Extending Bayesian network models for mining and classification of glaucoma

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University.Glaucoma is a degenerative disease that damages the nerve fiber layer in the retina of the eye. Its mechanisms are not fully known and there is no fully-effective strategy to prevent visual impairment and blindness. However, if treatment is carried out at an early stage, it is possible to slow glaucomatous progression and improve the quality of life of sufferers. Despite the great amount of heterogeneous data that has become available for monitoring glaucoma, the performance of tests for early diagnosis are still insufficient, due to the complexity of disease progression and the diffculties in obtaining sufficient measurements. This research aims to assess and extend Bayesian Network (BN) models to investigate the nature of the disease and its progression, as well as improve early diagnosis performance. The exibility of BNs and their ability to integrate with clinician expertise make them a suitable tool to effectively exploit the available data. After presenting the problem, a series of BN models for cross-sectional data classification and integration are assessed; novel techniques are then proposed for classification and modelling of glaucoma progression. The results are validated against literature, direct expert knowledge and other Artificial Intelligence techniques, indicating that BNs and their proposed extensions improve glaucoma diagnosis performance and enable new insights into the disease process

Advanced Deep Learning for Medical Image Analysis

The application of deep learning is evolving, including in expert systems for healthcare, such as disease classification. Several challenges in the use of deep-learning algorithms in application to disease classification. The study aims to improve classification to address the problem. The thesis proposes a cost-sensitive imbalance training algorithm to address an unequal number of training examples, a two-stage Bayesian optimisation training algorithm and a dual-branch network to train a one-class classification scheme, further improving classification performance

Face Emotion Recognition Based on Machine Learning: A Review

Computers can now detect, understand, and evaluate emotions thanks to recent developments in machine learning and information fusion. Researchers across various sectors are increasingly intrigued by emotion identification, utilizing facial expressions, words, body language, and posture as means of discerning an individual's emotions. Nevertheless, the effectiveness of the first three methods may be limited, as individuals can consciously or unconsciously suppress their true feelings. This article explores various feature extraction techniques, encompassing the development of machine learning classifiers like k-nearest neighbour, naive Bayesian, support vector machine, and random forest, in accordance with the established standard for emotion recognition. The paper has three primary objectives: firstly, to offer a comprehensive overview of effective computing by outlining essential theoretical concepts; secondly, to describe in detail the state-of-the-art in emotion recognition at the moment; and thirdly, to highlight important findings and conclusions from the literature, with an emphasis on important obstacles and possible future paths, especially in the creation of state-of-the-art machine learning algorithms for the identification of emotions

Strategies For Improving Epistasis Detection And Replication

Genome-wide association studies (GWAS) have been extensively critiqued for their perceived inability to adequately elucidate the genetic underpinnings of complex disease. Of particular concern is “missing heritability,” or the difference between the total estimated heritability of a phenotype and that explained by GWAS-identified loci. There are numerous proposed explanations for this missing heritability, but a frequently ignored and potentially vastly informative alternative explanation is the ubiquity of epistasis underlying complex phenotypes. Given our understanding of how biomolecules interact in networks and pathways, it is not unreasonable to conclude that the effect of variation at individual genetic loci may non-additively depend on and should be analyzed in the context of their interacting partners. It has been recognized for over a century that deviation from expected Mendelian proportions can be explained by the interaction of multiple loci, and the epistatic underpinnings of phenotypes in model organisms have been extensively experimentally quantified. Therefore, the dearth of inspiring single locus GWAS hits for complex human phenotypes (and the inconsistent replication of these between populations) should not be surprising, as one might expect the joint effect of multiple perturbations to interacting partners within a functional biological module to be more important than individual main effects. Current methods for analyzing data from GWAS are not well-equipped to detect epistasis or replicate significant interactions. The multiple testing burden associated with testing each pairwise interaction quickly becomes nearly insurmountable with increasing numbers of loci. Statistical and machine learning approaches that have worked well for other types of high-dimensional data are appealing and may be useful for detecting epistasis, but potentially require tweaks to function appropriately. Biological knowledge may also be leveraged to guide the search for epistasis candidates, but requires context-appropriate application (as, for example, two loci with significant main effects may not have a significant interaction, and vice versa). Rather than renouncing GWAS and the wealth of associated data that has been accumulated as a failure, I propose the development of new techniques and incorporation of diverse data sources to analyze GWAS data in an epistasis-centric framework

When the machine does not know measuring uncertainty in deep learning models of medical images

