Early Prediction of Tacrolimus-Induced Tubular Toxicity in Pediatric Refractory Nephrotic Syndrome Using Machine Learning

Background and Aims: Tacrolimus(TAC)-induced nephrotoxicity, which has a large individual variation, may lead to treatment failure or even the end-stage renal disease. However, there is still a lack of effective models for the early prediction of TAC-induced nephrotoxicity, especially in nephrotic syndrome(NS). We aimed to develop and validate a predictive model of TAC-induced tubular toxicity in children with NS using machine learning based on comprehensive clinical and genetic variables.Materials and Methods: A retrospective cohort of 218 children with NS admitted between June 2013 and December 2018 was used to establish the models, and 11 children were prospectively enrolled for external validation. We screened 47 clinical features and 244 genetic variables. The changes in urine N- acetyl- β-D- glucosaminidase(NAG) levels before and after administration was used as an indicator of renal tubular toxicity.Results: Five machine learning algorithms, including extreme gradient boosting (XGBoost), gradient boosting decision tree (GBDT), extremely random trees (ET), random forest (RF), and logistic regression (LR) were used for model generation and validation. Four genetic variables, including TRPC6 rs3824934_GG, HSD11B1 rs846910_AG, MAP2K6 rs17823202_GG, and SCARB2 rs6823680_CC were incorporated into the final model. The XGBoost model has the best performance: sensitivity 75%, specificity 77.8%, accuracy 77.3%, and AUC 78.9%.Conclusion: A pre-administration model with good performance for predicting TAC-induced nephrotoxicity in NS was developed and validated using machine learning based on genetic factors. Physicians can estimate the possibility of nephrotoxicity in NS patients using this simple and accurate model to optimize treatment regimen before administration or to intervene in time after administration to avoid kidney damage.

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A Clinical Decision Web to Predict ICU Admission or Death for Patients Hospitalised with COVID-19 Using Machine Learning Algorithms

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18168677 ◽

2021 ◽

Vol 18 (16) ◽

pp. 8677

Author(s):

Rocío Aznar-Gimeno ◽

Luis M. Esteban ◽

Gorka Labata-Lezaun ◽

Rafael del-Hoyo-Alonso ◽

David Abadia-Gallego ◽

...

Keyword(s):

Machine Learning ◽

Decision Making ◽

External Validation ◽

Laboratory Data ◽

Machine Learning Algorithms ◽

Gradient Boosting ◽

Study Cohort ◽

Icu Admission ◽

Extreme Gradient Boosting ◽

User Friendly

The purpose of the study was to build a predictive model for estimating the risk of ICU admission or mortality among patients hospitalized with COVID-19 and provide a user-friendly tool to assist clinicians in the decision-making process. The study cohort comprised 3623 patients with confirmed COVID-19 who were hospitalized in the SALUD hospital network of Aragon (Spain), which includes 23 hospitals, between February 2020 and January 2021, a period that includes several pandemic waves. Up to 165 variables were analysed, including demographics, comorbidity, chronic drugs, vital signs, and laboratory data. To build the predictive models, different techniques and machine learning (ML) algorithms were explored: multilayer perceptron, random forest, and extreme gradient boosting (XGBoost). A reduction dimensionality procedure was used to minimize the features to 20, ensuring feasible use of the tool in practice. Our model was validated both internally and externally. We also assessed its calibration and provide an analysis of the optimal cut-off points depending on the metric to be optimized. The best performing algorithm was XGBoost. The final model achieved good discrimination for the external validation set (AUC = 0.821, 95% CI 0.787–0.854) and accurate calibration (slope = 1, intercept = −0.12). A cut-off of 0.4 provides a sensitivity and specificity of 0.71 and 0.78, respectively. In conclusion, we built a risk prediction model from a large amount of data from several pandemic waves, which had good calibration and discrimination ability. We also created a user-friendly web application that can aid rapid decision-making in clinical practice.

