scholarly journals Machine Learning Methods Applied to Predict Ventilator-Associated Pneumonia with Pseudomonas aeruginosa Infection via Sensor Array of Electronic Nose in Intensive Care Unit

Sensors ◽  
2019 ◽  
Vol 19 (8) ◽  
pp. 1866 ◽  
Author(s):  
Liao ◽  
Wang ◽  
Zhang ◽  
Abbod ◽  
Shih ◽  
...  

One concern to the patients is the off-line detection of pneumonia infection status after using the ventilator in the intensive care unit. Hence, machine learning methods for ventilator-associated pneumonia (VAP) rapid diagnose are proposed. A popular device, Cyranose 320 e-nose, is usually used in research on lung disease, which is a highly integrated system and sensor comprising 32 array using polymer and carbon black materials. In this study, a total of 24 subjects were involved, including 12 subjects who are infected with pneumonia, and the rest are non-infected. Three layers of back propagation artificial neural network and support vector machine (SVM) methods were applied to patients’ data to predict whether they are infected with VAP with Pseudomonas aeruginosa infection. Furthermore, in order to improve the accuracy and the generalization of the prediction models, the ensemble neural networks (ENN) method was applied. In this study, ENN and SVM prediction models were trained and tested. In order to evaluate the models’ performance, a fivefold cross-validation method was applied. The results showed that both ENN and SVM models have high recognition rates of VAP with Pseudomonas aeruginosa infection, with 0.9479 ± 0.0135 and 0.8686 ± 0.0422 accuracies, 0.9714 ± 0.0131, 0.9250 ± 0.0423 sensitivities, and 0.9288 ± 0.0306, 0.8639 ± 0.0276 positive predictive values, respectively. The ENN model showed better performance compared to SVM in the recognition of VAP with Pseudomonas aeruginosa infection. The areas under the receiver operating characteristic curve of the two models were 0.9842 ± 0.0058 and 0.9410 ± 0.0301, respectively, showing that both models are very stable and accurate classifiers. This study aims to assist the physician in providing a scientific and effective reference for performing early detection in Pseudomonas aeruginosa infection or other diseases.

2021 ◽  
Vol 10 (4) ◽  
pp. 199
Author(s):  
Francisco M. Bellas Aláez ◽  
Jesus M. Torres Palenzuela ◽  
Evangelos Spyrakos ◽  
Luis González Vilas

This work presents new prediction models based on recent developments in machine learning methods, such as Random Forest (RF) and AdaBoost, and compares them with more classical approaches, i.e., support vector machines (SVMs) and neural networks (NNs). The models predict Pseudo-nitzschia spp. blooms in the Galician Rias Baixas. This work builds on a previous study by the authors (doi.org/10.1016/j.pocean.2014.03.003) but uses an extended database (from 2002 to 2012) and new algorithms. Our results show that RF and AdaBoost provide better prediction results compared to SVMs and NNs, as they show improved performance metrics and a better balance between sensitivity and specificity. Classical machine learning approaches show higher sensitivities, but at a cost of lower specificity and higher percentages of false alarms (lower precision). These results seem to indicate a greater adaptation of new algorithms (RF and AdaBoost) to unbalanced datasets. Our models could be operationally implemented to establish a short-term prediction system.


2020 ◽  
Author(s):  
Sujeong Hur ◽  
Ji Young Min ◽  
Junsang Yoo ◽  
Kyunga Kim ◽  
Chi Ryang Chung ◽  
...  

BACKGROUND Patient safety in the intensive care unit (ICU) is one of the most critical issues, and unplanned extubation (UE) is considered as the most adverse event for patient safety. Prevention and early detection of such an event is an essential but difficult component of quality care. OBJECTIVE This study aimed to develop and validate prediction models for UE in ICU patients using machine learning. METHODS This study was conducted an academic tertiary hospital in Seoul. The hospital had approximately 2,000 inpatient beds and 120 intensive care unit (ICU) beds. The number of patients, on daily basis, was approximately 9,000 for the out-patient. The number of annual ICU admission was approximately 10,000. We conducted a retrospective study between January 1, 2010 and December 31, 2018. A total of 6,914 extubation cases were included. We developed an unplanned extubation prediction model using machine learning algorithms, which included random forest (RF), logistic regression (LR), artificial neural network (ANN), and support vector machine (SVM). For evaluating the model’s performance, we used area under the receiver operator characteristic curve (AUROC). Sensitivity, specificity, positive predictive value negative predictive value, and F1-score were also determined for each model. For performance evaluation, we also used calibration curve, the Brier score, and the Hosmer-Lemeshow goodness-of-fit statistic. RESULTS Among the 6,914 extubation cases, 248 underwent UE. In the UE group, there were more males than females, higher use of physical restraints, and fewer surgeries. The incidence of UE was more likely to occur during the night shift compared to the planned extubation group. The rate of reintubation within 24 hours and hospital mortality was higher in the UE group. The UE prediction algorithm was developed, and the AUROC for RF was 0.787, for LR was 0.762, for ANN was 0.762, and for SVM was 0.740. CONCLUSIONS We successfully developed and validated machine learning-based prediction models to predict UE in ICU patients using electronic health record data. The best AUROC was 0.787, which was obtained using RF. CLINICALTRIAL N/A


