scholarly journals Radiomics Is Effective for Distinguishing Coronavirus Disease 2019 Pneumonia From Influenza Virus Pneumonia

2021 ◽  
Vol 9 ◽  
Author(s):  
Liaoyi Lin ◽  
Jinjin Liu ◽  
Qingshan Deng ◽  
Na Li ◽  
Jingye Pan ◽  
...  
Keyword(s):  
Influenza Virus ◽  
Characteristic Curve ◽  
Operator Method ◽  
Training Sample ◽  
Receiver Operator Characteristic Curve ◽  
Stepwise Logistic Regression ◽  
Data Sets ◽  
Validation Data ◽  
Virus Pneumonia ◽  
Selection Operator

Objectives: To develop and validate a radiomics model for distinguishing coronavirus disease 2019 (COVID-19) pneumonia from influenza virus pneumonia.Materials and Methods: A radiomics model was developed on the basis of 56 patients with COVID-19 pneumonia and 90 patients with influenza virus pneumonia in this retrospective study. Radiomics features were extracted from CT images. The radiomics features were reduced by the Max-Relevance and Min-Redundancy algorithm and the least absolute shrinkage and selection operator method. The radiomics model was built using the multivariate backward stepwise logistic regression. A nomogram of the radiomics model was established, and the decision curve showed the clinical usefulness of the radiomics nomogram.Results: The radiomics features, consisting of nine selected features, were significantly different between COVID-19 pneumonia and influenza virus pneumonia in both training and validation data sets. The receiver operator characteristic curve of the radiomics model showed good discrimination in the training sample [area under the receiver operating characteristic curve (AUC), 0.909; 95% confidence interval (CI), 0.859–0.958] and in the validation sample (AUC, 0.911; 95% CI, 0.753–1.000). The nomogram was established and had good calibration. Decision curve analysis showed that the radiomics nomogram was clinically useful.Conclusions: The radiomics model has good performance for distinguishing COVID-19 pneumonia from influenza virus pneumonia and may aid in the diagnosis of COVID-19 pneumonia.

scholarly journals Feature Selection via Coalitional Game Theory

2007 ◽  
Vol 19 (7) ◽  
pp. 1939-1961 ◽  
Author(s):  
Shay Cohen ◽  
Gideon Dror ◽  
Eytan Ruppin
Keyword(s):  
Game Theory ◽  
Feature Selection ◽  
Characteristic Curve ◽  
Receiver Operator Characteristic Curve ◽  
Data Sets ◽  
Selection Algorithm ◽  
Forward Selection ◽  
Empirical Comparison ◽  
Backward Elimination ◽  
Unseen Data

We present and study the contribution-selection algorithm (CSA), a novel algorithm for feature selection. The algorithm is based on the multiperturbation shapley analysis (MSA), a framework that relies on game theory to estimate usefulness. The algorithm iteratively estimates the usefulness of features and selects them accordingly, using either forward selection or backward elimination. It can optimize various performance measures over unseen data such as accuracy, balanced error rate, and area under receiver-operator-characteristic curve. Empirical comparison with several other existing feature selection methods shows that the backward elimination variant of CSA leads to the most accurate classification results on an array of data sets.

scholarly journals Identification and Validation of RNA Binding Protein-associated Prognostic Model for Neuroblastoma

2020 ◽  
Author(s):  
JUN YANG ◽  
Jiaying Zhou ◽  
Cuili Li ◽  
Shaohua Wang
Keyword(s):  
Survival Rate ◽  
Prognostic Model ◽  
Rna Binding ◽  
Binding Protein ◽  
Characteristic Curve ◽  
Rna Binding Protein ◽  
Receiver Operator Characteristic Curve ◽  
Validation Data ◽  
Data Set ◽  
Significant Difference