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Predicting Undesired Treatment Outcome in Mental Healthcare: Machine Learning Study (Preprint)

10.2196/preprints.17235 ◽

2019 ◽

Author(s):

Kasper Van Mens ◽

Joran Lokkerbol ◽

Richard Janssen ◽

Robert de Lange ◽

Bea Tiemens

Keyword(s):

Machine Learning ◽

Treatment Outcome ◽

Mental Health Treatment ◽

Mental Healthcare ◽

Machine Learning Algorithms ◽

Gradient Boosting ◽

Trade Off ◽

Trade Offs ◽

Outcome Monitoring ◽

Extreme Gradient Boosting

BACKGROUND It remains a challenge to predict which treatment will work for which patient in mental healthcare. OBJECTIVE In this study we compare machine algorithms to predict during treatment which patients will not benefit from brief mental health treatment and present trade-offs that must be considered before an algorithm can be used in clinical practice. METHODS Using an anonymized dataset containing routine outcome monitoring data from a mental healthcare organization in the Netherlands (n = 2,655), we applied three machine learning algorithms to predict treatment outcome. The algorithms were internally validated with cross-validation on a training sample (n = 1,860) and externally validated on an unseen test sample (n = 795). RESULTS The performance of the three algorithms did not significantly differ on the test set. With a default classification cut-off at 0.5 predicted probability, the extreme gradient boosting algorithm showed the highest positive predictive value (ppv) of 0.71(0.61 – 0.77) with a sensitivity of 0.35 (0.29 – 0.41) and area under the curve of 0.78. A trade-off can be made between ppv and sensitivity by choosing different cut-off probabilities. With a cut-off at 0.63, the ppv increased to 0.87 and the sensitivity dropped to 0.17. With a cut-off of at 0.38, the ppv decreased to 0.61 and the sensitivity increased to 0.57. CONCLUSIONS Machine learning can be used to predict treatment outcomes based on routine monitoring data.This allows practitioners to choose their own trade-off between being selective and more certain versus inclusive and less certain.

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Techniques for Detecting Malware Traffic: A Comprehensive Approach to Feature Selection and Classification

International Journal for Research in Applied Science and Engineering Technology ◽

10.22214/ijraset.2021.39088 ◽

2021 ◽

Vol 9 (12) ◽

pp. 1-10

Author(s):

Harsha A K

Keyword(s):

Machine Learning ◽

Feature Selection ◽

Random Forest ◽

Learning Algorithms ◽

Malware Detection ◽

Machine Learning Algorithms ◽

Gradient Boosting ◽

Support Vector ◽

Steady Increase ◽

Extreme Gradient Boosting

Abstract: Since the advent of encryption, there has been a steady increase in malware being transmitted over encrypted networks. Traditional approaches to detect malware like packet content analysis are inefficient in dealing with encrypted data. In the absence of actual packet contents, we can make use of other features like packet size, arrival time, source and destination addresses and other such metadata to detect malware. Such information can be used to train machine learning classifiers in order to classify malicious and benign packets. In this paper, we offer an efficient malware detection approach using classification algorithms in machine learning such as support vector machine, random forest and extreme gradient boosting. We employ an extensive feature selection process to reduce the dimensionality of the chosen dataset. The dataset is then split into training and testing sets. Machine learning algorithms are trained using the training set. These models are then evaluated against the testing set in order to assess their respective performances. We further attempt to tune the hyper parameters of the algorithms, in order to achieve better results. Random forest and extreme gradient boosting algorithms performed exceptionally well in our experiments, resulting in area under the curve values of 0.9928 and 0.9998 respectively. Our work demonstrates that malware traffic can be effectively classified using conventional machine learning algorithms and also shows the importance of dimensionality reduction in such classification problems. Keywords: Malware Detection, Extreme Gradient Boosting, Random Forest, Feature Selection.

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Machine learning algorithms for predicting undernutrition among under-five children in Ethiopia

Public Health Nutrition ◽

10.1017/s1368980021004262 ◽

2021 ◽

pp. 1-29

Author(s):

Fikrewold H. Bitew ◽

Corey S. Sparks ◽

Samuel H. Nyarko

Keyword(s):

