scholarly journals Deep LDL-EHR: Real-time Routine Clinical Application of Deep Neural Network for Estimating Low-Density Lipoprotein Cholesterol on Electronic Health Record (Preprint)

10.2196/29331 ◽  
2021 ◽  
Author(s):  
Young Uh

2021 ◽  
Author(s):  
Young Uh

BACKGROUND Previously, we constructedWe applied the LDL-DNN model to an electronic health record (EHR) system in real time (deep LDL-EHR). a deep neural network (DNN) model for estimating low-density lipoprotein (LDL) cholesterol (LDL-DNN). OBJECTIVE We applied the LDL-DNN model to an electronic health record (EHR) system in real time (deep LDL-EHR). METHODS The Korea National Health and Nutrition Examination Survey and the Wonju Severance Christian Hospital (WSCH) datasets were used as training and testing datasets, respectively. We measured the model’s performance by using four indices, including bias, root mean square error, P10 to P30, and concordance. For transfer learning (TL), we pre-trained the DNN model using a training dataset, and fine-tuned it using 30% of the testing datasets. RESULTS Based on the four accuracy criteria, the DNN-EHR model generated inaccurate results compared to other methods for LDL-C estimation. By comparing the training and testing datasets, we found there to be an overfitting problem. We revised the LDL-DNN model using the TL algorithms and randomly selected sub-data from the WSCH dataset. As a result, the LDL-DNN-TL model exhibited the best performance among the other methods. CONCLUSIONS The LDL-DNN-TL model is expected to be suitable for routine real-time clinical application for LDL-C estimation in a clinical laboratory.







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