scholarly journals S313 Initial Outcomes of the Implementation of a Validated Machine Learning Algorithm to Identify Unscreened Individuals at High Risk for Advanced Adenomas or Colorectal Cancer in an Academic Healthcare System

2021 ◽  
Vol 116 (1) ◽  
pp. S136-S136
Author(s):  
Michael Mullarkey ◽  
William Curry ◽  
Douglas Morgan ◽  
Adam Edwards
2022 ◽  
Vol 12 (1) ◽  
pp. 114
Author(s):  
Chao Lu ◽  
Jiayin Song ◽  
Hui Li ◽  
Wenxing Yu ◽  
Yangquan Hao ◽  
...  

Osteoarthritis (OA) is the most common joint disease associated with pain and disability. OA patients are at a high risk for venous thrombosis (VTE). Here, we developed an interpretable machine learning (ML)-based model to predict VTE risk in patients with OA. To establish a prediction model, we used six ML algorithms, of which 35 variables were employed. Recursive feature elimination (RFE) was used to screen the most related clinical variables associated with VTE. SHapley additive exPlanations (SHAP) were applied to interpret the ML mode and determine the importance of the selected features. Overall, 3169 patients with OA (average age: 66.52 ± 7.28 years) were recruited from Xi’an Honghui Hospital. Of these, 352 and 2817 patients were diagnosed with and without VTE, respectively. The XGBoost algorithm showed the best performance. According to the RFE algorithms, 15 variables were retained for further modeling with the XGBoost algorithm. The top three predictors were Kellgren–Lawrence grade, age, and hypertension. Our study showed that the XGBoost model with 15 variables has a high potential to predict VTE risk in patients with OA.


2021 ◽  
Vol 6 (4) ◽  
pp. 17-22
Author(s):  
Chandrasekhar Rao Jetti ◽  
Rehamatulla Shaik ◽  
Sadhik Shaik

It can occur on many occasions that you or a loved one requires urgent medical assistance, but they are unavailable due to unforeseen circumstances, or that we are unable to locate the appropriate doctor for the care. As a result, we will try to incorporate an online intelligent Smart Healthcare System in this project to solve this issue. It's a web-based programmed that allows patients to get immediate advice about their health problems. The aim of the smart healthcare system is to create a web application that can take a user's symptoms and predict diseases, as well as serve as an online consultant for various diseases. We created an expert system called Smart Health Care System, which is used to make doctors' jobs easier. A machine examines a patient at a basic level and recommends diseases that may be present. It begins by inquiring about the patient's symptoms; if the device is able to determine the relevant condition, it then recommends a doctor in the patient's immediate vicinity. The system will show the result based on the available accumulated data. We're going to use some clever data mining techniques here. We use several intelligent data mining techniques to guess the most accurate illness that could be associated with a patient's symptoms, and we use an algorithm (Naive Bayes) to map the symptoms with potential diseases based on a database of many patients' medical records. This system not only makes doctors' jobs easier, but it also benefits patients by getting them the care they need as soon as possible. Keywords: Disease Prediction, Naïve Bayes, Machine Learning Algorithm, Smart Healthcare System.


2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 3606-3606
Author(s):  
James M. Kinross ◽  
Pol Canal-Noguer ◽  
Marko Chersicola ◽  
Primož Knap ◽  
Marko Bitenc ◽  
...  

3606 Background: Colorectal cancer (CRC) screening programs suffer from poor uptake and biomarkers have limited diagnostic accuracy. The measurement of the methylation status of tumor-derived cell-free DNA in plasma may address these challenges. We used a targeted methylation panel, tumor-derived signal deduction and machine learning algorithm to refine a blood test for the detection of early-stage CRC. Methods: This was a prospective, international multicenter observational cohort study. Plasma samples were collected either prior to a scheduled colonoscopy as part of standard colorectal cancer screening or prior to colonic surgery for primary CRC. Differentially methylated regions (DMRs) were initially selected by analyzing CRC and control tissue samples with whole genome bisulfite sequencing. A targeted sequencing assay was designed to capture these DMRs in plasma ctDNA. Individual sequencing reads were evaluated for cancer-specific methylation signal and scores calculated for each DMR in a sample. A panel of methylation scores originating from 203 DMRs was used in a prediction model building and validated in a test cohort of patients. Results: Calculated scores were used to train a machine learning model on 68 ctDNA samples from 18 early stage (I-II) and 16 late-stage (III-IV) CRC patients and 34 age, BMI, gender and country of origin matched neoplasia-free controls (median age 63 [50-74], mean BMI 27 [19.5-37], female 50%, Spanish and Ukrainian population, distal cancers 50%). This model was then applied to an independent set of subjects from Spanish, Ukraine and Germany, including 36 stage I-IV cancer patients (median age 61.5 [55-82], BMI 28 [16-39], female 47%, 42% of the tumors were distal) and 159 age and sex matched controls. 87 of the control patients had a negative colonoscopy finding (cNEG), 19 had hyperplastic polyps (HP), 37 had small non-advanced adenomas (NAA) and 16 were diagnosed with other benign gastrointestinal diseases (GID). The model correctly classified 92% (33/36) of CRC patients. Sensitivity per cancer stage ranged from 83% (5/6) for stage I, 92% (11/12) for stage II, 92% (12/13) for stage III to 100% (5/5) for stage IV. Specificity of the model was 97% (154/159), with 100% (37/37) NAA, 94% (15/16) GID, 95% (18/19) HP and 97% cNEG patients correctly identified. Lesion location, gender, BMI, age and country of origin were not significantly correlated to prediction outcome. Conclusions: Methylation sequencing data analyzed using read-wise scoring approach combined with a machine-learning algorithm is highly diagnostic for early-stage (I-II) CRCs (89% sensitivity at 97% specificity). This method could serve as the basis for a highly accurate and minimally invasive blood-based CRC screening test with significant implications for the clinical utility of ctDNA in early-stage cancer detection.


2020 ◽  
Vol 14 ◽  
Author(s):  
Wenming Liu ◽  
Xiao Zhang ◽  
Yuting Qiao ◽  
Yanhui Cai ◽  
Hong Yin ◽  
...  

Schizophrenia (SCZ) is an inherited disease, with the familial risk being among the most important factors when evaluating an individual’s risk for SCZ. However, robust imaging biomarkers for the disease that can be used for diagnosis and determination of the prognosis are lacking. Here, we explore the potential of functional connectivity (FC) for use as a biomarker for the early detection of high-risk first-degree relatives (FDRs). Thirty-eight first-episode SCZ patients, 38 healthy controls (HCs), and 33 FDRs were scanned using resting-state functional magnetic resonance imaging. The subjects’ brains were parcellated into 200 regions using the Craddock atlas, and the FC between each pair of regions was used as a classification feature. Multivariate pattern analysis using leave-one-out cross-validation achieved a correct classification rate of 88.15% [sensitivity 84.06%, specificity 92.18%, and area under the receiver operating characteristic curve (AUC) 0.93] for differentiating SCZ patients from HCs. FC located within the default mode, frontal-parietal, auditory, and sensorimotor networks contributed mostly to the accurate classification. The FC patterns of each FDR were input into each classification model as test data to obtain a corresponding prediction label (a total of 76 individual classification scores), and the averaged individual classification score was then used as a robust measure to characterize whether each FDR showed an SCZ-type or HC-type FC pattern. A significant negative correlation was found between the average classification scores of the FDRs and their semantic fluency scores. These findings suggest that FC combined with a machine learning algorithm could help to predict whether FDRs are likely to show an SCZ-specific or HC-specific FC pattern.


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