Machine Learning ◽

Linear Models ◽

Learning Algorithms ◽

Public Health Problem ◽

Water Source ◽

Machine Learning Algorithms ◽

Gradient Boosting ◽

Global Public Health ◽

Prediction Ability ◽

Extreme Gradient Boosting

Abstract Objective: Child undernutrition is a global public health problem with serious implications. In this study, estimate predictive algorithms for the determinants of childhood stunting by using various machine learning (ML) algorithms. Design: This study draws on data from the Ethiopian Demographic and Health Survey of 2016. Five machine learning algorithms including eXtreme gradient boosting (xgbTree), k-nearest neighbors (K-NN), random forest (RF), neural network (NNet), and the generalized linear models (GLM) were considered to predict the socio-demographic risk factors for undernutrition in Ethiopia. Setting: Households in Ethiopia. Participants: A total of 9,471 children below five years of age. Results: The descriptive results show substantial regional variations in child stunting, wasting, and underweight in Ethiopia. Also, among the five ML algorithms, xgbTree algorithm shows a better prediction ability than the generalized linear mixed algorithm. The best predicting algorithm (xgbTree) shows diverse important predictors of undernutrition across the three outcomes which include time to water source, anemia history, child age greater than 30 months, small birth size, and maternal underweight, among others. Conclusions: The xgbTree algorithm was a reasonably superior ML algorithm for predicting childhood undernutrition in Ethiopia compared to other ML algorithms considered in this study. The findings support improvement in access to water supply, food security, and fertility regulation among others in the quest to considerably improve childhood nutrition in Ethiopia.

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Evaluating Variable Selection and Machine Learning Algorithms for Estimating Forest Heights by Combining Lidar and Hyperspectral Data

ISPRS International Journal of Geo-Information ◽

10.3390/ijgi9090507 ◽

2020 ◽

Vol 9 (9) ◽

pp. 507

Author(s):

Sanjiwana Arjasakusuma ◽

Sandiaga Swahyu Kusuma ◽

Stuart Phinn

Keyword(s):

Machine Learning ◽

Feature Selection ◽

Learning Algorithms ◽

Principal Component ◽

Hyperspectral Data ◽

Machine Learning Algorithms ◽

Gradient Boosting ◽

Support Vector ◽

Forest Height ◽

Extreme Gradient Boosting

Machine learning has been employed for various mapping and modeling tasks using input variables from different sources of remote sensing data. For feature selection involving high- spatial and spectral dimensionality data, various methods have been developed and incorporated into the machine learning framework to ensure an efficient and optimal computational process. This research aims to assess the accuracy of various feature selection and machine learning methods for estimating forest height using AISA (airborne imaging spectrometer for applications) hyperspectral bands (479 bands) and airborne light detection and ranging (lidar) height metrics (36 metrics), alone and combined. Feature selection and dimensionality reduction using Boruta (BO), principal component analysis (PCA), simulated annealing (SA), and genetic algorithm (GA) in combination with machine learning algorithms such as multivariate adaptive regression spline (MARS), extra trees (ET), support vector regression (SVR) with radial basis function, and extreme gradient boosting (XGB) with trees (XGbtree and XGBdart) and linear (XGBlin) classifiers were evaluated. The results demonstrated that the combinations of BO-XGBdart and BO-SVR delivered the best model performance for estimating tropical forest height by combining lidar and hyperspectral data, with R2 = 0.53 and RMSE = 1.7 m (18.4% of nRMSE and 0.046 m of bias) for BO-XGBdart and R2 = 0.51 and RMSE = 1.8 m (15.8% of nRMSE and −0.244 m of bias) for BO-SVR. Our study also demonstrated the effectiveness of BO for variables selection; it could reduce 95% of the data to select the 29 most important variables from the initial 516 variables from lidar metrics and hyperspectral data.

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Machine learning-based approach for disease severity classification of carpal tunnel syndrome

Scientific Reports ◽

10.1038/s41598-021-97043-7 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Dougho Park ◽

Byung Hee Kim ◽

Sang-Eok Lee ◽

Dong Young Kim ◽

Mansu Kim ◽

...

Keyword(s):

Machine Learning ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Rating Scale ◽

