scholarly journals Predicting Delayed Neurocognitive Recovery After Non-cardiac Surgery Using Resting-State Brain Network Patterns Combined With Machine Learning

2021 ◽  
Vol 13 ◽  
Author(s):  
Zhaoshun Jiang ◽  
Yuxi Cai ◽  
Xixue Zhang ◽  
Yating Lv ◽  
Mengting Zhang ◽  
...  

Delayed neurocognitive recovery (DNR) is a common subtype of postoperative neurocognitive disorders. An objective approach for identifying subjects at high risk of DNR is yet lacking. The present study aimed to predict DNR using the machine learning method based on multiple cognitive-related brain network features. A total of 74 elderly patients (≥ 60-years-old) undergoing non-cardiac surgery were subjected to resting-state functional magnetic resonance imaging (rs-fMRI) before the surgery. Seed-based whole-brain functional connectivity (FC) was analyzed with 18 regions of interest (ROIs) located in the default mode network (DMN), limbic network, salience network (SN), and central executive network (CEN). Multiple machine learning models (support vector machine, decision tree, and random forest) were constructed to recognize the DNR based on FC network features. The experiment has three parts, including performance comparison, feature screening, and parameter adjustment. Then, the model with the best predictive efficacy for DNR was identified. Finally, independent testing was conducted to validate the established predictive model. Compared to the non-DNR group, the DNR group exhibited aberrant whole-brain FC in seven ROIs, including the right posterior cingulate cortex, right medial prefrontal cortex, and left lateral parietal cortex in the DMN, the right insula in the SN, the left anterior prefrontal cortex in the CEN, and the left ventral hippocampus and left amygdala in the limbic network. The machine learning experimental results identified a random forest model combined with FC features of DMN and CEN as the best prediction model. The area under the curve was 0.958 (accuracy = 0.935, precision = 0.899, recall = 0.900, F1 = 0.890) on the test set. Thus, the current study indicated that the random forest machine learning model based on rs-FC features of DMN and CEN predicts the DNR following non-cardiac surgery, which could be beneficial to the early prevention of DNR.Clinical Trial Registration: The study was registered at the Chinese Clinical Trial Registry (Identification number: ChiCTR-DCD-15006096).

2021 ◽  
Author(s):  
Michael M Craig ◽  
Ioannis Pappas ◽  
Judith Allanson ◽  
Paola Finoia ◽  
Guy Williams ◽  
...  

ABSTRACTBackgroundAssessment of the level of awareness of people with disorders of consciousness (DOC) is clinically challenging, motivating several studies to combine brain imaging with machine learning to improve this process. While this work has shown promise, it has limited clinical utility, as misdiagnosis of DOC patients is relatively high. As machine learning algorithms rely on accurately labelled data, any error in diagnosis will be learned by the algorithm, resulting in an equally limited diagnostic tool. The goal of the present study is to overcome this problem by stratifying patients, not by diagnosis, but by their capacity to perform volitional tasks during functional magnetic resonance imaging (fMRI) scanning.MethodsA total of 71 patients were assessed for inclusion. They were excluded for the final analysis if they had large focal brain damage, excessive head motion during scanning, or suboptimal MRI preprocessing. Patients underwent both resting-state and task-based fMRI scanning. Univariate fMRI analysis was performed to determine if an individual patient had brain activity consistent with having retained volitional capacity (VC). Differences in resting brain network connectivity between patients with VC and patients without volitional capacity (non-VC) were measured. Connectivity data was then entered as input to a deep learning framework. We used a deep graph convolutional neural network (DGCNN) on connectivity data to identify a specific brain network that most significantly differentiates patients.FindingsWe included 30 patients in our final analysis. Univariate analysis revealed that 13 patients displayed signs of VC, while 17 did not. We found that resting-state connectivity between frontoparietal control and salience network was significantly different between VC and non-VC patients (T(28) = 3.347, p = 0.0023, Bonferroni corrected p = 0.042). Furthermore, we found that using frontoparietal control network connectivity as input to the DGCNN resulted in the best classification performance (test accuracy = 0.85; ROC AUC = 0.92).InterpretationWe found that the DGCNN performed best at discriminating between patients with VC when using only the frontoparietal control network as input to the model. The use of this deep learning method is a significant advance since its inherent flexibility permits the inclusion of both whole-brain and network-specific properties as input, allowing us to classify patients as either having or not having VC. This inclusion of multi-scale inputs (e.g. whole-brain and network-level) facilitates model interpretability and increases our understanding of the neurobiology of DOC. The results propose that the integrity of frontoparietal control network, a brain network well known to play a key role in executive functions and cognitive control, is essential for volitional capacity preservation in patients with DOC. The study also lays groundwork for development of a biomarker to aid in the diagnosis of DOC patients.RESEARCH IN CONTEXTEvidence before this studyDisorders of consciousness (DOC) are a group of severe brain disorders characterised by damage to the neural systems underlying wakefulness and awareness. DOC are often caused by traumatic brain injury, hypoxia, or neurodegenerative diseases. The motor and cognitive impairments in DOC patients make providing an accurate diagnosis very challenging. Diagnosis is primarily made at the bedside by assessing a patient’s response to motor commands.


