A Machine Learning Model Based on Electronic Health Records for Predicting Recurrence after Microwave Ablation of Hepatocellular Carcinoma

2021 ◽  
Author(s):  
Chao An ◽  
Hongcai Yang ◽  
Xiaoling Yu ◽  
Zhiyu Han ◽  
Zhigang Cheng ◽  
...  
Keyword(s):  
Machine Learning ◽  
Hepatocellular Carcinoma ◽  
Electronic Health Records ◽  
Microwave Ablation ◽  
Learning Model ◽  
Health Records ◽  
Model Based ◽  
Machine Learning Model ◽  
Electronic Health

Machine learning model to predict mental health crisis from electronic health records

2021 ◽  
Author(s):  
Roger Garriga ◽  
Aleksandar Matić ◽  
Javier Mas ◽  
Semhar Abraha ◽  
Jon Nolan ◽  
...  
Keyword(s):  
Mental Health ◽  
Machine Learning ◽  
At Risk ◽  
Electronic Health Records ◽  
Learning Model ◽  
Mental Health Crisis ◽  
Health Records ◽  
Health Crisis ◽  
Machine Learning Model ◽  
Electronic Health

Abstract Timely identification of patients who are at risk of mental health crises opens the door for improving the outcomes and for mitigating the burden and costs to the healthcare systems. Due to high prevalence of mental health problems, a manual review of complex patient records to make proactive care decisions is an unsustainable endeavour. We developed a machine learning model that uses Electronic Health Records to continuously identify patients at risk to experience a mental health crisis within the next 28 days. The model achieves an area under the receiver operating characteristic curve of 0.797 and an area under the precision-recall curve of 0.159, predicting crises with a sensitivity of 58% at a specificity of 85%. The usefulness of our model was tested in clinical practice in a 6-month prospective study, where the predictions were considered clinically useful in 64% of cases. This study is the first one to continuously predict the risk of a wide range of mental health crises and to evaluate the usefulness of such predictions in clinical settings.

scholarly journals Predicting Hepatocellular Carcinoma With Minimal Features From Electronic Health Records: Development of a Deep Learning Model

JMIR Cancer ◽  
10.2196/19812 ◽  
2021 ◽  
Vol 7 (4) ◽  
pp. e19812
Author(s):  
Chia-Wei Liang ◽  
Hsuan-Chia Yang ◽  
Md Mohaimenul Islam ◽  
Phung Anh Alex Nguyen ◽  
Yi-Ting Feng ◽  
...  
Keyword(s):  
Neural Network ◽  
Hepatocellular Carcinoma ◽  
Deep Learning ◽  
Electronic Health Records ◽  
Network Model ◽  
Neural Network Model ◽  
Learning Model ◽  
Health Records ◽  
Electronic Health ◽  
Deep Learning Model

Background Hepatocellular carcinoma (HCC), usually known as hepatoma, is the third leading cause of cancer mortality globally. Early detection of HCC helps in its treatment and increases survival rates. Objective The aim of this study is to develop a deep learning model, using the trend and severity of each medical event from the electronic health record to accurately predict the patients who will be diagnosed with HCC in 1 year. Methods Patients with HCC were screened out from the National Health Insurance Research Database of Taiwan between 1999 and 2013. To be included, the patients with HCC had to register as patients with cancer in the catastrophic illness file and had to be diagnosed as a patient with HCC in an inpatient admission. The control cases (non-HCC patients) were randomly sampled from the same database. We used age, gender, diagnosis code, drug code, and time information as the input variables of a convolution neural network model to predict those patients with HCC. We also inspected the highly weighted variables in the model and compared them to their odds ratio at HCC to understand how the predictive model works Results We included 47,945 individuals, 9553 of whom were patients with HCC. The area under the receiver operating curve (AUROC) of the model for predicting HCC risk 1 year in advance was 0.94 (95% CI 0.937-0.943), with a sensitivity of 0.869 and a specificity 0.865. The AUROC for predicting HCC patients 7 days, 6 months, 1 year, 2 years, and 3 years early were 0.96, 0.94, 0.94, 0.91, and 0.91, respectively. Conclusions The findings of this study show that the convolutional neural network model has immense potential to predict the risk of HCC 1 year in advance with minimal features available in the electronic health records.

scholarly journals Electronic Health Records Exploitation Using Artificial Intelligence Techniques