Abstract Background: The abnormal expression of RNA binding protein (RBP) may be related to the development and progress of cancer. However, little is known about the mechanism of RBP in neuroblastoma (NB). Methods: We downloaded the RNA expression data of NB and normal nervous tissues from the (TARGET) database and GTEx database, and determined the differential expression of RBP between normal and cancerous tissues. Then the function and prognostic value of these RBPs were systematically studied. Results: A total of 348 differentially expressed RBPs were identified, together with 166 up-regulated RBPs and 182 down-regulated RBPs. Two hub RBPs (CPEB3 and CTU1) were identified as prognostic-related genes and chose to build prognostic risk score models. Further analysis showed that based on this model, the overall survival rate of patients in the high-risk subgroup was lower (P=2.152e-04). The area under the curve(AUC) of the receiver-operator characteristic curve(ROC) of the prognostic model is 0.720 in the TARGET cohort. There is a significant difference in the survival rate of patients in the high and low risk subgroups in the validation data set GSE85047 (P = 0.1237e-08), the AUC is 0.730. Conclusions: RNA binding protein (CPEB3 and CTU1) can be used as molecular markers of NB.

scholarly journals A “resistance calculator”: Simple stewardship intervention for refining empiric practices of antimicrobials in acute-care hospitals

2021 ◽  
pp. 1-8
Author(s):  
Shani Zilberman-Itskovich ◽  
Nathan Strul ◽  
Khalil Chedid ◽  
Emily T. Martin ◽  
Akram Shorbaje ◽  
...  
Keyword(s):  
At Risk ◽  
Patient Outcomes ◽  
Medical Center ◽  
Characteristic Curve ◽  
Multidrug Resistant ◽  
Data Sets ◽  
Validation Data ◽  
Nosocomial Sepsis ◽  
Implementation Studies ◽  
Patients At Risk

Abstract Objective: In the era of widespread resistance, there are 2 time points at which most empiric prescription errors occur among hospitalized adults: (1) upon admission (UA) when treating patients at risk of multidrug-resistant organisms (MDROs) and (2) during hospitalization, when treating patients at risk of extensively drug-resistant organisms (XDROs). These errors adversely influence patient outcomes and the hospital’s ecology. Design and setting: Retrospective cohort study, Shamir Medical Center, Israel, 2016. Patients: Adult patients (aged >18 years) hospitalized with sepsis. Methods: Logistic regressions were used to develop predictive models for (1) MDRO UA and (2) nosocomial XDRO. Their performances on the derivation data sets, and on 7 other validation data sets, were assessed using the area under the receiver operating characteristic curve (ROC AUC). Results: In total, 4,114 patients were included: 2,472 patients with sepsis UA and 1,642 with nosocomial sepsis. The MDRO UA score included 10 parameters, and with a cutoff of ≥22 points, it had an ROC AUC of 0.85. The nosocomial XDRO score included 7 parameters, and with a cutoff of ≥36 points, it had an ROC AUC of 0.87. The range of ROC AUCs for the validation data sets was 0.7–0.88 for the MDRO UA score and was 0.66–0.75 for nosocomial XDRO score. We created a free web calculator (https://assafharofe.azurewebsites.net). Conclusions: A simple electronic calculator could aid with empiric prescription during an encounter with a septic patient. Future implementation studies are needed to evaluate its utility in improving patient outcomes and in reducing overall resistances.

The Role of a Decision Rule in Symptomatic Pulmonary Embolism Patients with a Non-high Probability Ventilation-perfusion Scan

1997 ◽  
Vol 78 (02) ◽  
pp. 794-798 ◽  
Author(s):  
Bowine C Michel ◽  
Philomeen M M Kuijer ◽  
Joseph McDonnell ◽  
Edwin J R van Beek ◽  
Frans F H Rutten ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Decision Rule ◽  
Predictive Value ◽  
Patient Population ◽  
High Probability ◽  
Characteristic Curve ◽  
Stepwise Logistic Regression ◽  
Pulmonary Angiogram ◽  
Symptomatic Pulmonary Embolism ◽  
Perfusion Scan

