scholarly journals Complex Machine-Learning Algorithms and Multivariable Logistic Regression on Par in the Prediction of Insufficient Clinical Response to Methotrexate in Rheumatoid Arthritis

2021 ◽  
Vol 11 (1) ◽  
pp. 44
Author(s):  
Helen R. Gosselt ◽  
Maxime M. A. Verhoeven ◽  
Maja Bulatović-Ćalasan ◽  
Paco M. Welsing ◽  
Maurits C. F. J. de Rotte ◽  
...  

The goals of this study were to examine whether machine-learning algorithms outperform multivariable logistic regression in the prediction of insufficient response to methotrexate (MTX); secondly, to examine which features are essential for correct prediction; and finally, to investigate whether the best performing model specifically identifies insufficient responders to MTX (combination) therapy. The prediction of insufficient response (3-month Disease Activity Score 28-Erythrocyte-sedimentation rate (DAS28-ESR) > 3.2) was assessed using logistic regression, least absolute shrinkage and selection operator (LASSO), random forest, and extreme gradient boosting (XGBoost). The baseline features of 355 rheumatoid arthritis (RA) patients from the “treatment in the Rotterdam Early Arthritis CoHort” (tREACH) and the U-Act-Early trial were combined for analyses. The model performances were compared using area under the curve (AUC) of receiver operating characteristic (ROC) curves, 95% confidence intervals (95% CI), and sensitivity and specificity. Finally, the best performing model following feature selection was tested on 101 RA patients starting tocilizumab (TCZ)-monotherapy. Logistic regression (AUC = 0.77 95% CI: 0.68–0.86) performed as well as LASSO (AUC = 0.76, 95% CI: 0.67–0.85), random forest (AUC = 0.71, 95% CI: 0.61 = 0.81), and XGBoost (AUC = 0.70, 95% CI: 0.61–0.81), yet logistic regression reached the highest sensitivity (81%). The most important features were baseline DAS28 (components). For all algorithms, models with six features performed similarly to those with 16. When applied to the TCZ-monotherapy group, logistic regression’s sensitivity significantly dropped from 83% to 69% (p = 0.03). In the current dataset, logistic regression performed equally well compared to machine-learning algorithms in the prediction of insufficient response to MTX. Models could be reduced to six features, which are more conducive for clinical implementation. Interestingly, the prediction model was specific to MTX (combination) therapy response.

Author(s):  
Harsha A K

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.


Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
vardhmaan jain ◽  
Vikram Sharma ◽  
Agam Bansal ◽  
Cerise Kleb ◽  
Chirag Sheth ◽  
...  

Background: Post-transplant major adverse cardiovascular events (MACE) are amongst the leading cause of death amongst orthotopic liver transplant(OLT) recipients. Despite years of guideline directed therapy, there are limited data on predictors of post-OLT MACE. We assessed if machine learning algorithms (MLA) can predict MACE and all-cause mortality in patients undergoing OLT. Methods: We tested three MLA: support vector machine, extreme gradient boosting(XG-Boost) and random forest with traditional logistic regression for prediction of MACE and all-cause mortality on a cohort of consecutive patients undergoing OLT at our center between 2008-2019. The cohort was randomly split into a training (80%) and testing (20%) cohort. Model performance was assessed using c-statistic or AUC. Results: We included 1,459 consecutive patients with mean ± SD age 54.2 ± 13.8 years, 32% female who underwent OLT. There were 199 (13.6%) MACE and 289 (20%) deaths at a mean follow up of 4.56 ± 3.3 years. The random forest MLA was the best performing model for predicting MACE [AUC:0.78, 95% CI: 0.70-0.85] as well as mortality [AUC:0.69, 95% CI: 0.61-0.76], with all models performing better when predicting MACE vs mortality. See Table and Figure. Conclusion: Random forest machine learning algorithms were more predictive and discriminative than traditional regression models for predicting major adverse cardiovascular events and all-cause mortality in patients undergoing OLT. Validation and subsequent incorporation of MLA in clinical decision making for OLT candidacy could help risk stratify patients for post-transplant adverse cardiovascular events.


2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
M J Espinosa Pascual ◽  
P Vaquero Martinez ◽  
V Vaquero Martinez ◽  
J Lopez Pais ◽  
B Izquierdo Coronel ◽  
...  