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Kerry E. Poppenberg ◽  
Vincent M. Tutino ◽  
Lu Li ◽  
Muhammad Waqas ◽  
Armond June ◽  
...  

Abstract Background Intracranial aneurysms (IAs) are dangerous because of their potential to rupture. We previously found significant RNA expression differences in circulating neutrophils between patients with and without unruptured IAs and trained machine learning models to predict presence of IA using 40 neutrophil transcriptomes. Here, we aim to develop a predictive model for unruptured IA using neutrophil transcriptomes from a larger population and more robust machine learning methods. Methods Neutrophil RNA extracted from the blood of 134 patients (55 with IA, 79 IA-free controls) was subjected to next-generation RNA sequencing. In a randomly-selected training cohort (n = 94), the Least Absolute Shrinkage and Selection Operator (LASSO) selected transcripts, from which we constructed prediction models via 4 well-established supervised machine-learning algorithms (K-Nearest Neighbors, Random Forest, and Support Vector Machines with Gaussian and cubic kernels). We tested the models in the remaining samples (n = 40) and assessed model performance by receiver-operating-characteristic (ROC) curves. Real-time quantitative polymerase chain reaction (RT-qPCR) of 9 IA-associated genes was used to verify gene expression in a subset of 49 neutrophil RNA samples. We also examined the potential influence of demographics and comorbidities on model prediction. Results Feature selection using LASSO in the training cohort identified 37 IA-associated transcripts. Models trained using these transcripts had a maximum accuracy of 90% in the testing cohort. The testing performance across all methods had an average area under ROC curve (AUC) = 0.97, an improvement over our previous models. The Random Forest model performed best across both training and testing cohorts. RT-qPCR confirmed expression differences in 7 of 9 genes tested. Gene ontology and IPA network analyses performed on the 37 model genes reflected dysregulated inflammation, cell signaling, and apoptosis processes. In our data, demographics and comorbidities did not affect model performance. Conclusions We improved upon our previous IA prediction models based on circulating neutrophil transcriptomes by increasing sample size and by implementing LASSO and more robust machine learning methods. Future studies are needed to validate these models in larger cohorts and further investigate effect of covariates.


2020 ◽  
Vol 12 (8) ◽  
pp. 3269
Author(s):  
Shinyoung Kwag ◽  
Daegi Hahm ◽  
Minkyu Kim ◽  
Seunghyun Eem

The objective of this study is to propose a model that can predict the seismic performance of slope relatively accurately and efficiently by using machine learning methods. Probabilistic seismic fragility analyses of the slope had been carried out in other studies, and a closed-form equation for slope seismic performance was proposed through a multiple linear regression analysis. However, the traditional statistical linear regression analysis showed a limit that could not accurately represent such nonlinear slope seismic performances. To overcome this limit, in this study, we used three machine learning methods (i.e., support vector machine (SVM), artificial neural network (ANN), Gaussian process regression (GPR)) to generate prediction models of the slope seismic performance. The models obtained through the machine learning methods basically showed better performance compared to the models of the traditional statistical methods. The results of the SVM showed no significant performance difference compared with the results of the nonlinear regression analysis method, but the results based on the ANN and GPR showed a remarkable improvement in the prediction performance over the other models. Furthermore, this study confirmed that the GPR-based model predicted relatively accurate seismic performance values compared with the model through the ANN.


