scholarly journals Development and Validation of a Score for Screening Suicide of Patients With Neuroendocrine Neoplasms

2021 ◽  
Vol 12 ◽  
Author(s):  
Lili Lu ◽  
Yuru Shang ◽  
Dietmar Zechner ◽  
Christina Susanne Mullins ◽  
Michael Linnebacher ◽  
...  
Keyword(s):  
Life Expectancy ◽  
Test Data ◽  
Characteristic Curve ◽  
Life Quality ◽  
Training Data ◽  
Neuroendocrine Neoplasm ◽  
Neuroendocrine Neoplasms ◽  
Validation Data ◽  
Data Set ◽  
Commit Suicide

Background: If the diagnosis of neuroendocrine neoplasm (NEN) increases the risk of patients to commit suicide has not been investigated so far. Identifying NEN patients at risk to commit suicide is important to increase their life quality and life expectancy.Methods and findings: Cancer cases were extracted from the Surveillance, Epidemiology, and End Results program and were divided into the NEN and the non-NEN cohorts. Subsequently, the NEN patients were randomly split into a training data set and a validation data set. Analyzing the training data set, we developed a score for assessing the risk to commit suicide for patients with NEN. In addition, we validated the score using the validation data set and evaluated, if this score could also be applied to other cancer entities by using the test data set, a non-NEN cohort. The odds ratio (OR) of suicide between NEN and non-NEN patients was determined. Moreover, the performance of a score was evaluated by the receiver operating characteristic curve and the area under the curve (AUC). Compared to non-NEN, NEN significantly increased the risk of suicide to 1.8-fold (NEN vs. non-NEN; OR, 1.832; P < 0.001). In addition, we observed that age, gender, race, marital status, tumor stage, histologic grade, surgery, and chemotherapy were associated with suicide among NEN patients; and a synthesized score based on these factors could significantly distinguish suicide individuals from non-suicide individuals in the training data set (AUC, 0.829; P < 0.001) and in the validation data set (AUC, 0.735; P < 0.001). This score also had a good performance when it was assessed by the test data set (AUC, 0.690; P < 0.001). This demonstrates that the score might also be applicable to other cancer entities.Conclusions: This population-based study suggests that NEN patients have a higher risk of suicide than non-NEN patients. In addition, this study provided a score, which can identify NEN patients at high-risk of committing suicide. Thus, this score in combination with current screening and prevention strategies for suicide may improve life quality and life expectancy of NEN patients.

Diagnostic assessment of a deep learning system for detecting atrial fibrillation in pulse waveforms

Heart ◽  
2018 ◽  
Vol 104 (23) ◽  
pp. 1921-1928 ◽  
Author(s):  
Ming-Zher Poh ◽  
Yukkee Cheung Poh ◽  
Pak-Hei Chan ◽  
Chun-Ka Wong ◽  
Louise Pun ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Deep Learning ◽  
Test Data ◽  
Predictive Value ◽  
Characteristic Curve ◽  
Performance Comparison ◽  
Learning System ◽  
Training Data ◽  
Validation Data ◽  
Data Set

ObjectiveTo evaluate the diagnostic performance of a deep learning system for automated detection of atrial fibrillation (AF) in photoplethysmographic (PPG) pulse waveforms.MethodsWe trained a deep convolutional neural network (DCNN) to detect AF in 17 s PPG waveforms using a training data set of 149 048 PPG waveforms constructed from several publicly available PPG databases. The DCNN was validated using an independent test data set of 3039 smartphone-acquired PPG waveforms from adults at high risk of AF at a general outpatient clinic against ECG tracings reviewed by two cardiologists. Six established AF detectors based on handcrafted features were evaluated on the same test data set for performance comparison.ResultsIn the validation data set (3039 PPG waveforms) consisting of three sequential PPG waveforms from 1013 participants (mean (SD) age, 68.4 (12.2) years; 46.8% men), the prevalence of AF was 2.8%. The area under the receiver operating characteristic curve (AUC) of the DCNN for AF detection was 0.997 (95% CI 0.996 to 0.999) and was significantly higher than all the other AF detectors (AUC range: 0.924–0.985). The sensitivity of the DCNN was 95.2% (95% CI 88.3% to 98.7%), specificity was 99.0% (95% CI 98.6% to 99.3%), positive predictive value (PPV) was 72.7% (95% CI 65.1% to 79.3%) and negative predictive value (NPV) was 99.9% (95% CI 99.7% to 100%) using a single 17 s PPG waveform. Using the three sequential PPG waveforms in combination (<1 min in total), the sensitivity was 100.0% (95% CI 87.7% to 100%), specificity was 99.6% (95% CI 99.0% to 99.9%), PPV was 87.5% (95% CI 72.5% to 94.9%) and NPV was 100% (95% CI 99.4% to 100%).ConclusionsIn this evaluation of PPG waveforms from adults screened for AF in a real-world primary care setting, the DCNN had high sensitivity, specificity, PPV and NPV for detecting AF, outperforming other state-of-the-art methods based on handcrafted features.