Summary Background: In order to improve the use of information contained in the medical history and physical examination in patients with suspected pulmonary embolism and a non-high probability ventilation-perfusion scan, we assessed whether a simple, quantitative decision rule could be derived for the diagnosis or exclusion of pulmonary embolism. Methods: In 140 consecutive symptomatic patients with a non- high probability ventilation-perfusion scan and an interpretable pulmonary angiogram, various clinical and lung scan items were collected prospectively and analyzed by multivariate stepwise logistic regression analysis to identify the most informative combination of items. Results: The prevalence of proven pulmonary embolism in the patient population was 27.1%. A decision rule containing the presence of wheezing, previous deep venous thrombosis, recently developed or worsened cough, body temperature above 37° C and multiple defects on the perfusion scan was constructed. For the rule the area under the Receiver Operating Characteristic curve was larger than that of the prior probability of pulmonary embolism as assessed by the physician at presentation (0.76 versus 0.59; p = 0.0097). At the cut-off point with the maximal positive predictive value 2% of the patients scored positive, at the cut-off point with the maximal negative predictive value pulmonary embolism could be excluded in 16% of the patients. Conclusions: We derived a simple decision rule containing 5 easily interpretable variables for the patient population specified. The optimal use of the rule appears to be in the exclusion of pulmonary embolism. Prospective validation of this rule is indicated to confirm its clinical utility.

User Power Behavior Similarity Clustering Based on Unsupervised Extreme Learning Machine Algorithm

2020 ◽  
Vol 13 (5) ◽  
pp. 641-649
Author(s):  
Yuancheng Li ◽  
Yaqi Cui ◽  
Xiaolong Zhang
Keyword(s):  
Extreme Learning Machine ◽  
Clustering Algorithm ◽  
Characteristic Curve ◽  
Clustering Algorithms ◽  
Data Sets ◽  
Residential Areas ◽  
Processing Power ◽  
Learning Machine ◽  
Advanced Metering ◽  
Matlab Programming

Background: Advanced Metering Infrastructure (AMI) for the smart grid is growing rapidly which results in the exponential growth of data collected and transmitted in the device. By clustering this data, it can give the electricity company a better understanding of the personalized and differentiated needs of the user. Objective: The existing clustering algorithms for processing data generally have some problems, such as insufficient data utilization, high computational complexity and low accuracy of behavior recognition. Methods: In order to improve the clustering accuracy, this paper proposes a new clustering method based on the electrical behavior of the user. Starting with the analysis of user load characteristics, the user electricity data samples were constructed. The daily load characteristic curve was extracted through improved extreme learning machine clustering algorithm and effective index criteria. Moreover, clustering analysis was carried out for different users from industrial areas, commercial areas and residential areas. The improved extreme learning machine algorithm, also called Unsupervised Extreme Learning Machine (US-ELM), is an extension and improvement of the original Extreme Learning Machine (ELM), which realizes the unsupervised clustering task on the basis of the original ELM. Results: Four different data sets have been experimented and compared with other commonly used clustering algorithms by MATLAB programming. The experimental results show that the US-ELM algorithm has higher accuracy in processing power data. Conclusion: The unsupervised ELM algorithm can greatly reduce the time consumption and improve the effectiveness of clustering.

