scholarly journals Prediction of Atrial Fibrillation Recurrence after Thoracoscopic Surgical Ablation Using Machine Learning Techniques

Diagnostics ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. 1787
Author(s):  
Sarah W. E. Baalman ◽  
Ricardo R. Lopes ◽  
Lucas A. Ramos ◽  
Jolien Neefs ◽  
Antoine H. G. Driessen ◽  
...  

Thoracoscopic surgical ablation (SA) for atrial fibrillation (AF) has shown to be an effective treatment to restore sinus rhythm in patients with advanced AF. Identifying patients who will not benefit from this procedure would be valuable to improve personalized AF therapy. Machine learning (ML) techniques may assist in the improvement of clinical prediction models for patient selection. The aim of this study is to investigate how available baseline characteristics predict AF recurrence after SA using ML techniques. One-hundred-sixty clinical baseline variables were collected from 446 AF patients undergoing SA in our tertiary referral center. Multiple ML models were trained on five outcome measurements, including either all or a number of key variables selected by using the least absolute shrinkage and selection operator (LASSO). There was no difference in model performance between different ML techniques or outcome measurements. Variable selection significantly improved model performance (AUC: 0.73, 95% CI: 0.68–0.77). Subgroup analysis showed a higher model performance in younger patients (< 55 years, AUC: 0.82 vs. > 55 years, AUC 0.66). Recurrences of AF after SA can be predicted best when using a selection of baseline characteristics, particularly in young patients.

2021 ◽  
Vol 8 ◽  
Author(s):  
Daniele Roberto Giacobbe ◽  
Alessio Signori ◽  
Filippo Del Puente ◽  
Sara Mora ◽  
Luca Carmisciano ◽  
...  

Sepsis is a major cause of death worldwide. Over the past years, prediction of clinically relevant events through machine learning models has gained particular attention. In the present perspective, we provide a brief, clinician-oriented vision on the following relevant aspects concerning the use of machine learning predictive models for the early detection of sepsis in the daily practice: (i) the controversy of sepsis definition and its influence on the development of prediction models; (ii) the choice and availability of input features; (iii) the measure of the model performance, the output, and their usefulness in the clinical practice. The increasing involvement of artificial intelligence and machine learning in health care cannot be disregarded, despite important pitfalls that should be always carefully taken into consideration. In the long run, a rigorous multidisciplinary approach to enrich our understanding in the application of machine learning techniques for the early recognition of sepsis may show potential to augment medical decision-making when facing this heterogeneous and complex syndrome.


2017 ◽  
Author(s):  
Heath R. Pardoe ◽  
Ruben Kuzniecky

AbstractThis paper describes NAPR, a cloud-based framework for accessing age prediction models created using machine learning-based analysis of neuroimaging data. The NAPR service is provided at https://www.cloudneuro.org. The NAPR system allows external users to predict the age of individual subjects using their own MRI data. As a demonstration of the NAPR approach, age prediction models were trained using healthy control data from the ABIDE, CoRR, DLBS and NKI Rockland neuroimaging datasets (total N = 2367). MRI scans were processed using Freesurfer v5.3. Age prediction models were trained using relevance vector machines and Gaussian processes machine learning techniques. NAPR will allow for rigorous and transparent out-of-sample assessment of age prediction model performance, and may therefore assist in the translation of neuroimaging-based modelling techniques to the clinic.


Author(s):  
Tianhang Chen ◽  
Xiangeng Wang ◽  
Yanyi Chu ◽  
Dong-Qing Wei ◽  
Yi Xiong

AbstractType IV secreted effectors (T4SEs) can be translocated into the cytosol of host cells via type IV secretion system (T4SS) and cause diseases. However, experimental approaches to identify T4SEs are time- and resource-consuming, and the existing computational tools based on machine learning techniques have some obvious limitations such as the lack of interpretability in the prediction models. In this study, we proposed a new model, T4SE-XGB, which uses the eXtreme gradient boosting (XGBoost) algorithm for accurate identification of type IV effectors based on optimal features based on protein sequences. After trying 20 different types of features, the best performance was achieved when all features were fed into XGBoost by the 5-fold cross validation in comparison with other machine learning methods. Then, the ReliefF algorithm was adopted to get the optimal feature set on our dataset, which further improved the model performance. T4SE-XGB exhibited highest predictive performance on the independent test set and outperformed other published prediction tools. Furthermore, the SHAP method was used to interpret the contribution of features to model predictions. The identification of key features can contribute to improved understanding of multifactorial contributors to host-pathogen interactions and bacterial pathogenesis. In addition to type IV effector prediction, we believe that the proposed framework can provide instructive guidance for similar studies to construct prediction methods on related biological problems. The data and source code of this study can be freely accessed at https://github.com/CT001002/T4SE-XGB.


2020 ◽  
Vol 16 ◽  
Author(s):  
Nitigya Sambyal ◽  
Poonam Saini ◽  
Rupali Syal

Background and Introduction: Diabetes mellitus is a metabolic disorder that has emerged as a serious public health issue worldwide. According to the World Health Organization (WHO), without interventions, the number of diabetic incidences is expected to be at least 629 million by 2045. Uncontrolled diabetes gradually leads to progressive damage to eyes, heart, kidneys, blood vessels and nerves. Method: The paper presents a critical review of existing statistical and Artificial Intelligence (AI) based machine learning techniques with respect to DM complications namely retinopathy, neuropathy and nephropathy. The statistical and machine learning analytic techniques are used to structure the subsequent content review. Result: It has been inferred that statistical analysis can help only in inferential and descriptive analysis whereas, AI based machine learning models can even provide actionable prediction models for faster and accurate diagnose of complications associated with DM. Conclusion: The integration of AI based analytics techniques like machine learning and deep learning in clinical medicine will result in improved disease management through faster disease detection and cost reduction for disease treatment.