2021 ◽  
Vol 15 ◽  
Author(s):  
Yufen Li ◽  
Li Tao ◽  
Huiyue Chen ◽  
Hansheng Wang ◽  
Xiaoyu Zhang ◽  
...  

Background and Objective: Although depression is one of the most common non-motor symptoms in essential tremor (ET), its pathogenesis and diagnosis biomarker are still unknown. Recently, machine learning multivariate pattern analysis (MVPA) combined with connectivity mapping of resting-state fMRI has provided a promising way to identify patients with depressed ET at the individual level and help to reveal the brain network pathogenesis of depression in patients with ET.Methods: Based on global brain connectivity (GBC) mapping from 41 depressed ET, 49 non-depressed ET, 45 primary depression, and 43 healthy controls (HCs), multiclass Gaussian process classification (GPC) and binary support vector machine (SVM) algorithms were used to identify patients with depressed ET from non-depressed ET, primary depression, and HCs, and the accuracy and permutation tests were used to assess the classification performance.Results: While the total accuracy (40.45%) of four-class GPC was poor, the four-class GPC could discriminate depressed ET from non-depressed ET, primary depression, and HCs with a sensitivity of 70.73% (P < 0.001). At the same time, the sensitivity of using binary SVM to discriminate depressed ET from non-depressed ET, primary depression, and HCs was 73.17, 80.49, and 75.61%, respectively (P < 0.001). The significant discriminative features were mainly located in cerebellar-motor-prefrontal cortex circuits (P < 0.001), and a further correlation analysis showed that the GBC values of significant discriminative features in the right middle prefrontal gyrus, bilateral cerebellum VI, and Crus 1 were correlated with clinical depression severity in patients with depressed ET.Conclusion: Our findings demonstrated that GBC mapping combined with machine learning MVPA could be used to identify patients with depressed ET, and the GBC changes in cerebellar-prefrontal cortex circuits not only posed as the significant discriminative features but also helped to understand the network pathogenesis underlying depression in patients with ET.


2020 ◽  
Vol 10 (24) ◽  
pp. 9151
Author(s):  
Yun-Chia Liang ◽  
Yona Maimury ◽  
Angela Hsiang-Ling Chen ◽  
Josue Rodolfo Cuevas Juarez

Air, an essential natural resource, has been compromised in terms of quality by economic activities. Considerable research has been devoted to predicting instances of poor air quality, but most studies are limited by insufficient longitudinal data, making it difficult to account for seasonal and other factors. Several prediction models have been developed using an 11-year dataset collected by Taiwan’s Environmental Protection Administration (EPA). Machine learning methods, including adaptive boosting (AdaBoost), artificial neural network (ANN), random forest, stacking ensemble, and support vector machine (SVM), produce promising results for air quality index (AQI) level predictions. A series of experiments, using datasets for three different regions to obtain the best prediction performance from the stacking ensemble, AdaBoost, and random forest, found the stacking ensemble delivers consistently superior performance for R2 and RMSE, while AdaBoost provides best results for MAE.


2021 ◽  
Vol 15 (1) ◽  
pp. 151-160
Author(s):  
Hemant P. Kasturiwale ◽  
Sujata N. Kale

