Beatmungsassoziierte Pneumonie: Elektronische Nase und künstliche Intelligenz als Potenzial für die Zukunft

2020 ◽  
Vol 8 (5) ◽  
pp. 254-255
Author(s):  
Johannes Knoch
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Predictive Value ◽  
Learning Algorithms ◽  
Machine Learning Algorithms ◽  
Machine Learning Technique ◽  
Learning Technique ◽  
The Mean

Background: Ventilator-associated pneumonia (VAP) is a significant cause of mortality in the intensive care unit. Early diagnosis of VAP is important to provide appropriate treatment and reduce mortality. Developing a noninvasive and highly accurate diagnostic method is important. The invention of electronic sensors has been applied to analyze the volatile organic compounds in breath to detect VAP using a machine learning technique. However, the process of building an algorithm is usually unclear and prevents physicians from applying the artificial intelligence technique in clinical practice. Clear processes of model building and assessing accuracy are warranted. The objective of this study was to develop a breath test for VAP with a standardized protocol for a machine learning technique. Methods: We conducted a case-control study. This study enrolled subjects in an intensive care unit of a hospital in southern Taiwan from February 2017 to June 2019. We recruited patients with VAP as the case group and ventilated patients without pneumonia as the control group. We collected exhaled breath and analyzed the electric resistance changes of 32 sensor arrays of an electronic nose. We split the data into a set for training algorithms and a set for testing. We applied eight machine learning algorithms to build prediction models, improving model performance and providing an estimated diagnostic accuracy. Results: A total of 33 cases and 26 controls were used in the final analysis. Using eight machine learning algorithms, the mean accuracy in the testing set was 0.81 ± 0.04, the sensitivity was 0.79 ± 0.08, the specificity was 0.83 ± 0.00, the positive predictive value was 0.85 ± 0.02, the negative predictive value was 0.77 ± 0.06, and the area under the receiver operator characteristic curves was 0.85 ± 0.04. The mean kappa value in the testing set was 0.62 ± 0.08, which suggested good agreement. Conclusions: There was good accuracy in detecting VAP by sensor array and machine learning techniques. Artificial intelligence has the potential to assist the physician in making a clinical diagnosis. Clear protocols for data processing and the modeling procedure needed to increase generalizability.

scholarly journals Prediction of Mortality in Surgical Intensive Care Unit Patients Using Machine Learning Algorithms

2021 ◽  
Vol 8 ◽  
Author(s):  
Kyongsik Yun ◽  
Jihoon Oh ◽  
Tae Ho Hong ◽  
Eun Young Kim
Keyword(s):  
Machine Learning ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Decision Tree ◽  
Learning Algorithms ◽  
Machine Learning Algorithms ◽  
Receiver Operating Curve ◽  
Surgical Intensive Care Unit ◽  
Hospital Death ◽  
Surgical Intensive Care

Objective: Predicting prognosis of in-hospital patients is critical. However, it is challenging to accurately predict the life and death of certain patients at certain period. To determine whether machine learning algorithms could predict in-hospital death of critically ill patients with considerable accuracy and identify factors contributing to the prediction power.Materials and Methods: Using medical data of 1,384 patients admitted to the Surgical Intensive Care Unit (SICU) of our institution, we investigated whether machine learning algorithms could predict in-hospital death using demographic, laboratory, and other disease-related variables, and compared predictions using three different algorithmic methods. The outcome measurement was the incidence of unexpected postoperative mortality which was defined as mortality without pre-existing not-for-resuscitation order that occurred within 30 days of the surgery or within the same hospital stay as the surgery.Results: Machine learning algorithms trained with 43 variables successfully classified dead and live patients with very high accuracy. Most notably, the decision tree showed the higher classification results (Area Under the Receiver Operating Curve, AUC = 0.96) than the neural network classifier (AUC = 0.80). Further analysis provided the insight that serum albumin concentration, total prenatal nutritional intake, and peak dose of dopamine drug played an important role in predicting the mortality of SICU patients.Conclusion: Our results suggest that machine learning algorithms, especially the decision tree method, can provide information on structured and explainable decision flow and accurately predict hospital mortality in SICU hospitalized patients.