Proceedings ◽  
2020 ◽  
Vol 54 (1) ◽  
pp. 60
Author(s):  
Carla Guerra Tort ◽  
Vanessa Aguiar Pulido ◽  
Victoria Suárez Ulloa ◽  
Francisco Docampo Boedo ◽  
José Manuel López Gestal ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Pattern Recognition ◽  
Electronic Health Records ◽  
Clinical Decision ◽  
Health Records ◽  
Respiratory Problems ◽  
Machine Learning Model ◽  
Hidden Patterns ◽  
Electronic Health

The exploitation of electronic health records (EHRs) has multiple utilities, from predictive tasks and clinical decision support to pattern recognition. Artificial Intelligence (AI) allows to extract knowledge from EHR data in a practical way. In this study, we aim to construct a Machine Learning model from EHR data to make predictions about patients. Specifically, we will focus our analysis on patients suffering from respiratory problems. Then, we will try to predict whether those patients will have a relapse in less than 6, 12 or 18 months. The main objective is to identify the characteristics that seem to increase the relapse risk. At the same time, we propose an exploratory analysis in search of hidden patterns among data. These patterns will help us to classify patients according to their specific conditions for some clinical variables.

scholarly journals Predicting Hepatocellular Carcinoma With Minimal Features From Electronic Health Records: Development of a Deep Learning Model (Preprint)

2020 ◽  
Author(s):  
Chia-Wei Liang ◽  
Hsuan-Chia Yang ◽  
Md Mohaimenul Islam ◽  
Phung Anh Alex Nguyen ◽  
Yi-Ting Feng ◽  
...  
Keyword(s):  
Neural Network ◽  
Hepatocellular Carcinoma ◽  
Deep Learning ◽  
Electronic Health Records ◽  
Network Model ◽  
Neural Network Model ◽  
Learning Model ◽  
Health Records ◽  
Electronic Health ◽  
Deep Learning Model

BACKGROUND Hepatocellular carcinoma (HCC), usually known as hepatoma, is the third leading cause of cancer mortality globally. Early detection of HCC helps in its treatment and increases survival rates. OBJECTIVE The aim of this study is to develop a deep learning model, using the trend and severity of each medical event from the electronic health record to accurately predict the patients who will be diagnosed with HCC in 1 year. METHODS Patients with HCC were screened out from the National Health Insurance Research Database of Taiwan between 1999 and 2013. To be included, the patients with HCC had to register as patients with cancer in the catastrophic illness file and had to be diagnosed as a patient with HCC in an inpatient admission. The control cases (non-HCC patients) were randomly sampled from the same database. We used age, gender, diagnosis code, drug code, and time information as the input variables of a convolution neural network model to predict those patients with HCC. We also inspected the highly weighted variables in the model and compared them to their odds ratio at HCC to understand how the predictive model works RESULTS We included 47,945 individuals, 9553 of whom were patients with HCC. The area under the receiver operating curve (AUROC) of the model for predicting HCC risk 1 year in advance was 0.94 (95% CI 0.937-0.943), with a sensitivity of 0.869 and a specificity 0.865. The AUROC for predicting HCC patients 7 days, 6 months, 1 year, 2 years, and 3 years early were 0.96, 0.94, 0.94, 0.91, and 0.91, respectively. CONCLUSIONS The findings of this study show that the convolutional neural network model has immense potential to predict the risk of HCC 1 year in advance with minimal features available in the electronic health records.

scholarly journals Prediction of Accuracy in Emergency Health Records using Hybrid Machine Learning Model

2021 ◽  
pp. 206-212
Author(s):  
G. S. Raghavendra ◽  
Shanthi Mahesh ◽  
M. V. P. Chandra Sekhara Rao
Keyword(s):  
Machine Learning ◽  
Deep Learning ◽  
Electronic Health Records ◽  
Learning Community ◽  
Digital Information ◽  
Health Records ◽  
Time Period ◽  
Learning Techniques ◽  
Machine Learning Model ◽  
Electronic Health

The quantity of digital information contained in electronic health records(EHR) has increased dramatically during the last ten years. Numerous researchers have discovered that these records may be used for a variety of other purposes as well, including applications in clinical informatics. Additionally, within the same time period, significant advancements in the area of deep learning have been made by the machine learning community. Using EHR data, we examine the existing research on applying deep learning to clinical activities. In this article we will discuss various deep learning techniques used for the classification of electronic health records along with proposing of Hybrid model for finding classification accuracy of various models.