Abstract Introduction Out of all patients admitted with Myocardial Infarction, 10 to 15% have Myocardial Infarction with Non-Obstructive Coronaries Arteries (MINOCA). Classification algorithms based on deep learning substantially exceed traditional diagnostic algorithms. Therefore, numerous machine learning models have been proposed as useful tools for the detection of various pathologies, but to date no study has proposed a diagnostic algorithm for MINOCA. Purpose The aim of this study was to estimate the diagnostic accuracy of several automated learning algorithms (Support-Vector Machine [SVM], Random Forest [RF] and Logistic Regression [LR]) to discriminate between people suffering from MINOCA from those with Myocardial Infarction with Obstructive Coronary Artery Disease (MICAD) at the time of admission and before performing a coronary angiography, whether invasive or not. Methods A Diagnostic Test Evaluation study was carried out applying the proposed algorithms to a database constituted by 553 consecutive patients admitted to our Hospital with Myocardial Infarction. According to the definitions of 2016 ESC Position Paper on MINOCA, patients were classified into two groups: MICAD and MINOCA. Out of the total 553 patients, 214 were discarded due to the lack of complete data. The set of machine learning algorithms was trained on 244 patients (training sample: 75%) and tested on 80 patients (test sample: 25%). A total of 64 variables were available for each patient, including demographic, clinical and laboratorial features before the angiographic procedure. Finally, the diagnostic precision of each architecture was taken. Results The most accurate classification model was the Random Forest algorithm (Specificity [Sp] 0.88, Sensitivity [Se] 0.57, Negative Predictive Value [NPV] 0.93, Area Under the Curve [AUC] 0.85 [CI 0.83–0.88]) followed by the standard Logistic Regression (Sp 0.76, Se 0.57, NPV 0.92 AUC 0.74 and Support-Vector Machine (Sp 0.84, Se 0.38, NPV 0.90, AUC 0.78) (see graph). The variables that contributed the most in order to discriminate a MINOCA from a MICAD were the traditional cardiovascular risk factors, biomarkers of myocardial injury, hemoglobin and gender. Results were similar when the 19 patients with Takotsubo syndrome were excluded from the analysis. Conclusion A prediction system for diagnosing MINOCA before performing coronary angiographies was developed using machine learning algorithms. Results show higher accuracy of diagnosing MINOCA than conventional statistical methods. This study supports the potential of machine learning algorithms in clinical cardiology. However, further studies are required in order to validate our results. FUNDunding Acknowledgement Type of funding sources: None. ROC curves of different algorithms


2020 ◽  
Vol 8 (5) ◽  
pp. 5353-5362

Background/Aim: Prostate cancer is regarded as the most prevalent cancer in the word and the main cause of deaths worldwide. The early strategies for estimating the prostate cancer sicknesses helped in settling on choices about the progressions to have happened in high-chance patients which brought about the decrease of their dangers. Methods: In the proposed research, we have considered informational collection from kaggle and we have done pre-processing tasks for missing values .We have three missing data values in compactness attribute and two missing values in fractal dimension were replaced by mean of their column values .The performance of the diagnosis model is obtained by using methods like classification, accuracy, sensitivity and specificity analysis. This paper proposes a prediction model to predict whether a people have a prostate cancer disease or not and to provide an awareness or diagnosis on that. This is done by comparing the accuracies of applying rules to the individual results of Support Vector Machine, Random forest, Naive Bayes classifier and logistic regression on the dataset taken in a region to present an accurate model of predicting prostate cancer disease. Results: The machine learning algorithms under study were able to predict prostate cancer disease in patients with accuracy between 70% and 90%. Conclusions: It was shown that Logistic Regression and Random Forest both has better Accuracy (90%) when compared to different Machine-learning Algorithms.


2021 ◽  
Vol 5 (1) ◽  
pp. 35
Author(s):  
Uttam Narendra Thakur ◽  
Radha Bhardwaj ◽  
Arnab Hazra

Disease diagnosis through breath analysis has attracted significant attention in recent years due to its noninvasive nature, rapid testing ability, and applicability for patients of all ages. More than 1000 volatile organic components (VOCs) exist in human breath, but only selected VOCs are associated with specific diseases. Selective identification of those disease marker VOCs using an array of multiple sensors are highly desirable in the current scenario. The use of efficient sensors and the use of suitable classification algorithms is essential for the selective and reliable detection of those disease markers in complex breath. In the current study, we fabricated a noble metal (Au, Pd and Pt) nanoparticle-functionalized MoS2 (Chalcogenides, Sigma Aldrich, St. Louis, MO, USA)-based sensor array for the selective identification of different VOCs. Four sensors, i.e., pure MoS2, Au/MoS2, Pd/MoS2, and Pt/MoS2 were tested under exposure to different VOCs, such as acetone, benzene, ethanol, xylene, 2-propenol, methanol and toluene, at 50 °C. Initially, principal component analysis (PCA) and linear discriminant analysis (LDA) were used to discriminate those seven VOCs. As compared to the PCA, LDA was able to discriminate well between the seven VOCs. Four different machine learning algorithms such as k-nearest neighbors (kNN), decision tree, random forest, and multinomial logistic regression were used to further identify those VOCs. The classification accuracy of those seven VOCs using KNN, decision tree, random forest, and multinomial logistic regression was 97.14%, 92.43%, 84.1%, and 98.97%, respectively. These results authenticated that multinomial logistic regression performed best between the four machine learning algorithms to discriminate and differentiate the multiple VOCs that generally exist in human breath.


2020 ◽  
Vol 8 (6) ◽  
pp. 1964-1968

Drug reviews are commonly used in pharmaceutical industry to improve the medications given to patients. Generally, drug review contains details of drug name, usage, ratings and comments by the patients. However, these reviews are not clean, and there is a need to improve the cleanness of the review so that they can be benefited for both pharmacists and patients. To do this, we propose a new approach that includes different steps. First, we add extra parameters in the review data by applying VADER sentimental analysis to clean the review data. Then, we apply different machine learning algorithms, namely linear SVC, logistic regression, SVM, random forest, and Naive Bayes on the drug review specify dataset names. However, we found that the accuracy of these algorithms for these datasets is limited. To improve this, we apply stratified K-fold algorithm in combination with Logistic regression. With this approach, the accuracy is increased to 96%.