The Autonomous Nervous System (ANS) controls the nervous system and Heart Rate Variability (HRV) can be used as a diagnostic tool to diagnose heart defects. HRV can be classified into linear and nonlinear HRV indices which are used mostly to measure the efficiency of the model. For prediction of cardiac diseases, the selection and extraction features of machine learning model are effective. The available model used till date is based on HRV indices to predict the cardiac diseases accurately. The model could hardly throw light on specifics of indices, selection process and stability of the model. The proposed model is developed considering all facet electrocardiogram amplitude (ECG), frequency components, sampling frequency, extraction methods and acquisition techniques. The machine learning based model and its performance shall be tested using the standard BioSignal method, both on the data available and on the data obtained by the author. This is unique model developed by considering the vast number of mixtures sets and more than four complex cardiac classes. The statistical analysis is performed on a variety of databases such as MIT/BIH Normal Sinus Rhythm (NSR), MIT/BIH Arrhythmia (AR) and MIT/BIH Atrial Fibrillation (AF) and Peripheral Pule Analyser using feature compatibility techniques. The classifiers are trained for prediction with approximately 40000 sets of parameters. The proposed model reaches an average accuracy of 97.87 percent and is sensitive and précised. The best features are chosen from the different HRV features that will be used for classification. The present model was checked under all possible subject scenarios, such as the raw database and the non-ECG signal. In this sense, robustness is defined not only by the specificity parameter, but also by other measuring output parameters. Support Vector Machine (SVM), K-nearest Neighbour (KNN), Ensemble Adaboost (EAB) with Random Forest (RF) are tested in a 5% higher precision band and a lower band configuration. The Random Forest has produced better results, and its robustness has been established.


Animals ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. 771
Author(s):  
Toshiya Arakawa

Mammalian behavior is typically monitored by observation. However, direct observation requires a substantial amount of effort and time, if the number of mammals to be observed is sufficiently large or if the observation is conducted for a prolonged period. In this study, machine learning methods as hidden Markov models (HMMs), random forests, support vector machines (SVMs), and neural networks, were applied to detect and estimate whether a goat is in estrus based on the goat’s behavior; thus, the adequacy of the method was verified. Goat’s tracking data was obtained using a video tracking system and used to estimate whether they, which are in “estrus” or “non-estrus”, were in either states: “approaching the male”, or “standing near the male”. Totally, the PC of random forest seems to be the highest. However, The percentage concordance (PC) value besides the goats whose data were used for training data sets is relatively low. It is suggested that random forest tend to over-fit to training data. Besides random forest, the PC of HMMs and SVMs is high. However, considering the calculation time and HMM’s advantage in that it is a time series model, HMM is better method. The PC of neural network is totally low, however, if the more goat’s data were acquired, neural network would be an adequate method for estimation.


2015 ◽  
Vol 21 (4) ◽  
pp. 271-284 ◽  
Author(s):  
Hsiang-Yuan Lin ◽  
Wen-Yih Isaac Tseng ◽  
Meng-Chuan Lai ◽  
Kayako Matsuo ◽  
Susan Shur-Fen Gau

AbstractThe frontoparietal control network, anatomically and functionally interposed between the dorsal attention network and default mode network, underpins executive control functions. Individuals with attention-deficit/hyperactivity disorder (ADHD) commonly exhibit deficits in executive functions, which are mainly mediated by the frontoparietal control network. Involvement of the frontoparietal control network based on the anterior prefrontal cortex in neurobiological mechanisms of ADHD has yet to be tested. We used resting-state functional MRI and seed-based correlation analyses to investigate functional connectivity of the frontoparietal control network in a sample of 25 children with ADHD (7–14 years; mean 9.94±1.77 years; 20 males), and 25 age-, sex-, and performance IQ-matched typically developing (TD) children. All participants had limited in-scanner head motion. Spearman’s rank correlations were used to test the associations between altered patterns of functional connectivity with clinical symptoms and executive functions, measured by the Conners’ Continuous Performance Test and Spatial Span in the Cambridge Neuropsychological Test Automated Battery. Compared with TD children, children with ADHD demonstrated weaker connectivity between the right anterior prefrontal cortex (PFC) and the right ventrolateral PFC, and between the left anterior PFC and the right inferior parietal lobule. Furthermore, this aberrant connectivity of the frontoparietal control network in ADHD was associated with symptoms of impulsivity and opposition-defiance, as well as impaired response inhibition and attentional control. The findings support potential integration of the disconnection model and the executive dysfunction model for ADHD. Atypical frontoparietal control network may play a pivotal role in the pathophysiology of ADHD. (JINS, 2015, 21, 271–284)


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kristi R. Griffiths ◽  
Taylor A. Braund ◽  
Michael R. Kohn ◽  
Simon Clarke ◽  
Leanne M. Williams ◽  
...  