scholarly journals Predicting dementia diagnosis from cognitive footprints in electronic health records: a case–control study protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e043487
Author(s):  
Hao Luo ◽  
Kui Kai Lau ◽  
Gloria H Y Wong ◽  
Wai-Chi Chan ◽  
Henry K F Mak ◽  
...  
Keyword(s):  
Machine Learning ◽  
Risk Factors ◽  
Hong Kong ◽  
Electronic Health Records ◽  
Case Control Study ◽  
Case Control ◽  
Dementia Diagnosis ◽  
Health Records ◽  
Electronic Health ◽  
Control Study

IntroductionDementia is a group of disabling disorders that can be devastating for persons living with it and for their families. Data-informed decision-making strategies to identify individuals at high risk of dementia are essential to facilitate large-scale prevention and early intervention. This population-based case–control study aims to develop and validate a clinical algorithm for predicting dementia diagnosis, based on the cognitive footprint in personal and medical history.Methods and analysisWe will use territory-wide electronic health records from the Clinical Data Analysis and Reporting System (CDARS) in Hong Kong between 1 January 2001 and 31 December 2018. All individuals who were at least 65 years old by the end of 2018 will be identified from CDARS. A random sample of control individuals who did not receive any diagnosis of dementia will be matched with those who did receive such a diagnosis by age, gender and index date with 1:1 ratio. Exposure to potential protective/risk factors will be included in both conventional logistic regression and machine-learning models. Established risk factors of interest will include diabetes mellitus, midlife hypertension, midlife obesity, depression, head injuries and low education. Exploratory risk factors will include vascular disease, infectious disease and medication. The prediction accuracy of several state-of-the-art machine-learning algorithms will be compared.Ethics and disseminationThis study was approved by Institutional Review Board of The University of Hong Kong/Hospital Authority Hong Kong West Cluster (UW 18-225). Patients’ records are anonymised to protect privacy. Study results will be disseminated through peer-reviewed publications. Codes of the resulted dementia risk prediction algorithm will be made publicly available at the website of the Tools to Inform Policy: Chinese Communities’ Action in Response to Dementia project (https://www.tip-card.hku.hk/).

scholarly journals MODES: model-based optimization on distributed embedded systems

2021 ◽  
Author(s):  
Junjie Shi ◽  
Jiang Bian ◽  
Jakob Richter ◽  
Kuan-Hsun Chen ◽  
Jörg Rahnenführer ◽  
...  
Keyword(s):  
Machine Learning ◽  
Embedded Systems ◽  
Learning Model ◽  
Black Box ◽  
Distributed Embedded Systems ◽  
Data Set ◽  
Individual Model ◽  
Model Based ◽  
Machine Learning Model ◽  
Distributed Machine Learning

AbstractThe predictive performance of a machine learning model highly depends on the corresponding hyper-parameter setting. Hence, hyper-parameter tuning is often indispensable. Normally such tuning requires the dedicated machine learning model to be trained and evaluated on centralized data to obtain a performance estimate. However, in a distributed machine learning scenario, it is not always possible to collect all the data from all nodes due to privacy concerns or storage limitations. Moreover, if data has to be transferred through low bandwidth connections it reduces the time available for tuning. Model-Based Optimization (MBO) is one state-of-the-art method for tuning hyper-parameters but the application on distributed machine learning models or federated learning lacks research. This work proposes a framework $$\textit{MODES}$$ MODES that allows to deploy MBO on resource-constrained distributed embedded systems. Each node trains an individual model based on its local data. The goal is to optimize the combined prediction accuracy. The presented framework offers two optimization modes: (1) $$\textit{MODES}$$ MODES -B considers the whole ensemble as a single black box and optimizes the hyper-parameters of each individual model jointly, and (2) $$\textit{MODES}$$ MODES -I considers all models as clones of the same black box which allows it to efficiently parallelize the optimization in a distributed setting. We evaluate $$\textit{MODES}$$ MODES by conducting experiments on the optimization for the hyper-parameters of a random forest and a multi-layer perceptron. The experimental results demonstrate that, with an improvement in terms of mean accuracy ($$\textit{MODES}$$ MODES -B), run-time efficiency ($$\textit{MODES}$$ MODES -I), and statistical stability for both modes, $$\textit{MODES}$$ MODES outperforms the baseline, i.e., carry out tuning with MBO on each node individually with its local sub-data set.

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