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1.
Life (Basel) ; 12(10)2022 Oct 18.
Artigo em Inglês | MEDLINE | ID: mdl-36295066

RESUMO

The increasing global patterns for asthma disease and its associated fiscal burden to healthcare systems demand a change to healthcare processes and the way asthma risks are managed. Patient-centered health care systems equipped with advanced sensing technologies can empower patients to participate actively in their health risk control, which results in improving health outcomes. Despite having data analytics gradually emerging in health care, the path to well established and successful data driven health care services exhibit some limitations. Low accuracy of existing predictive models causes misclassification and needs improvement. In addition, lack of guidance and explanation of the reasons of a prediction leads to unsuccessful interventions. This paper proposes a modeling framework for an asthma risk management system in which the contributions are three fold: First, the framework uses a deep learning technique to improve the performance of logistic regression classification models. Second, it implements a variable sliding window method considering spatio-temporal properties of the data, which improves the quality of quantile regression models. Lastly, it provides a guidance on how to use the outcomes of the two predictive models in practice. To promote the application of predictive modeling, we present a use case that illustrates the life cycle of the proposed framework. The performance of our proposed framework was extensively evaluated using real datasets in which results showed improvement in the model classification accuracy, approximately 11.5-18.4% in the improved logistic regression classification model and confirmed low relative errors ranging from 0.018 to 0.160 in quantile regression model.

2.
PLoS One ; 16(1): e0244233, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33411771

RESUMO

Large-scale data sources, remote sensing technologies, and superior computing power have tremendously benefitted to environmental health study. Recently, various machine-learning algorithms were introduced to provide mechanistic insights about the heterogeneity of clustered data pertaining to the symptoms of each asthma patient and potential environmental risk factors. However, there is limited information on the performance of these machine learning tools. In this study, we compared the performance of ten machine-learning techniques. Using an advanced method of imbalanced sampling (IS), we improved the performance of nine conventional machine learning techniques predicting the association between exposure level to indoor air quality and change in patients' peak expiratory flow rate (PEFR). We then proposed a deep learning method of transfer learning (TL) for further improvement in prediction accuracy. Our selected final prediction techniques (TL1_IS or TL2-IS) achieved a balanced accuracy median (interquartile range) of 66(56~76) % for TL1_IS and 68(63~78) % for TL2_IS. Precision levels for TL1_IS and TL2_IS were 68(62~72) % and 66(62~69) % while sensitivity levels were 58(50~67) % and 59(51~80) % from 25 patients which were approximately 1.08 (accuracy, precision) to 1.28 (sensitivity) times increased in terms of performance outcomes, compared to NN_IS. Our results indicate that the transfer machine learning technique with imbalanced sampling is a powerful tool to predict the change in PEFR due to exposure to indoor air including the concentration of particulate matter of 2.5 µm and carbon dioxide. This modeling technique is even applicable with small-sized or imbalanced dataset, which represents a personalized, real-world setting.


Assuntos
Poluição do Ar em Ambientes Fechados/efeitos adversos , Asma/induzido quimicamente , Asma/fisiopatologia , Exposição Ambiental/efeitos adversos , Aprendizado de Máquina , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pico do Fluxo Expiratório/efeitos dos fármacos , Fatores de Tempo
3.
Acta Inform Med ; 28(1): 29-36, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32210512

RESUMO

INTRODUCTION: Machine Learning (ML) is a rapidly growing subfield of Artificial Intelligence (AI). It is used for different purposes in our daily life such as face recognition, speech recognition, text translation in different languages, weather prediction, and business prediction. In parallel, ML also plays an important role in the medical domain such as in medical imaging. ML has various algorithms that need to be trained with large volumes of data to produce a well-trained model for prediction. AIM: The aim of this study is to highlight the most suitable Data Augmentation (DA) technique(s) for medical imaging based on their results. METHODS: DA refers to different approaches that are used to increase the size of datasets. In this study, eight DA approaches were used on publicly available low-grade glioma tumor datasets obtained from the Tumor Cancer Imaging Archive (TCIA) repository. The dataset included 1961 MRI brain scan images of low-grade glioma patients. You Only Look Once (YOLO) version 3 model was trained on the original dataset and the augmented datasets separately. A neural network training/testing ecosystem named as supervisely with Tesla K80 GPU was used for YOLO v3 model training on all datasets. RESULTS: The results showed that the DA techniques rotate at 180o and rotate at 90o performed the best as data enhancement techniques for medical imaging. CONCLUSION: Rotation techniques are found significant to enhance the low volume of medical imaging datasets.

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