AVALIAÇÃO DE UM INSTRUMENTO DE MENSURAÇÃO DE MORBIDADE PSÍQUICA: ESTUDO DE VALIDAÇÃO DO SELF-REPORTING QUESTIONNAIRE (SRQ-20)

1970 ◽  
Vol 34 (3) ◽  
pp. 544 ◽  
Author(s):  
Kionna Oliveira Bernardes Santos ◽  
Tânia Maria de Araújo ◽  
Paloma de Sousa Pinho ◽  
Ana Cláudia Conceição Silva
Keyword(s):  
Characteristic Curve ◽  
Receiver Operator Characteristic Curve ◽  
Clinical Interview ◽  
Receiver Operator Characteristic ◽  
Interview Schedule ◽  
Para Determinar ◽  
Self Reporting Questionnaire

O Self-Reporting Questionnaire (SRQ-20), desenvolvido pela Organização Mundial de Saúde, tem sido utilizado para mensuração de nível de suspeição de transtornos mentais em estudos brasileiros, especialmente em grupos de trabalhadores. O objetivo deste estudo foi avaliar o desempenho do SRQ-20, com base em indicadores de validade (sensibilidade, especificidade, taxa de classificação incorreta e valores preditivos), e determinar o melhor ponto de corte para classificação dos transtornos mentais comuns na população estudada. O estudo incluiu 91 indivíduos selecionados aleatoriamente de um estudo de corte transversal realizado com população residente em áreas urbanas de Feira de Santana (BA). Entrevistas clínicas, realizadas por psicólogas, utilizando o Revised Clinical Interview Schedule (CIS-R), foi adotada como padrão-ouro. Na avaliação do desempenho do SRQ-20 foram estimados indicadores de validade (sensibilidade e especificidade). A curva Receiver Operator Characteristic Curve (ROC) foi utilizada para determinar o melhor ponto de corte para classificação de suspeitos/não suspeitos. O ponto de corte de melhor desempenho foi de 6/7 para a população investigada, revelando desempenho razoável com área sob a curva de 0,789. Os resultados indicam que o SRQ-20 possui característica discriminante regular.

scholarly journals Haemoconcentration as a predictor of severity in acute pancreatitis

2016 ◽  
Vol 4 (1) ◽  
pp. 3-7
Author(s):  
Tanka Prasad Bohara ◽  
Dimindra Karki ◽  
Anuj Parajuli ◽  
Shail Rupakheti ◽  
Mukund Raj Joshi
Keyword(s):  
Acute Pancreatitis ◽  
Pearson Correlation ◽  
Characteristic Curve ◽  
Scoring Systems ◽  
Cost Effective ◽  
Receiver Operator Characteristic Curve ◽  
First Episode ◽  
P Value ◽  
Receiver Operator Characteristic ◽  
Chi Square

Background: Acute pancreatitis is usually a mild and self-limiting disease. About 25 % of patients have severe episode with mortality up to 30%. Early identification of these patients has potential advantages of aggressive treatment at intensive care unit or transfer to higher centre. Several scoring systems are available to predict severity of acute pancreatitis but are cumbersome, take 24 to 48 hours and are dependent on tests that are not universally available. Haematocrit has been used as a predictor of severity of acute pancreatitis but some have doubted its role.Objectives: To study the significance of haematocrit in prediction of severity of acute pancreatitis.Methods: Patients admitted with first episode of acute pancreatitis from February 2014 to July 2014 were included. Haematocrit at admission and 24 hours of admission were compared with severity of acute pancreatitis. Mean, analysis of variance, chi square, pearson correlation and receiver operator characteristic curve were used for statistical analysis.Results: Thirty one patients were included in the study with 16 (51.61%) male and 15 (48.4%) female. Haematocrit at 24 hours of admission was higher in severe acute pancreatitis (P value 0.003). Both haematocrit at admission and at 24 hours had positive correlation with severity of acute pancreatitis (r: 0.387; P value 0.031 and r: 0.584; P value 0.001) respectively.Area under receiver operator characteristic curve for haematocrit at admission and 24 hours were 0.713 (P value 0.175, 95% CI 0.536 - 0.889) and 0.917 (P value 0.008, 95% CI 0.813 – 1.00) respectively.Conclusion: Haematocrit is a simple, cost effective and widely available test and can predict severity of acute pancreatitis.Journal of Kathmandu Medical College, Vol. 4(1) 2015, 3-7

scholarly journals Identification of candidate biomarkers of liver hydatid disease via microarray profiling, bioinformatics analysis, and machine learning

