scholarly journals Local and Distributed Machine Learning for Inter-hospital Data Utilization: An Application for TAVI Outcome Prediction

2021 ◽  
Vol 8 ◽  
Author(s):  
Ricardo R. Lopes ◽  
Marco Mamprin ◽  
Jo M. Zelis ◽  
Pim A. L. Tonino ◽  
Martijn S. van Mourik ◽  
...  

Background: Machine learning models have been developed for numerous medical prognostic purposes. These models are commonly developed using data from single centers or regional registries. Including data from multiple centers improves robustness and accuracy of prognostic models. However, data sharing between multiple centers is complex, mainly because of regulations and patient privacy issues.Objective: We aim to overcome data sharing impediments by using distributed ML and local learning followed by model integration. We applied these techniques to develop 1-year TAVI mortality estimation models with data from two centers without sharing any data.Methods: A distributed ML technique and local learning followed by model integration was used to develop models to predict 1-year mortality after TAVI. We included two populations with 1,160 (Center A) and 631 (Center B) patients. Five traditional ML algorithms were implemented. The results were compared to models created individually on each center.Results: The combined learning techniques outperformed the mono-center models. For center A, the combined local XGBoost achieved an AUC of 0.67 (compared to a mono-center AUC of 0.65) and, for center B, a distributed neural network achieved an AUC of 0.68 (compared to a mono-center AUC of 0.64).Conclusion: This study shows that distributed ML and combined local models techniques, can overcome data sharing limitations and result in more accurate models for TAVI mortality estimation. We have shown improved prognostic accuracy for both centers and can also be used as an alternative to overcome the problem of limited amounts of data when creating prognostic models.

2020 ◽  
Author(s):  
Akhil Vaid ◽  
Suraj K Jaladanki ◽  
Jie Xu ◽  
Shelly Teng ◽  
Arvind Kumar ◽  
...  

BACKGROUND Machine learning models require large datasets that may be siloed across different health care institutions. Machine learning studies that focus on COVID-19 have been limited to single-hospital data, which limits model generalizability. OBJECTIVE We aimed to use federated learning, a machine learning technique that avoids locally aggregating raw clinical data across multiple institutions, to predict mortality in hospitalized patients with COVID-19 within 7 days. METHODS Patient data were collected from the electronic health records of 5 hospitals within the Mount Sinai Health System. Logistic regression with L1 regularization/least absolute shrinkage and selection operator (LASSO) and multilayer perceptron (MLP) models were trained by using local data at each site. We developed a pooled model with combined data from all 5 sites, and a federated model that only shared parameters with a central aggregator. RESULTS The LASSO<sub>federated</sub> model outperformed the LASSO<sub>local</sub> model at 3 hospitals, and the MLP<sub>federated</sub> model performed better than the MLP<sub>local</sub> model at all 5 hospitals, as determined by the area under the receiver operating characteristic curve. The LASSO<sub>pooled</sub> model outperformed the LASSO<sub>federated</sub> model at all hospitals, and the MLP<sub>federated</sub> model outperformed the MLP<sub>pooled</sub> model at 2 hospitals. CONCLUSIONS The federated learning of COVID-19 electronic health record data shows promise in developing robust predictive models without compromising patient privacy.


2021 ◽  
Vol 13 (13) ◽  
pp. 2433
Author(s):  
Shu Yang ◽  
Fengchao Peng ◽  
Sibylle von Löwis ◽  
Guðrún Nína Petersen ◽  
David Christian Finger

Doppler lidars are used worldwide for wind monitoring and recently also for the detection of aerosols. Automatic algorithms that classify the lidar signals retrieved from lidar measurements are very useful for the users. In this study, we explore the value of machine learning to classify backscattered signals from Doppler lidars using data from Iceland. We combined supervised and unsupervised machine learning algorithms with conventional lidar data processing methods and trained two models to filter noise signals and classify Doppler lidar observations into different classes, including clouds, aerosols and rain. The results reveal a high accuracy for noise identification and aerosols and clouds classification. However, precipitation detection is underestimated. The method was tested on data sets from two instruments during different weather conditions, including three dust storms during the summer of 2019. Our results reveal that this method can provide an efficient, accurate and real-time classification of lidar measurements. Accordingly, we conclude that machine learning can open new opportunities for lidar data end-users, such as aviation safety operators, to monitor dust in the vicinity of airports.


Life ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 122
Author(s):  
Ruggiero Seccia ◽  
Silvia Romano ◽  
Marco Salvetti ◽  
Andrea Crisanti ◽  
Laura Palagi ◽  
...  

The course of multiple sclerosis begins with a relapsing-remitting phase, which evolves into a secondarily progressive form over an extremely variable period, depending on many factors, each with a subtle influence. To date, no prognostic factors or risk score have been validated to predict disease course in single individuals. This is increasingly frustrating, since several treatments can prevent relapses and slow progression, even for a long time, although the possible adverse effects are relevant, in particular for the more effective drugs. An early prediction of disease course would allow differentiation of the treatment based on the expected aggressiveness of the disease, reserving high-impact therapies for patients at greater risk. To increase prognostic capacity, approaches based on machine learning (ML) algorithms are being attempted, given the failure of other approaches. Here we review recent studies that have used clinical data, alone or with other types of data, to derive prognostic models. Several algorithms that have been used and compared are described. Although no study has proposed a clinically usable model, knowledge is building up and in the future strong tools are likely to emerge.


2020 ◽  
Vol 15 (S359) ◽  
pp. 40-41
Author(s):  
L. M. Izuti Nakazono ◽  
C. Mendes de Oliveira ◽  
N. S. T. Hirata ◽  
S. Jeram ◽  
A. Gonzalez ◽  
...  