Author(s):  
Fahad Kamran ◽  
Kathryn Harrold ◽  
Jonathan Zwier ◽  
Wendy Carender ◽  
Tian Bao ◽  
...  

Abstract Background Recently, machine learning techniques have been applied to data collected from inertial measurement units to automatically assess balance, but rely on hand-engineered features. We explore the utility of machine learning to automatically extract important features from inertial measurement unit data for balance assessment. Findings Ten participants with balance concerns performed multiple balance exercises in a laboratory setting while wearing an inertial measurement unit on their lower back. Physical therapists watched video recordings of participants performing the exercises and rated balance on a 5-point scale. We trained machine learning models using different representations of the unprocessed inertial measurement unit data to estimate physical therapist ratings. On a held-out test set, we compared these learned models to one another, to participants’ self-assessments of balance, and to models trained using hand-engineered features. Utilizing the unprocessed kinematic data from the inertial measurement unit provided significant improvements over both self-assessments and models using hand-engineered features (AUROC of 0.806 vs. 0.768, 0.665). Conclusions Unprocessed data from an inertial measurement unit used as input to a machine learning model produced accurate estimates of balance performance. The ability to learn from unprocessed data presents a potentially generalizable approach for assessing balance without the need for labor-intensive feature engineering, while maintaining comparable model performance.


2021 ◽  
Vol 11 (13) ◽  
pp. 6030
Author(s):  
Daljeet Singh ◽  
Antonella B. Francavilla ◽  
Simona Mancini ◽  
Claudio Guarnaccia

A vehicular road traffic noise prediction methodology based on machine learning techniques has been presented. The road traffic parameters that have been considered are traffic volume, percentage of heavy vehicles, honking occurrences and the equivalent continuous sound pressure level. Leq A method to include the honking effect in the traffic noise prediction has been illustrated. The techniques that have been used for the prediction of traffic noise are decision trees, random forests, generalized linear models and artificial neural networks. The results obtained by using these methods have been compared on the basis of mean square error, correlation coefficient, coefficient of determination and accuracy. It has been observed that honking is an important parameter and contributes to the overall traffic noise, especially in congested Indian road traffic conditions. The effects of honking noise on the human health cannot be ignored and it should be included as a parameter in the future traffic noise prediction models.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lei Li ◽  
Desheng Wu

PurposeThe infraction of securities regulations (ISRs) of listed firms in their day-to-day operations and management has become one of common problems. This paper proposed several machine learning approaches to forecast the risk at infractions of listed corporates to solve financial problems that are not effective and precise in supervision.Design/methodology/approachThe overall proposed research framework designed for forecasting the infractions (ISRs) include data collection and cleaning, feature engineering, data split, prediction approach application and model performance evaluation. We select Logistic Regression, Naïve Bayes, Random Forest, Support Vector Machines, Artificial Neural Network and Long Short-Term Memory Networks (LSTMs) as ISRs prediction models.FindingsThe research results show that prediction performance of proposed models with the prior infractions provides a significant improvement of the ISRs than those without prior, especially for large sample set. The results also indicate when judging whether a company has infractions, we should pay attention to novel artificial intelligence methods, previous infractions of the company, and large data sets.Originality/valueThe findings could be utilized to address the problems of identifying listed corporates' ISRs at hand to a certain degree. Overall, results elucidate the value of the prior infraction of securities regulations (ISRs). This shows the importance of including more data sources when constructing distress models and not only focus on building increasingly more complex models on the same data. This is also beneficial to the regulatory authorities.


2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Changhyun Choi ◽  
Jeonghwan Kim ◽  
Jongsung Kim ◽  
Donghyun Kim ◽  
Younghye Bae ◽  
...  

Prediction models of heavy rain damage using machine learning based on big data were developed for the Seoul Capital Area in the Republic of Korea. We used data on the occurrence of heavy rain damage from 1994 to 2015 as dependent variables and weather big data as explanatory variables. The model was developed by applying machine learning techniques such as decision trees, bagging, random forests, and boosting. As a result of evaluating the prediction performance of each model, the AUC value of the boosting model using meteorological data from the past 1 to 4 days was the highest at 95.87% and was selected as the final model. By using the prediction model developed in this study to predict the occurrence of heavy rain damage for each administrative region, we can greatly reduce the damage through proactive disaster management.


2020 ◽  
Author(s):  
Young Min Park ◽  
Byung-Joo Lee

Abstract Background: This study analyzed the prognostic significance of nodal factors, including the number of metastatic LNs and LNR, in patients with PTC, and attempted to construct a disease recurrence prediction model using machine learning techniques.Methods: We retrospectively analyzed clinico-pathologic data from 1040 patients diagnosed with papillary thyroid cancer between 2003 and 2009. Results: We analyzed clinico-pathologic factors related to recurrence through logistic regression analysis. Among the factors that we included, only sex and tumor size were significantly correlated with disease recurrence. Parameters such as age, sex, tumor size, tumor multiplicity, ETE, ENE, pT, pN, ipsilateral central LN metastasis, contralateral central LNs metastasis, number of metastatic LNs, and LNR were input for construction of a machine learning prediction model. The performance of five machine learning models related to recurrence prediction was compared based on accuracy. The Decision Tree model showed the best accuracy at 95%, and the lightGBM and stacking model together showed 93% accuracy. Conclusions: We confirmed that all machine learning prediction models showed an accuracy of 90% or more for predicting disease recurrence in PTC. Large-scale multicenter clinical studies should be performed to improve the performance of our prediction models and verify their clinical effectiveness.


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