2021 ◽  
Vol 21 ◽  
pp. 279-286
Author(s):  
Oleksandr Voloshchenko ◽  
Małgorzata Plechawska-Wójcik

The purpose of this paper is to compare classical machine learning algorithms for handwritten number classification. The following algorithms were chosen for comparison: Logistic Regression, SVM, Decision Tree, Random Forest and k-NN. MNIST handwritten digit database is used in the task of training and testing the above algorithms. The dataset consists of 70,000 images of numbers from 0 to 9. The algorithms are compared considering such criteria as the learning speed, prediction construction speed, host machine load, and classification accuracy. Each algorithm went through the training and testing phases 100 times, with the desired KPIs retained at each iteration. The results were averaged to reach reliable outcomes.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Luana Ibiapina Cordeiro Calíope Pinheiro ◽  
Maria Lúcia Duarte Pereira ◽  
Marcial Porto Fernandez ◽  
Francisco Mardônio Vieira Filho ◽  
Wilson Jorge Correia Pinto de Abreu ◽  
...  

Dementia interferes with the individual’s motor, behavioural, and intellectual functions, causing him to be unable to perform instrumental activities of daily living. This study is aimed at identifying the best performing algorithm and the most relevant characteristics to categorise individuals with HIV/AIDS at high risk of dementia from the application of data mining. Principal component analysis (PCA) algorithm was used and tested comparatively between the following machine learning algorithms: logistic regression, decision tree, neural network, KNN, and random forest. The database used for this study was built from the data collection of 270 individuals infected with HIV/AIDS and followed up at the outpatient clinic of a reference hospital for infectious and parasitic diseases in the State of Ceará, Brazil, from January to April 2019. Also, the performance of the algorithms was analysed for the 104 characteristics available in the database; then, with the reduction of dimensionality, there was an improvement in the quality of the machine learning algorithms and identified that during the tests, even losing about 30% of the variation. Besides, when considering only 23 characteristics, the precision of the algorithms was 86% in random forest, 56% logistic regression, 68% decision tree, 60% KNN, and 59% neural network. The random forest algorithm proved to be more effective than the others, obtaining 84% precision and 86% accuracy.


Author(s):  
Supun Nakandala ◽  
Marta M. Jankowska ◽  
Fatima Tuz-Zahra ◽  
John Bellettiere ◽  
Jordan A. Carlson ◽  
...  

Background: Machine learning has been used for classification of physical behavior bouts from hip-worn accelerometers; however, this research has been limited due to the challenges of directly observing and coding human behavior “in the wild.” Deep learning algorithms, such as convolutional neural networks (CNNs), may offer better representation of data than other machine learning algorithms without the need for engineered features and may be better suited to dealing with free-living data. The purpose of this study was to develop a modeling pipeline for evaluation of a CNN model on a free-living data set and compare CNN inputs and results with the commonly used machine learning random forest and logistic regression algorithms. Method: Twenty-eight free-living women wore an ActiGraph GT3X+ accelerometer on their right hip for 7 days. A concurrently worn thigh-mounted activPAL device captured ground truth activity labels. The authors evaluated logistic regression, random forest, and CNN models for classifying sitting, standing, and stepping bouts. The authors also assessed the benefit of performing feature engineering for this task. Results: The CNN classifier performed best (average balanced accuracy for bout classification of sitting, standing, and stepping was 84%) compared with the other methods (56% for logistic regression and 76% for random forest), even without performing any feature engineering. Conclusion: Using the recent advancements in deep neural networks, the authors showed that a CNN model can outperform other methods even without feature engineering. This has important implications for both the model’s ability to deal with the complexity of free-living data and its potential transferability to new populations.


2021 ◽  
Vol 2076 (1) ◽  
pp. 012045
Author(s):  
Aimin Li ◽  
Meng Fan ◽  
Guangduo Qin

Abstract There are many traditional methods available for water body extraction based on remote sensing images, such as normalised difference water index (NDWI), modified NDWI (MNDWI), and the multi-band spectrum method, but the accuracy of these methods is limited. In recent years, machine learning algorithms have developed rapidly and been applied widely. Using Landsat-8 images, models such as decision tree, logistic regression, a random forest, neural network, support vector method (SVM), and Xgboost were adopted in the present research within machine learning algorithms. Based on this, through cross validation and a grid search method, parameters were determined for each model.Moreover, the merits and demerits of several models in water body extraction were discussed and a comparative analysis was performed with three methods for determining thresholds in the traditional NDWI. The results show that the neural network has excellent performances and is a stable model, followed by the SVM and the logistic regression algorithm. Furthermore, the ensemble algorithms including the random forest and Xgboost were affected by sample distribution and the model of the decision tree returned the poorest performance.


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