This thesis was submitted for the award of Doctor of Philosophy and was awarded by Brunel University LondonRecently, Deep learning (DL), which involves powerful black box predictors, has outperformed human experts in several medical diagnostic problems. However, these methods focus exclusively on improving the accuracy of point predictions without assessing their outputs’ quality and ignore the asymmetric cost involved in different types of misclassification errors. Neural networks also do not deliver confidence in predictions and suffer from over and under confidence, i.e. are not well calibrated. Knowing how much confidence there is in a prediction is essential for gaining clinicians’ trust in the technology. Calibrated uncertainty quantification is a challenging problem as no ground truth is available. To address this, we make two observations: (i) cost-sensitive deep neural networks with Dropweights models better quantify calibrated predictive uncertainty, and (ii) estimated uncertainty with point predictions in Deep Ensembles Bayesian Neural Networks with DropWeights can lead to a more informed decision and improve prediction quality. This dissertation focuses on quantifying uncertainty using concepts from cost-sensitive neural networks, calibration of confidence, and Dropweights ensemble method. First, we show how to improve predictive uncertainty by deep ensembles of neural networks with Dropweights learning an approximate distribution over its weights in medical image segmentation and its application in active learning. Second, we use the Jackknife resampling technique to correct bias in quantified uncertainty in image classification and propose metrics to measure uncertainty performance. The third part of the thesis is motivated by the discrepancy between the model predictive error and the objective in quantified uncertainty when costs for misclassification errors or unbalanced datasets are asymmetric. We develop cost-sensitive modifications of the neural networks in disease detection and propose metrics to measure the quality of quantified uncertainty. Finally, we leverage an adaptive binning strategy to measure uncertainty calibration error that directly corresponds to estimated uncertainty performance and address problematic evaluation methods. We evaluate the effectiveness of the tools on nuclei images segmentation, multi-class Brain MRI image classification, multi-level cell type-specific protein expression prediction in ImmunoHistoChemistry (IHC) images and cost-sensitive classification for Covid-19 detection from X-Rays and CT image dataset. Our approach is thoroughly validated by measuring the quality of uncertainty. It produces an equally good or better result and paves the way for the future that addresses the practical problems at the intersection of deep learning and Bayesian decision theory. In conclusion, our study highlights the opportunities and challenges of the application of estimated uncertainty in deep learning models of medical images, representing the confidence of the model’s prediction, and the uncertainty quality metrics show a significant improvement when using Deep Ensembles Bayesian Neural Networks with DropWeights

Explainable AI for clinical risk prediction: a survey of concepts, methods, and modalities

Recent advancements in AI applications to healthcare have shown incredible promise in surpassing human performance in diagnosis and disease prognosis. With the increasing complexity of AI models, however, concerns regarding their opacity, potential biases, and the need for interpretability. To ensure trust and reliability in AI systems, especially in clinical risk prediction models, explainability becomes crucial. Explainability is usually referred to as an AI system's ability to provide a robust interpretation of its decision-making logic or the decisions themselves to human stakeholders. In clinical risk prediction, other aspects of explainability like fairness, bias, trust, and transparency also represent important concepts beyond just interpretability. In this review, we address the relationship between these concepts as they are often used together or interchangeably. This review also discusses recent progress in developing explainable models for clinical risk prediction, highlighting the importance of quantitative and clinical evaluation and validation across multiple common modalities in clinical practice. It emphasizes the need for external validation and the combination of diverse interpretability methods to enhance trust and fairness. Adopting rigorous testing, such as using synthetic datasets with known generative factors, can further improve the reliability of explainability methods. Open access and code-sharing resources are essential for transparency and reproducibility, enabling the growth and trustworthiness of explainable research. While challenges exist, an end-to-end approach to explainability in clinical risk prediction, incorporating stakeholders from clinicians to developers, is essential for success

Ensemble classification and signal image processing for genus Gyrodactylus (Monogenea)

This thesis presents an investigation into Gyrodactylus species recognition, making use of machine learning classification and feature selection techniques, and explores image feature extraction to demonstrate proof of concept for an envisaged rapid, consistent and secure initial identification of pathogens by field workers and non-expert users. The design of the proposed cognitively inspired framework is able to provide confident discrimination recognition from its non-pathogenic congeners, which is sought in order to assist diagnostics during periods of a suspected outbreak. Accurate identification of pathogens is a key to their control in an aquaculture context and the monogenean worm genus Gyrodactylus provides an ideal test-bed for the selected techniques. In the proposed algorithm, the concept of classification using a single model is extended to include more than one model. In classifying multiple species of Gyrodactylus, experiments using 557 specimens of nine different species, two classifiers and three feature sets were performed. To combine these models, an ensemble based majority voting approach has been adopted. Experimental results with a database of Gyrodactylus species show the superior performance of the ensemble system. Comparison with single classification approaches indicates that the proposed framework produces a marked improvement in classification performance. The second contribution of this thesis is the exploration of image processing techniques. Active Shape Model (ASM) and Complex Network methods are applied to images of the attachment hooks of several species of Gyrodactylus to classify each species according to their true species type. ASM is used to provide landmark points to segment the contour of the image, while the Complex Network model is used to extract the information from the contour of an image. The current system aims to confidently classify species, which is notifiable pathogen of Atlantic salmon, to their true class with high degree of accuracy. Finally, some concluding remarks are made along with proposal for future work