2019 ◽  
Author(s):  
Hannes Rosenbusch ◽  
Felix Soldner ◽  
Anthony M Evans ◽  
Marcel Zeelenberg

Machine learning methods for pattern detection and prediction are increasingly prevalent in psychological research. We provide a comprehensive overview of machine learning, its applications, and how to implement models for research. We review fundamental concepts of machine learning, such as prediction accuracy and out-of-sample evaluation, and summarize four standard prediction algorithms: linear regressions, ridge regressions, decision trees, and random forests (plus k-nearest neighbors, Naïve Bayes classifiers, and support vector machines in the supplementary material). This selection provides a set of powerful models that are implemented regularly in machine learning projects. We demonstrate each method with examples and annotated R code, and discuss best practices for determining sample sizes; comparing model performances; tuning prediction models; preregistering prediction models; and reporting results. Finally, we discuss the value of machine learning methods in maintaining psychology’s status as a predictive science.


2019 ◽  
Vol 270 (6) ◽  
pp. e137-e138
Author(s):  
Valentina Bellini ◽  
Alberto Petroni ◽  
Monica Mordonini ◽  
Paolo Del Rio ◽  
Franco Marinangeli ◽  
...  

2020 ◽  
Author(s):  
Kerry E Poppenberg ◽  
Vincent M Tutino ◽  
Lu Li ◽  
Muhammad Waqas ◽  
Armond June ◽  
...  

Abstract Background: Intracranial aneurysms (IAs) are dangerous because of their potential to rupture. We previously found significant RNA expression differences in circulating neutrophils between patients with and without unruptured IAs and trained machine learning models to predict presence of IA using 40 neutrophil transcriptomes. Here, we aim to develop a predictive model for unruptured IA using neutrophil transcriptomes from a larger population and more robust machine learning methods. Methods: Neutrophil RNA extracted from the blood of 134 patients (55 with IA, 79 IA-free controls) was subjected to next-generation RNA sequencing. In a randomly-selected training cohort (n=94), the Least Absolute Shrinkage and Selection Operator (LASSO) selected transcripts, from which we constructed prediction models via 4 well-established supervised machine-learning algorithms (K-Nearest Neighbors, Random Forest, and Support Vector Machines with Gaussian and cubic kernels). We tested the models in the remaining samples (n=40) and assessed model performance by receiver-operating-characteristic (ROC) curves. Real-time quantitative polymerase chain reaction (RT-qPCR) of 9 IA-associated genes was used to verify gene expression in a subset of 49 neutrophil RNA samples. We also examined the potential influence of demographics and comorbidities on model prediction. Results: Feature selection using LASSO in the training cohort identified 37 IA-associated transcripts. Models trained using these transcripts had a maximum accuracy of 90% in the testing cohort. The testing performance across all methods had an average area under ROC curve (AUC)=0.97, an improvement over our previous models. The Random Forest model performed best across both training and testing cohorts. RT-qPCR confirmed expression differences in 7 of 9 genes tested. Gene ontology and IPA network analyses performed on the 37 model genes reflected dysregulated inflammation, cell signaling, and apoptosis processes. In our data, demographics and comorbidities did not affect model performance. Conclusions: We improved upon our previous IA prediction models based on circulating neutrophil transcriptomes by increasing sample size and by implementing LASSO and more robust machine learning methods. Future studies are needed to validate these models in larger cohorts and further investigate effect of covariates.


2018 ◽  
Vol 18 (12) ◽  
pp. 987-997 ◽  
Author(s):  
Li Zhang ◽  
Hui Zhang ◽  
Haixin Ai ◽  
Huan Hu ◽  
Shimeng Li ◽  
...  

Toxicity evaluation is an important part of the preclinical safety assessment of new drugs, which is directly related to human health and the fate of drugs. It is of importance to study how to evaluate drug toxicity accurately and economically. The traditional in vitro and in vivo toxicity tests are laborious, time-consuming, highly expensive, and even involve animal welfare issues. Computational methods developed for drug toxicity prediction can compensate for the shortcomings of traditional methods and have been considered useful in the early stages of drug development. Numerous drug toxicity prediction models have been developed using a variety of computational methods. With the advance of the theory of machine learning and molecular representation, more and more drug toxicity prediction models are developed using a variety of machine learning methods, such as support vector machine, random forest, naive Bayesian, back propagation neural network. And significant advances have been made in many toxicity endpoints, such as carcinogenicity, mutagenicity, and hepatotoxicity. In this review, we aimed to provide a comprehensive overview of the machine learning based drug toxicity prediction studies conducted in recent years. In addition, we compared the performance of the models proposed in these studies in terms of accuracy, sensitivity, and specificity, providing a view of the current state-of-the-art in this field and highlighting the issues in the current studies.


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