External Validation ◽

Gradient Boosting ◽

Severity Classification ◽

Extreme Gradient Boosting ◽

Tunnel Syndrome ◽

Multi Class Classification

AbstractIdentifying the severity of carpal tunnel syndrome (CTS) is essential to providing appropriate therapeutic interventions. We developed and validated machine-learning (ML) models for classifying CTS severity. Here, 1037 CTS hands with 11 variables each were retrospectively analyzed. CTS was confirmed using electrodiagnosis, and its severity was classified into three grades: mild, moderate, and severe. The dataset was randomly split into a training (70%) and test (30%) set. A total of 507 mild, 276 moderate, and 254 severe CTS hands were included. Extreme gradient boosting (XGB) showed the highest external validation accuracy in the multi-class classification at 76.6% (95% confidence interval [CI] 71.2–81.5). XGB also had an optimal model training accuracy of 76.1%. Random forest (RF) and k-nearest neighbors had the second-highest external validation accuracy of 75.6% (95% CI 70.0–80.5). For the RF and XGB models, the numeric rating scale of pain was the most important variable, and body mass index was the second most important. The one-versus-rest classification yielded improved external validation accuracies for each severity grade compared with the multi-class classification (mild, 83.6%; moderate, 78.8%; severe, 90.9%). The CTS severity classification based on the ML model was validated and is readily applicable to aiding clinical evaluations.

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Using Machine Learning to Predict National Hockey League Average Home Game Attendance

The Journal of Prediction Markets ◽

10.5750/jpm.v12i2.1608 ◽

2018 ◽

Vol 12 (2) ◽

pp. 85-98 ◽

Cited By ~ 1

Author(s):

Barry E King ◽

Jennifer L Rice ◽

Julie Vaughan

Keyword(s):

Machine Learning ◽

Machine Learning Algorithms ◽

National Hockey League ◽

Gradient Boosting ◽

Mean Square ◽

Sample Average ◽

Extreme Gradient Boosting ◽

Out Of Sample ◽

Game Attendance ◽

Home Game

Research predicting National Hockey League average attendance is presented. The seasons examined are the 2013 hockey season through the beginning of the 2017 hockey season. Multiple linear regression and three machine learning algorithms – random forest, M5 prime, and extreme gradient boosting – are employed to predict out-of-sample average home game attendance. Extreme gradient boosting generated the lowest out-of-sample root mean square error. The team identifier (team name), the number of Twitter followers (a surrogate for team popularity), median ticket price, and arena capacity have appeared as the top four predictor variables.

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Application of Machine Learning Algorithms to Predict Central Lymph Node Metastasis in T1-T2, Non-invasive, and Clinically Node Negative Papillary Thyroid Carcinoma

Frontiers in Medicine ◽

10.3389/fmed.2021.635771 ◽

2021 ◽

Vol 8 ◽

Author(s):

Jiang Zhu ◽

Jinxin Zheng ◽

Longfei Li ◽

Rui Huang ◽

Haoyu Ren ◽

...

Keyword(s):

Machine Learning ◽

Lymph Node ◽

Machine Learning Algorithms ◽

Gradient Boosting ◽

Central Lymph Node ◽

Node Negative ◽

Non Invasive ◽

Online Risk ◽

Extreme Gradient Boosting ◽

Central Lymph

Purpose: While there are no clear indications of whether central lymph node dissection is necessary in patients with T1-T2, non-invasive, clinically uninvolved central neck lymph nodes papillary thyroid carcinoma (PTC), this study seeks to develop and validate models for predicting the risk of central lymph node metastasis (CLNM) in these patients based on machine learning algorithms.Methods: This is a retrospective study comprising 1,271 patients with T1-T2 stage, non-invasive, and clinically node negative (cN0) PTC who underwent surgery at the Department of Endocrine and Breast Surgery of The First Affiliated Hospital of Chongqing Medical University from February 1, 2016, to December 31, 2018. We applied six machine learning (ML) algorithms, including Logistic Regression (LR), Gradient Boosting Machine (GBM), Extreme Gradient Boosting (XGBoost), Random Forest (RF), Decision Tree (DT), and Neural Network (NNET), coupled with preoperative clinical characteristics and intraoperative information to develop prediction models for CLNM. Among all the samples, 70% were randomly selected to train the models while the remaining 30% were used for validation. Indices like the area under the receiver operating characteristic (AUROC), sensitivity, specificity, and accuracy were calculated to test the models' performance.Results: The results showed that ~51.3% (652 out of 1,271) of the patients had pN1 disease. In multivariate logistic regression analyses, gender, tumor size and location, multifocality, age, and Delphian lymph node status were all independent predictors of CLNM. In predicting CLNM, six ML algorithms posted AUROC of 0.70–0.75, with the extreme gradient boosting (XGBoost) model standing out, registering 0.75. Thus, we employed the best-performing ML algorithm model and uploaded the results to a self-made online risk calculator to estimate an individual's probability of CLNM (https://jin63.shinyapps.io/ML_CLNM/).Conclusions: With the incorporation of preoperative and intraoperative risk factors, ML algorithms can achieve acceptable prediction of CLNM with Xgboost model performing the best. Our online risk calculator based on ML algorithm may help determine the optimal extent of initial surgical treatment for patients with T1-T2 stage, non-invasive, and clinically node negative PTC.