scholarly journals Predictive Model of Chemotherapy-induced Myelosuppression for Patients With Esophageal Cancer

2021 ◽  
Author(s):  
Ziming Zheng ◽  
Qilin Zhang ◽  
Yong Han ◽  
Tingting Wu ◽  
Yu Zhang
Keyword(s):  
Esophageal Cancer ◽  
Prediction Model ◽  
Characteristic Curve ◽  
Predictive Ability ◽  
Influential Factors ◽  
Training Data ◽  
Central China ◽  
Ethical Guidelines ◽  
Validation Data ◽  
Data Set

Abstract Background: The influential factors of chemotherapy-induced myelosuppression in esophageal cancer in central China are unclear. This study aimed to develop a model for prediction of incidence of myelosuppression during chemotherapy among patients with esophageal cancer. Methods: A total of 1446 patients with esophageal cancer who underwent five different chemotherapy regimens between 2013 and 2020 at our institute were randomly assigned in a 7:3 ratio to training and validation data sets. Clinical and drug-related variables were used to develop the prediction model from the training data set by the machine learning method of random forest. Finally, this model were tested in the validation data set.Results: The prediction model were established with 16 indispensable variables selected from 46 variables. The model obtained an area under the receiver-operating characteristic curve of 0.883 and accompanied by prediction accuracy of 80.0%, sensitivity of 77.8% and specificity of 81.8%. Conclusion: This new prediction model showed excellent predictive ability of incidence of myelosuppression in turn providing preventative measures for patients with esophageal cancer during chemotherapy.Trial registration: This study protocol was approved by the institutional ethics board of the Union Hospital of Huazhong University of Science and Technology (retrospectively registered No. 2018S333). This study was performed in accordance with the ethical guidelines of the Declaration of Helsinki and Strengthening the Reporting of Observational Studies in Epidemiology (STROBE).

scholarly journals A novel ferroptosis related gene signature is associated with prognosis in patients with ovarian serous cystadenocarcinoma

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Zhixiang Yu ◽  
Haiyan He ◽  
Yanan Chen ◽  
Qiuhe Ji ◽  
Min Sun
Keyword(s):  
Cox Regression ◽  
Expression Profiles ◽  
Critical Role ◽  
Gene Signature ◽  
Cancer Genome ◽  
Training Data ◽  
Hub Genes ◽  
Validation Data ◽  
Data Set ◽  
Cox Regression Analysis

AbstractOvarian cancer (OV) is a common type of carcinoma in females. Many studies have reported that ferroptosis is associated with the prognosis of OV patients. However, the mechanism by which this occurs is not well understood. We utilized Genotype-Tissue Expression (GTEx) and The Cancer Genome Atlas (TCGA) to identify ferroptosis-related genes in OV. In the present study, we applied Cox regression analysis to select hub genes and used the least absolute shrinkage and selection operator to construct a prognosis prediction model with mRNA expression profiles and clinical data from TCGA. A series of analyses for this signature was performed in TCGA. We then verified the identified signature using International Cancer Genome Consortium (ICGC) data. After a series of analyses, we identified six hub genes (DNAJB6, RB1, VIMP/ SELENOS, STEAP3, BACH1, and ALOX12) that were then used to construct a model using a training data set. The model was then tested using a validation data set and was found to have high sensitivity and specificity. The identified ferroptosis-related hub genes might play a critical role in the mechanism of OV development. The gene signature we identified may be useful for future clinical applications.