Early diagnosis of bloodstream infections in the intensive care unit using machine-learning algorithms

2020 ◽  
Vol 46 (3) ◽  
pp. 454-462 ◽  
Author(s):  
Michael Roimi ◽  
Ami Neuberger ◽  
Anat Shrot ◽  
Mical Paul ◽  
Yuval Geffen ◽  
...  
Keyword(s):  
Machine Learning ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Early Diagnosis ◽  
Learning Algorithms ◽  
Bloodstream Infections ◽  
Machine Learning Algorithms

scholarly journals Postsurgery Classification of Best-Corrected Visual Acuity Changes Based on Pterygium Characteristics Using the Machine Learning Technique

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Fatin Nabihah Jais ◽  
Mohd Zulfaezal Che Azemin ◽  
Mohd Radzi Hilmi ◽  
Mohd Izzuddin Mohd Tamrin ◽  
Khairidzan Mohd Kamal
Keyword(s):  
Machine Learning ◽  
Visual Acuity ◽  
Visual Impairment ◽  
Learning Algorithms ◽  
Machine Learning Algorithms ◽  
Classification Model ◽  
Machine Learning Technique ◽  
Corrected Visual Acuity ◽  
Learning Technique ◽  
Best Corrected Visual Acuity

Introduction. Early detection of visual symptoms in pterygium patients is crucial as the progression of the disease can cause visual disruption and contribute to visual impairment. Best-corrected visual acuity (BCVA) and corneal astigmatism influence the degree of visual impairment due to direct invasion of fibrovascular tissue into the cornea. However, there were different characteristics of pterygium used to evaluate the severity of visual impairment, including fleshiness, size, length, and redness. The innovation of machine learning technology in visual science may contribute to developing a highly accurate predictive analytics model of BCVA outcomes in postsurgery pterygium patients. Aim. To produce an accurate model of BCVA changes of postpterygium surgery according to its morphological characteristics by using the machine learning technique. Methodology. A retrospective of the secondary dataset of 93 samples of pterygium patients with different pterygium attributes was used and imported into four different machine learning algorithms in RapidMiner software to predict the improvement of BCVA after pterygium surgery. Results. The performance of four machine learning techniques were evaluated, and it showed the support vector machine (SVM) model had the highest average accuracy (94.44% ± 5.86%), specificity (100%), and sensitivity (92.14% ± 8.33%). Conclusion. Machine learning algorithms can produce a highly accurate postsurgery classification model of BCVA changes using pterygium characteristics.

scholarly journals Using Machine Learning Techniques to Aid Empirical Antibiotic Therapy Decisions in the Intensive Care Unit of a General Hospital in Greece

Antibiotics ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. 50 ◽  
Author(s):  
Georgios Feretzakis ◽  
Evangelos Loupelis ◽  
Aikaterini Sakagianni ◽  
Dimitris Kalles ◽  
Maria Martsoukou ◽  
...  
Keyword(s):  
Machine Learning ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Antibiotic Therapy ◽  
Antibiotic Susceptibility ◽  
Learning Algorithms ◽  
Machine Learning Algorithms ◽  
High Morbidity ◽  
Empirical Antibiotic Therapy ◽  
Gram Negative

Hospital-acquired infections, particularly in the critical care setting, have become increasingly common during the last decade, with Gram-negative bacterial infections presenting the highest incidence among them. Multi-drug-resistant (MDR) Gram-negative infections are associated with high morbidity and mortality with significant direct and indirect costs resulting from long hospitalization due to antibiotic failure. Time is critical to identifying bacteria and their resistance to antibiotics due to the critical health status of patients in the intensive care unit (ICU). As common antibiotic resistance tests require more than 24 h after the sample is collected to determine sensitivity in specific antibiotics, we suggest applying machine learning (ML) techniques to assist the clinician in determining whether bacteria are resistant to individual antimicrobials by knowing only a sample’s Gram stain, site of infection, and patient demographics. In our single center study, we compared the performance of eight machine learning algorithms to assess antibiotic susceptibility predictions. The demographic characteristics of the patients are considered for this study, as well as data from cultures and susceptibility testing. Applying machine learning algorithms to patient antimicrobial susceptibility data, readily available, solely from the Microbiology Laboratory without any of the patient’s clinical data, even in resource-limited hospital settings, can provide informative antibiotic susceptibility predictions to aid clinicians in selecting appropriate empirical antibiotic therapy. These strategies, when used as a decision support tool, have the potential to improve empiric therapy selection and reduce the antimicrobial resistance burden.