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Random forest and extreme gradient boosting algorithms for streamflow modeling using vessel features, and tree-rings

10.21203/rs.3.rs-303081/v1 ◽

2021 ◽

Author(s):

Hossein Sahour ◽

Vahid Gholami ◽

Javad Torkman ◽

Mehdi Vazifedan ◽

Sirwe Saeedi

Keyword(s):

Machine Learning ◽

Random Forest ◽

Tree Rings ◽

Test Site ◽

Machine Learning Algorithms ◽

Coefficient Of Determination ◽

Gradient Boosting ◽

Growing Seasons ◽

Extreme Gradient Boosting ◽

Streamflow Modeling

Abstract Monitoring temporal variation of streamflow is necessary for many water resources management plans, yet, such practices are constrained by the absence or paucity of data in many rivers around the world. Using a permanent river in the north of Iran as a test site, a machine learning framework was proposed to model the streamflow data in the three periods of growing seasons based on tree-rings and vessel features of the Zelkova carpinifolia species. First, full-disc samples were taken from 30 trees near the river, and the samples went through preprocessing, cross-dating, standardization, and time series analysis. Two machine learning algorithms, namely random forest (RF) and extreme gradient boosting (XGB), were used to model the relationships between dendrochronology variables (tree-rings and vessel features in the three periods of growing seasons) and the corresponding streamflow rates. The performance of each model was evaluated using statistical coefficients (coefficient of determination (R-squared), Nash-Sutcliffe efficiency (NSE), and root-mean-square error (NRMSE)). Findings demonstrate that consideration should be given to the XGB model in streamflow modeling given its apparent enhanced performance (R-squared: 0.87; NSE: 0.81; and NRMSE: 0.43) over the RF model (R-squared: 0.82; NSE: 0.71; and NRMSE: 0.52). Further, the results showed that the models perform better in modeling the normal and low flows compared to extremely high flows. Finally, the tested models were used to reconstruct the temporal streamflow during the past decades (1970–1981).

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Application of machine learning algorithms for flood susceptibility assessment and risk management

Journal of Water and Climate Change ◽

10.2166/wcc.2021.051 ◽

2021 ◽

Author(s):

R. Madhuri ◽

S. Sistla ◽

K. Srinivasa Raju

Keyword(s):

Climate Change ◽

Machine Learning ◽

Influencing Factors ◽

Machine Learning Algorithms ◽

Gradient Boosting ◽

Support Vector ◽

Climate Change Scenarios ◽

Adaptive Boosting ◽

Extreme Gradient Boosting ◽

Normalised Difference Vegetation Index

Abstract Assessing floods and their likely impact in climate change scenarios will enable the facilitation of sustainable management strategies. In this study, five machine learning (ML) algorithms, namely (i) Logistic Regression, (ii) Support Vector Machine, (iii) K-nearest neighbor, (iv) Adaptive Boosting (AdaBoost) and (v) Extreme Gradient Boosting (XGBoost), were tested for Greater Hyderabad Municipal Corporation (GHMC), India, to evaluate their clustering abilities to classify locations (flooded or non-flooded) for climate change scenarios. A geo-spatial database, with eight flood influencing factors, namely, rainfall, elevation, slope, distance from nearest stream, evapotranspiration, land surface temperature, normalised difference vegetation index and curve number, was developed for 2000, 2006 and 2016. XGBoost performed the best, with the highest mean area under curve score of 0.83. Hence, XGBoost was adopted to simulate the future flood locations corresponding to probable highest rainfall events under four Representative Concentration Pathways (RCPs), namely, 2.6, 4.5, 6.0 and 8.5 along with other flood influencing factors for 2040, 2056, 2050 and 2064, respectively. The resulting ranges of flood risk probabilities are predicted as 39–77%, 16–39%, 42–63% and 39–77% for the respective years.

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