Synthetic Sonic Log Generation With Machine Learning: A Contest Summary From Five Methods

2021 ◽  
Vol 62 (4) ◽  
pp. 393-406
Author(s):  
Yanxiang Yu ◽  
◽  
Chicheng Xu ◽  
Siddharth Misra ◽  
Weichang Li ◽  
...  
Keyword(s):  
Machine Learning ◽  
Test Data ◽  
Short Term Memory ◽  
Rock Physics ◽  
Training Data ◽  
Machine Learning Techniques ◽  
Blind Test ◽  
Data Set ◽  
Benchmark Model ◽  
Sonic Log

Compressional and shear sonic traveltime logs (DTC and DTS, respectively) are crucial for subsurface characterization and seismic-well tie. However, these two logs are often missing or incomplete in many oil and gas wells. Therefore, many petrophysical and geophysical workflows include sonic log synthetization or pseudo-log generation based on multivariate regression or rock physics relations. Started on March 1, 2020, and concluded on May 7, 2020, the SPWLA PDDA SIG hosted a contest aiming to predict the DTC and DTS logs from seven “easy-to-acquire” conventional logs using machine-learning methods (GitHub, 2020). In the contest, a total number of 20,525 data points with half-foot resolution from three wells was collected to train regression models using machine-learning techniques. Each data point had seven features, consisting of the conventional “easy-to-acquire” logs: caliper, neutron porosity, gamma ray (GR), deep resistivity, medium resistivity, photoelectric factor, and bulk density, respectively, as well as two sonic logs (DTC and DTS) as the target. The separate data set of 11,089 samples from a fourth well was then used as the blind test data set. The prediction performance of the model was evaluated using root mean square error (RMSE) as the metric, shown in the equation below: RMSE=sqrt(1/2*1/m* [∑_(i=1)^m▒〖(〖DTC〗_pred^i-〖DTC〗_true^i)〗^2 + 〖(〖DTS〗_pred^i-〖DTS〗_true^i)〗^2 ] In the benchmark model, (Yu et al., 2020), we used a Random Forest regressor and conducted minimal preprocessing to the training data set; an RMSE score of 17.93 was achieved on the test data set. The top five models from the contest, on average, beat the performance of our benchmark model by 27% in the RMSE score. In the paper, we will review these five solutions, including preprocess techniques and different machine-learning models, including neural network, long short-term memory (LSTM), and ensemble trees. We found that data cleaning and clustering were critical for improving the performance in all models.

scholarly journals Data Analysis With Shapley Values For Automatic Subject Selection in Alzheimer's Disease Data Sets Using Interpretable Machine Learning

2021 ◽  
Author(s):  
Louise Bloch ◽  
Christoph M. Friedrich
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Test Data ◽  
Noisy Data ◽  
Training Data ◽  
Data Sets ◽  
Data Set ◽  
Model Interpretation ◽  
Percentage Points ◽  
Shapley Values

Abstract Background: The prediction of whether Mild Cognitive Impaired (MCI) subjects will prospectively develop Alzheimer's Disease (AD) is important for the recruitment and monitoring of subjects for therapy studies. Machine Learning (ML) is suitable to improve early AD prediction. The etiology of AD is heterogeneous, which leads to noisy data sets. Additional noise is introduced by multicentric study designs and varying acquisition protocols. This article examines whether an automatic and fair data valuation method based on Shapley values can identify subjects with noisy data. Methods: An ML-workow was developed and trained for a subset of the Alzheimer's Disease Neuroimaging Initiative (ADNI) cohort. The validation was executed for an independent ADNI test data set and for the Australian Imaging, Biomarker and Lifestyle Flagship Study of Ageing (AIBL) cohort. The workow included volumetric Magnetic Resonance Imaging (MRI) feature extraction, subject sample selection using data Shapley, Random Forest (RF) and eXtreme Gradient Boosting (XGBoost) for model training and Kernel SHapley Additive exPlanations (SHAP) values for model interpretation. This model interpretation enables clinically relevant explanation of individual predictions. Results: The XGBoost models which excluded 116 of the 467 subjects from the training data set based on their Logistic Regression (LR) data Shapley values outperformed the models which were trained on the entire training data set and which reached a mean classification accuracy of 58.54 % by 14.13 % (8.27 percentage points) on the independent ADNI test data set. The XGBoost models, which were trained on the entire training data set reached a mean accuracy of 60.35 % for the AIBL data set. An improvement of 24.86 % (15.00 percentage points) could be reached for the XGBoost models if those 72 subjects with the smallest RF data Shapley values were excluded from the training data set. Conclusion: The data Shapley method was able to improve the classification accuracies for the test data sets. Noisy data was associated with the number of ApoEϵ4 alleles and volumetric MRI measurements. Kernel SHAP showed that the black-box models learned biologically plausible associations.