Development of innovative hygienic technologies for preservation of the workers’ reproductive health

2020 ◽  
pp. 792-792
Author(s):  
M. A. Fesenko ◽  
G. V. Golovaneva ◽  
A. V. Miskevich
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Reproductive Health ◽  
Reproductive System ◽  
Preventive Measures ◽  
Learning Algorithms ◽  
Reproductive Function ◽  
Machine Learning Algorithms ◽  
New Model

The new model «Prognosis of men’ reproductive function disorders» was developed. The machine learning algorithms (artificial intelligence) was used for this purpose, the model has high prognosis accuracy. The aim of the model applying is prioritize diagnostic and preventive measures to minimize reproductive system diseases complications and preserve workers’ health and efficiency.

Artificial Intelligence, Machine Learning and Calculation of Intraocular Lens Power

2020 ◽  
Vol 237 (12) ◽  
pp. 1430-1437
Author(s):  
Achim Langenbucher ◽  
Nóra Szentmáry ◽  
Jascha Wendelstein ◽  
Peter Hoffmann
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Regression Model ◽  
Prediction Error ◽  
Learning Algorithms ◽  
Anterior Chamber Depth ◽  
Gaussian Process Regression ◽  
Machine Learning Algorithms ◽  
Effect Sizes ◽  
Axial Position

Abstract Background and Purpose In the last decade, artificial intelligence and machine learning algorithms have been more and more established for the screening and detection of diseases and pathologies, as well as for describing interactions between measures where classical methods are too complex or fail. The purpose of this paper is to model the measured postoperative position of an intraocular lens implant after cataract surgery, based on preoperatively assessed biometric effect sizes using techniques of machine learning. Patients and Methods In this study, we enrolled 249 eyes of patients who underwent elective cataract surgery at Augenklinik Castrop-Rauxel. Eyes were measured preoperatively with the IOLMaster 700 (Carl Zeiss Meditec), as well as preoperatively and postoperatively with the Casia 2 OCT (Tomey). Based on preoperative effect sizes axial length, corneal thickness, internal anterior chamber depth, thickness of the crystalline lens, mean corneal radius and corneal diameter a selection of 17 machine learning algorithms were tested for prediction performance for calculation of internal anterior chamber depth (AQD_post) and axial position of equatorial plane of the lens in the pseudophakic eye (LEQ_post). Results The 17 machine learning algorithms (out of 4 families) varied in root mean squared/mean absolute prediction error between 0.187/0.139 mm and 0.255/0.204 mm (AQD_post) and 0.183/0.135 mm and 0.253/0.206 mm (LEQ_post), using 5-fold cross validation techniques. The Gaussian Process Regression Model using an exponential kernel showed the best performance in terms of root mean squared error for prediction of AQDpost and LEQpost. If the entire dataset is used (without splitting for training and validation data), comparison of a simple multivariate linear regression model vs. the algorithm with the best performance showed a root mean squared prediction error for AQD_post/LEQ_post with 0.188/0.187 mm vs. the best performance Gaussian Process Regression Model with 0.166/0.159 mm. Conclusion In this paper we wanted to show the principles of supervised machine learning applied to prediction of the measured physical postoperative axial position of the intraocular lenses. Based on our limited data pool and the algorithms used in our setting, the benefit of machine learning algorithms seems to be limited compared to a standard multivariate regression model.

scholarly journals Reviewing the relationship between machines and radiology: the application of artificial intelligence

2021 ◽  
Vol 10 (2) ◽  
pp. 205846012199029
Author(s):  
Rani Ahmad
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Deep Learning ◽  
Health Care Professionals ◽  
Learning Algorithms ◽  
Machine Learning Algorithms ◽  
Health Science ◽  
Computer Algorithms ◽  
Learning Models ◽  
Specificity And Sensitivity