AbstractBehavioural disturbances in attention deficit hyperactivity disorder (ADHD) are thought to be due to dysfunction of spatially distributed, interconnected neural systems. While there is a fast-growing literature on functional dysconnectivity in ADHD, far less is known about the structural architecture underpinning these disturbances and how it may contribute to ADHD symptomology and treatment prognosis. We applied graph theoretical analyses on diffusion MRI tractography data to produce quantitative measures of global network organisation and local efficiency of network nodes. Support vector machines (SVMs) were used for comparison of multivariate graph measures of 37 children and adolescents with ADHD relative to 26 age and gender matched typically developing children (TDC). We also explored associations between graph measures and functionally-relevant outcomes such as symptom severity and prediction of methylphenidate (MPH) treatment response. We found that multivariate patterns of reduced local efficiency, predominantly in subcortical regions (SC), were able to distinguish between ADHD and TDC groups with 76% accuracy. For treatment prognosis, higher global efficiency, higher local efficiency of the right supramarginal gyrus and multivariate patterns of increased local efficiency across multiple networks at baseline also predicted greater symptom reduction after 6 weeks of MPH treatment. Our findings demonstrate that graph measures of structural topology provide valuable diagnostic and prognostic markers of ADHD, which may aid in mechanistic understanding of this complex disorder.


2021 ◽  
Author(s):  
Jamal Ahmadov

Abstract The Tuscaloosa Marine Shale (TMS) formation is a clay- and liquid-rich emerging shale play across central Louisiana and southwest Mississippi with recoverable resources of 1.5 billion barrels of oil and 4.6 trillion cubic feet of gas. The formation poses numerous challenges due to its high average clay content (50 wt%) and rapidly changing mineralogy, making the selection of fracturing candidates a difficult task. While brittleness plays an important role in screening potential intervals for hydraulic fracturing, typical brittleness estimation methods require the use of geomechanical and mineralogical properties from costly laboratory tests. Machine Learning (ML) can be employed to generate synthetic brittleness logs and therefore, may serve as an inexpensive and fast alternative to the current techniques. In this paper, we propose the use of machine learning to predict the brittleness index of Tuscaloosa Marine Shale from conventional well logs. We trained ML models on a dataset containing conventional and brittleness index logs from 8 wells. The latter were estimated either from geomechanical logs or log-derived mineralogy. Moreover, to ensure mechanical data reliability, dynamic-to-static conversion ratios were applied to Young's modulus and Poisson's ratio. The predictor features included neutron porosity, density and compressional slowness logs to account for the petrophysical and mineralogical character of TMS. The brittleness index was predicted using algorithms such as Linear, Ridge and Lasso Regression, K-Nearest Neighbors, Support Vector Machine (SVM), Decision Tree, Random Forest, AdaBoost and Gradient Boosting. Models were shortlisted based on the Root Mean Square Error (RMSE) value and fine-tuned using the Grid Search method with a specific set of hyperparameters for each model. Overall, Gradient Boosting and Random Forest outperformed other algorithms and showed an average error reduction of 5 %, a normalized RMSE of 0.06 and a R-squared value of 0.89. The Gradient Boosting was chosen to evaluate the test set and successfully predicted the brittleness index with a normalized RMSE of 0.07 and R-squared value of 0.83. This paper presents the practical use of machine learning to evaluate brittleness in a cost and time effective manner and can further provide valuable insights into the optimization of completion in TMS. The proposed ML model can be used as a tool for initial screening of fracturing candidates and selection of fracturing intervals in other clay-rich and heterogeneous shale formations.


2018 ◽  
Vol 26 (1) ◽  
pp. 141-155 ◽  
Author(s):  
Li Luo ◽  
Fengyi Zhang ◽  
Yao Yao ◽  
RenRong Gong ◽  
Martina Fu ◽  
...  

Surgery cancellations waste scarce operative resources and hinder patients’ access to operative services. In this study, the Wilcoxon and chi-square tests were used for predictor selection, and three machine learning models – random forest, support vector machine, and XGBoost – were used for the identification of surgeries with high risks of cancellation. The optimal performances of the identification models were as follows: sensitivity − 0.615; specificity − 0.957; positive predictive value − 0.454; negative predictive value − 0.904; accuracy − 0.647; and area under the receiver operating characteristic curve − 0.682. Of the three models, the random forest model achieved the best performance. Thus, the effective identification of surgeries with high risks of cancellation is feasible with stable performance. Models and sampling methods significantly affect the performance of identification. This study is a new application of machine learning for the identification of surgeries with high risks of cancellation and facilitation of surgery resource management.


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