  
Author(s):  
Khader Shameer ◽  
Kipp W Johnson ◽  
Benjamin S Glicksberg ◽  
Joel T Dudley ◽  
Partho P Sengupta

Artificial intelligence (AI) broadly refers to analytical algorithms that iteratively learn from data, allowing computers to find hidden insights without being explicitly programmed where to look. These include a family of operations encompassing several terms like machine learning, cognitive learning, deep learning and reinforcement learning-based methods that can be used to integrate and interpret complex biomedical and healthcare data in scenarios where traditional statistical methods may not be able to perform. In this review article, we discuss the basics of machine learning algorithms and what potential data sources exist; evaluate the need for machine learning; and examine the potential limitations and challenges of implementing machine in the context of cardiovascular medicine. The most promising avenues for AI in medicine are the development of automated risk prediction algorithms which can be used to guide clinical care; use of unsupervised learning techniques to more precisely phenotype complex disease; and the implementation of reinforcement learning algorithms to intelligently augment healthcare providers. The utility of a machine learning-based predictive model will depend on factors including data heterogeneity, data depth, data breadth, nature of modelling task, choice of machine learning and feature selection algorithms, and orthogonal evidence. A critical understanding of the strength and limitations of various methods and tasks amenable to machine learning is vital. By leveraging the growing corpus of big data in medicine, we detail pathways by which machine learning may facilitate optimal development of patient-specific models for improving diagnoses, intervention and outcome in cardiovascular medicine.

2021 ◽  
Vol 20 ◽  
pp. 197-204
Author(s):  
Karina Litwynenko ◽  
Małgorzata Plechawska-Wójcik

Reinforcement learning algorithms are gaining popularity, and their advancement is made possible by the presence of tools to evaluate them. This paper concerns the applicability of machine learning algorithms on the Unity platform using the Unity ML-Agents Toolkit library. The purpose of the study was to compare two algorithms: Proximal Policy Optimization and Soft Actor-Critic. The possibility of improving the learning results by combining these algorithms with Generative Adversarial Imitation Learning was also verified. The results of the study showed that the PPO algorithm can perform better in uncomplicated environments with non-immediate rewards, while the additional use of GAIL can improve learning performance.


2012 ◽  
pp. 695-703
Author(s):  
George Tzanis ◽  
Christos Berberidis ◽  
Ioannis Vlahavas

Machine learning is one of the oldest subfields of artificial intelligence and is concerned with the design and development of computational systems that can adapt themselves and learn. The most common machine learning algorithms can be either supervised or unsupervised. Supervised learning algorithms generate a function that maps inputs to desired outputs, based on a set of examples with known output (labeled examples). Unsupervised learning algorithms find patterns and relationships over a given set of inputs (unlabeled examples). Other categories of machine learning are semi-supervised learning, where an algorithm uses both labeled and unlabeled examples, and reinforcement learning, where an algorithm learns a policy of how to act given an observation of the world.


Author(s):  
George Tzanis ◽  
Christos Berberidis ◽  
Ioannis Vlahavas

Machine learning is one of the oldest subfields of artificial intelligence and is concerned with the design and development of computational systems that can adapt themselves and learn. The most common machine learning algorithms can be either supervised or unsupervised. Supervised learning algorithms generate a function that maps inputs to desired outputs, based on a set of examples with known output (labeled examples). Unsupervised learning algorithms find patterns and relationships over a given set of inputs (unlabeled examples). Other categories of machine learning are semi-supervised learning, where an algorithm uses both labeled and unlabeled examples, and reinforcement learning, where an algorithm learns a policy of how to act given an observation of the world.


Author(s):  
Sumesh Sasidharan ◽  
M. Yousuf Salmasi ◽  
Selene Pirola ◽  
Omar A. Jarral

Artificial intelligence (AI) broadly concerns analytical algorithms that iteratively learn from big datasets, allowing computers to find concealed insights. These encompass a range of operations comprising several terms, including machine learning(ML), cognitive learning, deep learning, and reinforcement learning-based methods that can be used to incorporate and comprehend complex biomedical and healthcare data in scenarios where traditional statistical approaches cannot be implemented. For cardiovascular imaging in particular, machine learning guarantees to be a transformative tool that can address many unmet needs for patient-specific management, accurate prediction of disease progression, and the tracking of identifiable biomarkers of disease processes. In this chapter, the authors discuss fundamentals of machine learning algorithms for image analysis in the cardiovascular system by evaluating the need for ML in this field and examining the potential obstacles and challenges of implementation in the context of three common imaging modalities used in cardiovascular medicine.


2021 ◽  
pp. 327-337

The article describes the tasks of the oil and gas sector that can be solved by machine learning algorithms. These tasks include the study of the interference of wells, the classification of wells according to their technological and geophysical characteristics, the assessment of the effectiveness of ongoing and planned geological and technical measures, the forecast of oil production for individual wells and the total oil production for a group of wells, the forecast of the base level of oil production, the forecast of reservoir pressures and mapping. For each task, the features of building machine learning models and examples of input data are described. All of the above tasks are related to regression or classification problems. Of particular interest is the issue of well placement optimisation. Such a task cannot be directly solved using a single neural network. It can be attributed to the problems of optimal control theory, which are usually solved using dynamic programming methods. A paper is considered where field management and well placement are based on a reinforcement learning algorithm with Markov chains and Bellman's optimality equation. The disadvantages of the proposed approach are revealed. To eliminate them, a new approach of reinforcement learning based on the Alpha Zero algorithm is proposed. This algorithm is best known in the field of gaming artificial intelligence, beating the world champions in chess and Go. It combines the properties of dynamic and stochastic programming. The article discusses in detail the principle of operation of the algorithm and identifies common features that make it possible to consider this algorithm as a possible promising solution for the problem of optimising the placement of a grid of wells.