2021 ◽  
Vol 49 (3) ◽  
pp. 030006052199398
Author(s):  
Jinwu Peng ◽  
Zhili Duan ◽  
Yamin Guo ◽  
Xiaona Li ◽  
Xiaoqin Luo ◽  
...  
Keyword(s):  
Random Forest ◽  
Hydatid Disease ◽  
Characteristic Curve ◽  
Receiver Operator Characteristic Curve ◽  
Random Forest Model ◽  
Hepatic Hydatid Disease ◽  
Forest Model ◽  
Protein Protein Interaction ◽  
Ppi Networks ◽  
Microarray Profiling

Objectives Liver echinococcosis is a severe zoonotic disease caused by Echinococcus (tapeworm) infection, which is epidemic in the Qinghai region of China. Here, we aimed to explore biomarkers and establish a predictive model for the diagnosis of liver echinococcosis. Methods Microarray profiling followed by Gene Ontology and Kyoto Encyclopedia of Genes and Genomes analysis was performed in liver tissue from patients with liver hydatid disease and from healthy controls from the Qinghai region of China. A protein–protein interaction (PPI) network and random forest model were established to identify potential biomarkers and predict the occurrence of liver echinococcosis, respectively. Results Microarray profiling identified 1152 differentially expressed genes (DEGs), including 936 upregulated genes and 216 downregulated genes. Several previously unreported biological processes and signaling pathways were identified. The FCGR2B and CTLA4 proteins were identified by the PPI networks and random forest model. The random forest model based on FCGR2B and CTLA4 reliably predicted the occurrence of liver hydatid disease, with an area under the receiver operator characteristic curve of 0.921. Conclusion Our findings give new insight into gene expression in patients with liver echinococcosis from the Qinghai region of China, improving our understanding of hepatic hydatid disease.

scholarly journals Development and External Validation of Deep-Learning-Based Tumor Grading Models in Soft-Tissue Sarcoma Patients Using MR Imaging

Cancers ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 2866
Author(s):  
Fernando Navarro ◽  
Hendrik Dapper ◽  
Rebecca Asadpour ◽  
Carolin Knebel ◽  
Matthew B. Spraker ◽  
...  
Keyword(s):  
Deep Learning ◽  
Soft Tissue ◽  
Mr Imaging ◽  
Characteristic Curve ◽  
External Validation ◽  
Soft Tissue Sarcomas ◽  
Treatment Decision ◽  
Receiver Operator Characteristic Curve ◽  
Low Grade ◽  
Tumor Grading

Background: In patients with soft-tissue sarcomas, tumor grading constitutes a decisive factor to determine the best treatment decision. Tumor grading is obtained by pathological work-up after focal biopsies. Deep learning (DL)-based imaging analysis may pose an alternative way to characterize STS tissue. In this work, we sought to non-invasively differentiate tumor grading into low-grade (G1) and high-grade (G2/G3) STS using DL techniques based on MR-imaging. Methods: Contrast-enhanced T1-weighted fat-saturated (T1FSGd) MRI sequences and fat-saturated T2-weighted (T2FS) sequences were collected from two independent retrospective cohorts (training: 148 patients, testing: 158 patients). Tumor grading was determined following the French Federation of Cancer Centers Sarcoma Group in pre-therapeutic biopsies. DL models were developed using transfer learning based on the DenseNet 161 architecture. Results: The T1FSGd and T2FS-based DL models achieved area under the receiver operator characteristic curve (AUC) values of 0.75 and 0.76 on the test cohort, respectively. T1FSGd achieved the best F1-score of all models (0.90). The T2FS-based DL model was able to significantly risk-stratify for overall survival. Attention maps revealed relevant features within the tumor volume and in border regions. Conclusions: MRI-based DL models are capable of predicting tumor grading with good reproducibility in external validation.

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