AbstractWe present a machine learning methodology to separate quasars from galaxies and stars using data from S-PLUS in the Stripe-82 region. In terms of quasar classification, we achieved 95.49% for precision and 95.26% for recall using a Random Forest algorithm. For photometric redshift estimation, we obtained a precision of 6% using k-Nearest Neighbour.


2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii135-ii136
Author(s):  
John Lin ◽  
Michelle Mai ◽  
Saba Paracha

Abstract Glioblastoma multiforme (GBM), the most common form of glioma, is a malignant tumor with a high risk of mortality. By providing accurate survival estimates, prognostic models have been identified as promising tools in clinical decision support. In this study, we produced and validated two machine learning-based models to predict survival time for GBM patients. Publicly available clinical and genomic data from The Cancer Genome Atlas (TCGA) and Broad Institute GDAC Firehouse were obtained through cBioPortal. Random forest and multivariate regression models were created to predict survival. Predictive accuracy was assessed and compared through mean absolute error (MAE) and root mean square error (RMSE) calculations. 619 GBM patients were included in the dataset. There were 381 (62.9%) cases of recurrence/progression and 53 (8.7%) cases of disease-free survival. The MAE and RMSE values were 0.553 and 0.887 years respectively for the random forest regression model, and they were 1.756 and 2.451 years respectively for the multivariate regression model. Both models accurately predicted overall survival. Comparison of models through MAE, RMSE, and visual analysis produced higher accuracy values for random forest than multivariate linear regression. Further investigation on feature selection and model optimization may improve predictive power. These findings suggest that using machine learning in GBM prognostic modeling will improve clinical decision support. *Co-first authors.


2021 ◽  
Vol 21 (4) ◽  
pp. 1-10
Author(s):  
V. Gomathy ◽  
K. Janarthanan ◽  
Fadi Al-Turjman ◽  
R. Sitharthan ◽  
M. Rajesh ◽  
...  

Coronavirus Disease 19 (COVID-19) is a highly infectious viral disease affecting millions of people worldwide in 2020. Several studies have shown that COVID-19 results in a severe acute respiratory syndrome and may lead to death. In past research, a greater number of respiratory diseases has been caused by exposure to air pollution for long periods of time. This article investigates the spread of COVID-19 as a result of air pollution by applying linear regression in machine learning method based edge computing. The analysis in this investigation have been based on the death rates caused by COVID-19 as well as the region of death rates based on hazardous air pollution using data retrieved from the Copernicus Sentinel-5P satellite. The results obtained in the investigation prove that the mortality rate due to the spread of COVID-19 is 77% higher in areas with polluted air. This investigation also proves that COVID-19 severely affected 68% of the individuals who had been exposed to polluted air.


2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii203-ii203
Author(s):  
Alexander Hulsbergen ◽  
Yu Tung Lo ◽  
Vasileios Kavouridis ◽  
John Phillips ◽  
Timothy Smith ◽  
...  

Abstract INTRODUCTION Survival prediction in brain metastases (BMs) remains challenging. Current prognostic models have been created and validated almost completely with data from patients receiving radiotherapy only, leaving uncertainty about surgical patients. Therefore, the aim of this study was to build and validate a model predicting 6-month survival after BM resection using different machine learning (ML) algorithms. METHODS An institutional database of 1062 patients who underwent resection for BM was split into a 80:20 training and testing set. Seven different ML algorithms were trained and assessed for performance. Moreover, an ensemble model was created incorporating random forest, adaptive boosting, gradient boosting, and logistic regression algorithms. Five-fold cross validation was used for hyperparameter tuning. Model performance was assessed using area under the receiver-operating curve (AUC) and calibration and was compared against the diagnosis-specific graded prognostic assessment (ds-GPA); the most established prognostic model in BMs. RESULTS The ensemble model showed superior performance with an AUC of 0.81 in the hold-out test set, a calibration slope of 1.14, and a calibration intercept of -0.08, outperforming the ds-GPA (AUC 0.68). Patients were stratified into high-, medium- and low-risk groups for death at 6 months; these strata strongly predicted both 6-months and longitudinal overall survival (p &lt; 0.001). CONCLUSIONS We developed and internally validated an ensemble ML model that accurately predicts 6-month survival after neurosurgical resection for BM, outperforms the most established model in the literature, and allows for meaningful risk stratification. Future efforts should focus on external validation of our model.


Author(s):  
Ihor Ponomarenko ◽  
Oleksandra Lubkovska

The subject of the research is the approach to the possibility of using data science methods in the field of health care for integrated data processing and analysis in order to optimize economic and specialized processes The purpose of writing this article is to address issues related to the specifics of the use of Data Science methods in the field of health care on the basis of comprehensive information obtained from various sources. Methodology. The research methodology is system-structural and comparative analyzes (to study the application of BI-systems in the process of working with large data sets); monograph (the study of various software solutions in the market of business intelligence); economic analysis (when assessing the possibility of using business intelligence systems to strengthen the competitive position of companies). The scientific novelty the main sources of data on key processes in the medical field. Examples of innovative methods of collecting information in the field of health care, which are becoming widespread in the context of digitalization, are presented. The main sources of data in the field of health care used in Data Science are revealed. The specifics of the application of machine learning methods in the field of health care in the conditions of increasing competition between market participants and increasing demand for relevant products from the population are presented. Conclusions. The intensification of the integration of Data Science in the medical field is due to the increase of digitized data (statistics, textual informa- tion, visualizations, etc.). Through the use of machine learning methods, doctors and other health professionals have new opportunities to improve the efficiency of the health care system as a whole. Key words: Data science, efficiency, information, machine learning, medicine, Python, healthcare.


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