scholarly journals Deep Learning Using Multiple Degrees of Maximum-Intensity Projection for PET/CT Image Classification in Breast Cancer

Tomography ◽  
2022 ◽  
Vol 8 (1) ◽  
pp. 131-141
Author(s):  
Kanae Takahashi ◽  
Tomoyuki Fujioka ◽  
Jun Oyama ◽  
Mio Mori ◽  
Emi Yamaga ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Deep Learning ◽  
Image Classification ◽  
Test Data ◽  
Characteristic Curve ◽  
Maximum Intensity Projection ◽  
Maximum Intensity ◽  
Training Data ◽  
Ct Image ◽  
Pet Ct

Deep learning (DL) has become a remarkably powerful tool for image processing recently. However, the usefulness of DL in positron emission tomography (PET)/computed tomography (CT) for breast cancer (BC) has been insufficiently studied. This study investigated whether a DL model using images with multiple degrees of PET maximum-intensity projection (MIP) images contributes to increase diagnostic accuracy for PET/CT image classification in BC. We retrospectively gathered 400 images of 200 BC and 200 non-BC patients for training data. For each image, we obtained PET MIP images with four different degrees (0°, 30°, 60°, 90°) and made two DL models using Xception. One DL model diagnosed BC with only 0-degree MIP and the other used four different degrees. After training phases, our DL models analyzed test data including 50 BC and 50 non-BC patients. Five radiologists interpreted these test data. Sensitivity, specificity, and area under the receiver operating characteristic curve (AUC) were calculated. Our 4-degree model, 0-degree model, and radiologists had a sensitivity of 96%, 82%, and 80–98% and a specificity of 80%, 88%, and 76–92%, respectively. Our 4-degree model had equal or better diagnostic performance compared with that of the radiologists (AUC = 0.936 and 0.872–0.967, p = 0.036–0.405). A DL model similar to our 4-degree model may lead to help radiologists in their diagnostic work in the future.

scholarly journals Facial Expression Recognition using Residual Convnet with Image Augmentations

2021 ◽  
Vol 14 (2) ◽  
pp. 127-135
Author(s):  
Fadhil Yusuf Rahadika ◽  
Novanto Yudistira ◽  
Yuita Arum Sari
Keyword(s):  
Neural Networks ◽  
Facial Expression ◽  
Test Data ◽  
Facial Expression Recognition ◽  
Optimization Method ◽  
Training Data ◽  
Batch Size ◽  
Online Video ◽  
Expression Recognition ◽  
Validation Data

During the COVID-19 pandemic, many offline activities are turned into online activities via video meetings to prevent the spread of the COVID 19 virus. In the online video meeting, some micro-interactions are missing when compared to direct social interactions. The use of machines to assist facial expression recognition in online video meetings is expected to increase understanding of the interactions among users. Many studies have shown that CNN-based neural networks are quite effective and accurate in image classification. In this study, some open facial expression datasets were used to train CNN-based neural networks with a total number of training data of 342,497 images. This study gets the best results using ResNet-50 architecture with Mish activation function and Accuracy Booster Plus block. This architecture is trained using the Ranger and Gradient Centralization optimization method for 60000 steps with a batch size of 256. The best results from the training result in accuracy of AffectNet validation data of 0.5972, FERPlus validation data of 0.8636, FERPlus test data of 0.8488, and RAF-DB test data of 0.8879. From this study, the proposed method outperformed plain ResNet in all test scenarios without transfer learning, and there is a potential for better performance with the pre-training model. The code is available at https://github.com/yusufrahadika-facial-expressions-essay.