Background The scope and productivity of artificial intelligence applications in health science and medicine, particularly in medical imaging, are rapidly progressing, with relatively recent developments in big data and deep learning and increasingly powerful computer algorithms. Accordingly, there are a number of opportunities and challenges for the radiological community. Purpose To provide review on the challenges and barriers experienced in diagnostic radiology on the basis of the key clinical applications of machine learning techniques. Material and Methods Studies published in 2010–2019 were selected that report on the efficacy of machine learning models. A single contingency table was selected for each study to report the highest accuracy of radiology professionals and machine learning algorithms, and a meta-analysis of studies was conducted based on contingency tables. Results The specificity for all the deep learning models ranged from 39% to 100%, whereas sensitivity ranged from 85% to 100%. The pooled sensitivity and specificity were 89% and 85% for the deep learning algorithms for detecting abnormalities compared to 75% and 91% for radiology experts, respectively. The pooled specificity and sensitivity for comparison between radiology professionals and deep learning algorithms were 91% and 81% for deep learning models and 85% and 73% for radiology professionals (p < 0.000), respectively. The pooled sensitivity detection was 82% for health-care professionals and 83% for deep learning algorithms (p < 0.005). Conclusion Radiomic information extracted through machine learning programs form images that may not be discernible through visual examination, thus may improve the prognostic and diagnostic value of data sets.

scholarly journals Schizophrenia: A Survey of Artificial Intelligence Techniques Applied to Detection and Classification

2021 ◽  
Vol 18 (11) ◽  
pp. 6099
Author(s):  
Joel Weijia Lai ◽  
Candice Ke En Ang ◽  
U. Rajendra Acharya ◽  
Kang Hao Cheong
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Daily Living ◽  
Learning Algorithms ◽  
Health Condition ◽  
Machine Learning Algorithms ◽  
Human Cognition ◽  
Computer Algorithms ◽  
Large Sets ◽  
Prevention Methods

Artificial Intelligence in healthcare employs machine learning algorithms to emulate human cognition in the analysis of complicated or large sets of data. Specifically, artificial intelligence taps on the ability of computer algorithms and software with allowable thresholds to make deterministic approximate conclusions. In comparison to traditional technologies in healthcare, artificial intelligence enhances the process of data analysis without the need for human input, producing nearly equally reliable, well defined output. Schizophrenia is a chronic mental health condition that affects millions worldwide, with impairment in thinking and behaviour that may be significantly disabling to daily living. Multiple artificial intelligence and machine learning algorithms have been utilized to analyze the different components of schizophrenia, such as in prediction of disease, and assessment of current prevention methods. These are carried out in hope of assisting with diagnosis and provision of viable options for individuals affected. In this paper, we review the progress of the use of artificial intelligence in schizophrenia.

Prediction of chronic obstructive pulmonary disease stages using machine learning algorithms

2022 ◽  
Vol 14 (1) ◽  
pp. 0-0
Keyword(s):  
Machine Learning ◽  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Predictive Value ◽  
Learning Algorithms ◽  
Machine Learning Algorithms ◽  
Chronic Obstructive ◽  
Optimal Prediction ◽  
Obstructive Pulmonary Disease ◽  
Disease Stages

Identifying chronic obstructive pulmonary disease (COPD) severity stages is of great importance to control the related mortality rates and reduce the associated costs. This study aims to build prediction models for COPD stages and, to compare the relative performance of five machine learning algorithms to determine the optimal prediction algorithm. This research is based on data collected from a private hospital in Egypt for the two calendar years 2018 and 2019. Five machine learning algorithms were used for the comparison. The F1 score, specificity, sensitivity, accuracy, positive predictive value and negative predictive value were the performance measures used for algorithms comparison. Analysis included 211 patients’ records. Our results show that the best performing algorithm in most of the disease stages is the PNN with the optimal prediction accuracy and hence it can be considered as a powerful prediction tool used by decision makers in predicting severity stages of COPD.

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