Abstract WMP26: Using Machine Learning Pattern Recognition in Aneurysmal Subarachnoid Hemorrhage Patients to Determine Patterns in Central versus Infectious Fever

Stroke ◽  
2019 ◽  
Vol 50 (Suppl_1) ◽  
Author(s):  
Judy Ch'ang ◽  
Nate Tran ◽  
Catherine DeVoe ◽  
Xiao Hu
Author(s):  
Yuri Grinberg ◽  
Daniele Melati ◽  
Mohsen Kamandar Dezfouli ◽  
Siegfried Janz ◽  
Jens Schmid ◽  
...  

Author(s):  
Daniele Melati ◽  
Yuri Grinberg ◽  
Mohsen Kamandar Dezfouli ◽  
Jens H. Schmid ◽  
Pavel Cheben ◽  
...  

Neurosurgery ◽  
2020 ◽  
Author(s):  
Nicolai Maldaner ◽  
Anna M Zeitlberger ◽  
Marketa Sosnova ◽  
Johannes Goldberg ◽  
Christian Fung ◽  
...  

Abstract BACKGROUND Current prognostic tools in aneurysmal subarachnoid hemorrhage (aSAH) are constrained by being primarily based on patient and disease characteristics on admission. OBJECTIVE To develop and validate a complication- and treatment-aware outcome prediction tool in aSAH. METHODS This cohort study included data from an ongoing prospective nationwide multicenter registry on all aSAH patients in Switzerland (Swiss SOS [Swiss Study on aSAH]; 2009-2015). We trained supervised machine learning algorithms to predict a binary outcome at discharge (modified Rankin scale [mRS] ≤ 3: favorable; mRS 4-6: unfavorable). Clinical and radiological variables on admission (“Early” Model) as well as additional variables regarding secondary complications and disease management (“Late” Model) were used. Performance of both models was assessed by classification performance metrics on an out-of-sample test dataset. RESULTS Favorable functional outcome at discharge was observed in 1156 (62.0%) of 1866 patients. Both models scored a high accuracy of 75% to 76% on the test set. The “Late” outcome model outperformed the “Early” model with an area under the receiver operator characteristics curve (AUC) of 0.85 vs 0.79, corresponding to a specificity of 0.81 vs 0.70 and a sensitivity of 0.71 vs 0.79, respectively. CONCLUSION Both machine learning models show good discrimination and calibration confirmed on application to an internal test dataset of patients with a wide range of disease severity treated in different institutions within a nationwide registry. Our study indicates that the inclusion of variables reflecting the clinical course of the patient may lead to outcome predictions with superior predictive power compared to a model based on admission data only.


Author(s):  
Mary L Phillips ◽  
Wayne C Drevets

This chapter discusses findings from recent major neuroimaging studies of bipolar disorder to provide a better understanding of larger-scale neural circuitry, neurotransmitter concentration, bioenergetic process, and protein marker abnormalities in the disorder. The chapter also reviews findings from newer areas of neuroimaging research, including studies comparing bipolar disorder with other major psychiatric disorders, multimodal neuroimaging studies, studies of youth with, and youth at risk for, the disorder, and studies using machine-learning pattern recognition techniques. These studies are paving the way for identification of robust and objective neural biomarkers of bipolar disorder that can ultimately have clinical utility.


2017 ◽  
Vol 14 (6) ◽  
pp. 603-610 ◽  
Author(s):  
Zsolt Zador ◽  
Wendy Huang ◽  
Matthew Sperrin ◽  
Michael T Lawton

AbstractBACKGROUNDFollowing the International Subarachnoid Aneurysm Trial (ISAT), evolving treatment modalities for acute aneurysmal subarachnoid hemorrhage (aSAH) has changed the case mix of patients undergoing urgent surgical clipping.OBJECTIVETo update our knowledge on outcome predictors by analyzing admission parameters in a pure surgical series using variable importance ranking and machine learning.METHODSWe reviewed a single surgeon's case series of 226 patients suffering from aSAH treated with urgent surgical clipping. Predictions were made using logistic regression models, and predictive performance was assessed using areas under the receiver operating curve (AUC). We established variable importance ranking using partial Nagelkerke R2 scores. Probabilistic associations between variables were depicted using Bayesian networks, a method of machine learning.RESULTSImportance ranking showed that World Federation of Neurosurgical Societies (WFNS) grade and age were the most influential outcome prognosticators. Inclusion of only these 2 predictors was sufficient to maintain model performance compared to when all variables were considered (AUC = 0.8222, 95% confidence interval (CI): 0.7646-0.88 vs 0.8218, 95% CI: 0.7616-0.8821, respectively, DeLong's P = .992). Bayesian networks showed that age and WFNS grade were associated with several variables such as laboratory results and cardiorespiratory parameters.CONCLUSIONOur study is the first to report early outcomes and formal predictor importance ranking following aSAH in a post-ISAT surgical case series. Models showed good predictive power with fewer relevant predictors than in similar size series. Bayesian networks proved to be a powerful tool in visualizing the widespread association of the 2 key predictors with admission variables, explaining their importance and demonstrating the potential for hypothesis generation.


Entropy ◽  
2021 ◽  
Vol 23 (4) ◽  
pp. 430
Author(s):  
Leandro Pardo ◽  
Nirian Martín

The approach for estimating and testing based on divergence measures has become, in the last 30 years, a very popular technique not only in the field of statistics, but also in other areas, such as machine learning, pattern recognition, etc [...]


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