2021 ◽  
pp. 096032712199191
Author(s):  
B Behnoush ◽  
E Bazmi ◽  
SH Nazari ◽  
S Khodakarim ◽  
MA Looha ◽  
...  

Introduction: This study was designed to develop and evaluate machine learning algorithms for predicting seizure due to acute tramadol poisoning, identifying high-risk patients and facilitating appropriate clinical decision-making. Methods: Several characteristics of acute tramadol poisoning cases were collected in the Emergency Department (ED) (2013–2019). After selecting important variables in random forest method, prediction models were developed using the Support Vector Machine (SVM), Naïve Bayes (NB), Artificial Neural Network (ANN) and K-Nearest Neighbor (K-NN) algorithms. Area Under the Curve (AUC) and other diagnostic criteria were used to assess performance of models. Results: In 909 patients, 544 (59.8%) experienced seizures. The important predictors of seizure were sex, pulse rate, arterial blood oxygen pressure, blood bicarbonate level and pH. SVM (AUC = 0.68), NB (AUC = 0.71) and ANN (AUC = 0.70) models outperformed k-NN model (AUC = 0.58). NB model had a higher sensitivity and negative predictive value and k-NN model had higher specificity and positive predictive values than other models. Conclusion: A perfect prediction model may help improve clinicians’ decision-making and clinical care at EDs in hospitals and medical settings. SVM, ANN and NB models had no significant differences in the performance and accuracy; however, validated logistic regression (LR) was the superior model for predicting seizure due to acute tramadol poisoning.


Author(s):  
S. M. Ramaswamy ◽  
M. H. Kuizenga ◽  
M. A. S. Weerink ◽  
H. E. M. Vereecke ◽  
M. M. R. F. Struys ◽  
...  

AbstractBrain monitors which track quantitative electroencephalogram (EEG) signatures to monitor sedation levels are drug and patient specific. There is a need for robust sedation level monitoring systems to accurately track sedation levels across all drug classes, sex and age groups. Forty-four quantitative features estimated from a pooled dataset of 204 EEG recordings from 66 healthy adult volunteers who received either propofol, dexmedetomidine, or sevoflurane (all with and without remifentanil) were used in a machine learning based automated system to estimate the depth of sedation. Model training and evaluation were performed using leave-one-out cross validation methodology. We trained four machine learning models to predict sedation levels and evaluated the influence of remifentanil, age, and sex on the prediction performance. The area under the receiver-operator characteristic curve (AUC) was used to assess the performance of the prediction model. The ensemble tree with bagging outperformed other machine learning models and predicted sedation levels with an AUC = 0.88 (0.81–0.90). There were significant differences in the prediction probability of the automated systems when trained and tested across different age groups and sex. The performance of the EEG based sedation level prediction system is drug, sex, and age specific. Nonlinear machine-learning models using quantitative EEG features can accurately predict sedation levels. The results obtained in this study may provide a useful reference for developing next generation EEG based sedation level prediction systems using advanced machine learning algorithms.Clinical trial registration: NCT 02043938 and NCT 03143972.


Author(s):  
Lisa Torrey ◽  
Jude Shavlik

Transfer learning is the improvement of learning in a new task through the transfer of knowledge from a related task that has already been learned. While most machine learning algorithms are designed to address single tasks, the development of algorithms that facilitate transfer learning is a topic of ongoing interest in the machine-learning community. This chapter provides an introduction to the goals, settings, and challenges of transfer learning. It surveys current research in this area, giving an overview of the state of the art and outlining the open problems. The survey covers transfer in both inductive learning and reinforcement learning, and discusses the issues of negative transfer and task mapping.


2022 ◽  
Vol 12 (1) ◽  
pp. 426
Author(s):  
Jawad Tanveer ◽  
Amir Haider ◽  
Rashid Ali ◽  
Ajung Kim

The fifth generation (5G) wireless technology emerged with marvelous effort to state, design, deployment and standardize the upcoming wireless network generation. Artificial intelligence (AI) and machine learning (ML) techniques are well capable to support 5G latest technologies that are expected to deliver high data rate to upcoming use cases and services such as massive machine type communications (mMTC), enhanced mobile broadband (eMBB), and ultra-reliable low latency communications (uRLLC). These services will surely help Gbps of data within the latency of few milliseconds in Internet of Things paradigm. This survey presented 5G mobility management in ultra-dense small cells networks using reinforcement learning techniques. First, we discussed existing surveys then we are focused on handover (HO) management in ultra-dense small cells (UDSC) scenario. Following, this study also discussed how machine learning algorithms can help in different HO scenarios. Nevertheless, future directions and challenges for 5G UDSC networks were concisely addressed.


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