Personal Adaptive Method to Assess Mental Tension during Daily Life Using Heart Rate Variability

2012 ◽  
Vol 51 (01) ◽  
pp. 39-44 ◽  
Author(s):  
K. Matsuoka ◽  
K. Yoshino
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Linear Regression ◽  
Multiple Linear Regression ◽  
Test Data ◽  
Daily Life ◽  
Pearson Correlation ◽  
Multiple Linear Regression Model ◽  
Training Data ◽  
Data Set

SummaryObjectives: The aim of this study is to present a method of assessing psychological tension that is optimized to every individual on the basis of the heart rate variability (HRV) data which, to eliminate the influence of the inter-individual variability, are measured in a long time period during daily life.Methods: HRV and body accelerations were recorded from nine normal subjects for two months of normal daily life. Fourteen HRV indices were calculated with the HRV data at 512 seconds prior to the time of every mental tension level report. Data to be analyzed were limited to those with body accelerations of 30 mG (0.294 m/s2) and lower. Further, the differences from the reference values in the same time zone were calculated with both the mental tension score (Δtension) and HRV index values (ΔHRVI). The multiple linear regression model that estimates Δtension from the scores for principal components of ΔHRVI were then constructed for each individual. The data were divided into training data set and test data set in accordance with the twofold cross validation method. Multiple linear regression coefficients were determined using the training data set, and with the optimized model its generalization capability was checked using the test data set.Results: The subjects’ mean Pearson correlation coefficient was 0.52 with the training data set and 0.40 with the test data set. The subjects’ mean coefficient of determination was 0.28 with the training data set and 0.11 with the test data set.Conclusion: We proposed a method of assessing psychological tension that is optimized to every individual based on HRV data measured over a long period of daily life.

scholarly journals Towards improving the accuracy of aortic transvalvular pressure gradients: rethinking Bernoulli

2020 ◽  
Vol 58 (8) ◽  
pp. 1667-1679
Author(s):  
Benedikt Franke ◽  
J. Weese ◽  
I. Waechter-Stehle ◽  
J. Brüning ◽  
T. Kuehne ◽  
...  
Keyword(s):  
Test Data ◽  
Ground Truth ◽  
Training Data ◽  
Patient Specific ◽  
Pressure Gradients ◽  
Bernoulli Model ◽  
Bernoulli Equation ◽  
Data Set ◽  
Non Invasive ◽  
Adjusted Model

Abstract The transvalvular pressure gradient (TPG) is commonly estimated using the Bernoulli equation. However, the method is known to be inaccurate. Therefore, an adjusted Bernoulli model for accurate TPG assessment was developed and evaluated. Numerical simulations were used to calculate TPGCFD in patient-specific geometries of aortic stenosis as ground truth. Geometries, aortic valve areas (AVA), and flow rates were derived from computed tomography scans. Simulations were divided in a training data set (135 cases) and a test data set (36 cases). The training data was used to fit an adjusted Bernoulli model as a function of AVA and flow rate. The model-predicted TPGModel was evaluated using the test data set and also compared against the common Bernoulli equation (TPGB). TPGB and TPGModel both correlated well with TPGCFD (r > 0.94), but significantly overestimated it. The average difference between TPGModel and TPGCFD was much lower: 3.3 mmHg vs. 17.3 mmHg between TPGB and TPGCFD. Also, the standard error of estimate was lower for the adjusted model: SEEModel = 5.3 mmHg vs. SEEB = 22.3 mmHg. The adjusted model’s performance was more accurate than that of the conventional Bernoulli equation. The model might help to improve non-invasive assessment of TPG.

SaltSeg: Automatic 3D salt segmentation using a deep convolutional neural network

2019 ◽  
Vol 7 (3) ◽  
pp. SE113-SE122 ◽  
Author(s):  
Yunzhi Shi ◽  
Xinming Wu ◽  
Sergey Fomel
Keyword(s):  
Large Scale ◽  
Model Building ◽  
Ground Truth ◽  
Velocity Model ◽  
Training Data ◽  
Data Sets ◽  
Validation Data ◽  
Data Set ◽  
Seismic Image ◽  
Data Generator

Salt boundary interpretation is important for the understanding of salt tectonics and velocity model building for seismic migration. Conventional methods consist of computing salt attributes and extracting salt boundaries. We have formulated the problem as 3D image segmentation and evaluated an efficient approach based on deep convolutional neural networks (CNNs) with an encoder-decoder architecture. To train the model, we design a data generator that extracts randomly positioned subvolumes from large-scale 3D training data set followed by data augmentation, then feed a large number of subvolumes into the network while using salt/nonsalt binary labels generated by thresholding the velocity model as ground truth labels. We test the model on validation data sets and compare the blind test predictions with the ground truth. Our results indicate that our method is capable of automatically capturing subtle salt features from the 3D seismic image with less or no need for manual input. We further test the model on a field example to indicate the generalization of this deep CNN method across different data sets.

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