Crossroads in Liver Transplantation: Is Artificial Intelligence the Key to Donor–Recipient Matching?

Liver transplantation outcomes have improved in recent years. However, with the emergence of expanded donor criteria, tools to better assist donor–recipient matching have become necessary. Most of the currently proposed scores based on conventional biostatistics are not good classifiers of a problem that is considered “unbalanced.” In recent years, the implementation of artificial intelligence in medicine has experienced exponential growth. Deep learning, a branch of artificial intelligence, may be the answer to this classification problem. The ability to handle a large number of variables with speed, objectivity, and multi-objective analysis is one of its advantages. Artificial neural networks and random forests have been the most widely used deep classifiers in this field. This review aims to give a brief overview of D–R matching and its evolution in recent years and how artificial intelligence may be able to provide a solution

Evaluating Population Based Training on Small Datasets

Recently, there has been an increased interest in using artificial neural networks in the severely resource-constrained devices found in Internet-of-Things networks, in order to perform actions learned from the raw sensor data gathered by these devices. Unfortunately, training neural networks to achieve optimal prediction accuracy requires tuning multiple hyper-parameters, a process which has traditionally taken many times the computation time of a single training run of the neural network. In this paper, we empirically evaluate the Population Based Training algorithm, a method which simultaneously both trains and tunes a neural network, on datasets of similar size to what we might encounter in an IoT scenario. We determine that the population based training algorithm achieves prediction accuracy comparable to a traditional grid or random search on small datasets, and achieves state-of-the-art results for the Biodeg dataset.publishedVersio

Design and Assessment of a Robust and Generalizable ANN-Based Classifier for the Prediction of Premature Birth by means of Multichannel Electrohysterographic Records

[EN] Preterm labor is one of the major causes of neonatal deaths and also the cause of significant health and development impairments in those who survive. However, there are still no reliable and accurate tools for preterm labor prediction in clinical settings. Electrohysterography (EHG) has been proven to provide relevant information on the labor time horizon. Many studies focused on predicting preterm labor by using temporal, spectral, and nonlinear parameters extracted from single EHG recordings. However, multichannel analysis, which includes information from the whole uterus and about coupling between the recording areas, may provide better results. The cross validation method is often used to design classifiers and evaluate their performance. However, when the validation dataset is used to tune the classifier hyperparameters, the performance metrics of this dataset may not properly assess its generalization capacity. In this work, we developed and compared different classifiers, based on artificial neural networks, for predicting preterm labor using EHG features from single and multichannel recordings. A set of temporal, spectral, nonlinear, and synchronization parameters computed from EHG recordings was used as the input features. All the classifiers were evaluated on independent test datasets, which were never ¿seen¿ by the models, to determine their generalization capacity. Classifiers¿ performance was also evaluated when obstetrical data were included. The experimental results show that the classifier performance metrics were significantly lower in the test dataset (AUC range 76-91%) than in the train and validation sets (AUC range 90-99%). The multichannel classifiers outperformed the single-channel classifiers, especially when information was combined into mean efficiency indexes and included coupling information between channels. Including obstetrical data slightly improved the classifier metrics and reached an AUC of for the test dataset. These results show promise for the transfer of the EHG technique to preterm labor prediction in clinical practice.This work was supported by the Spanish Ministry of Economy and Competitiveness, the European Regional Development Fund (DPI2015-68397-R, MINECO/FEDER, and RTI2018-094449-A-I00-AR); Generalitat Valenciana (AICO/2019/220); and the VLC/Campus (UPV-FE-2018-B03).Mas-Cabo, J.; Prats-Boluda, G.; Garcia-Casado, J.; Alberola Rubio, J.; Perales Marín, AJ.; Ye Lin, Y. (2019). Design and Assessment of a Robust and Generalizable ANN-Based Classifier for the Prediction of Premature Birth by means of Multichannel Electrohysterographic Records. Journal of Sensors. 2019:1-13. https://doi.org/10.1155/2019/5373810S1132019Goldenberg, R. L., Culhane, J. F., Iams, J. D., & Romero, R. (2008). Epidemiology and causes of preterm birth. 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American Journal of Physiology-Cell Physiology, 269(4), C1008-C1017. doi:10.1152/ajpcell.1995.269.4.c1008Honest, H., Bachmann, L., Sundaram, R., Gupta, J., Kleijnen, J., & Khan, K. (2004). The accuracy of risk scores in predicting preterm birth—a systematic review. Journal of Obstetrics and Gynaecology, 24(4), 343-359. doi:10.1080/01443610410001685439Garfield, R. E., & Hayashi, R. H. (1981). Appearance of gap junctions in the myometrium of women during labor. American Journal of Obstetrics and Gynecology, 140(3), 254-260. doi:10.1016/0002-9378(81)90270-2Maner, W. (2003). Predicting term and preterm delivery with transabdominal uterine electromyography. Obstetrics & Gynecology, 101(6), 1254-1260. doi:10.1016/s0029-7844(03)00341-7Fele-Žorž, G., Kavšek, G., Novak-Antolič, Ž., & Jager, F. (2008). A comparison of various linear and non-linear signal processing techniques to separate uterine EMG records of term and pre-term delivery groups. Medical & Biological Engineering & Computing, 46(9), 911-922. doi:10.1007/s11517-008-0350-yDiab, A., Hassan, M., Marque, C., & Karlsson, B. (2014). Performance analysis of four nonlinearity analysis methods using a model with variable complexity and application to uterine EMG signals. Medical Engineering & Physics, 36(6), 761-767. doi:10.1016/j.medengphy.2014.01.009Lucovnik, M., Maner, W. L., Chambliss, L. R., Blumrick, R., Balducci, J., Novak-Antolic, Z., & Garfield, R. E. (2011). Noninvasive uterine electromyography for prediction of preterm delivery. American Journal of Obstetrics and Gynecology, 204(3), 228.e1-228.e10. doi:10.1016/j.ajog.2010.09.024Acharya, U. R., Sudarshan, V. K., Rong, S. Q., Tan, Z., Lim, C. M., Koh, J. E., … Bhandary, S. V. (2017). Automated detection of premature delivery using empirical mode and wavelet packet decomposition techniques with uterine electromyogram signals. Computers in Biology and Medicine, 85, 33-42. doi:10.1016/j.compbiomed.2017.04.013Fergus, P., Idowu, I., Hussain, A., & Dobbins, C. (2016). Advanced artificial neural network classification for detecting preterm births using EHG records. Neurocomputing, 188, 42-49. doi:10.1016/j.neucom.2015.01.107Ren, P., Yao, S., Li, J., Valdes-Sosa, P. A., & Kendrick, K. M. (2015). Improved Prediction of Preterm Delivery Using Empirical Mode Decomposition Analysis of Uterine Electromyography Signals. PLOS ONE, 10(7), e0132116. doi:10.1371/journal.pone.0132116Bradley, A. P. (1997). The use of the area under the ROC curve in the evaluation of machine learning algorithms. Pattern Recognition, 30(7), 1145-1159. doi:10.1016/s0031-3203(96)00142-2Maner, W. L., & Garfield, R. E. (2007). Identification of Human Term and Preterm Labor using Artificial Neural Networks on Uterine Electromyography Data. Annals of Biomedical Engineering, 35(3), 465-473. doi:10.1007/s10439-006-9248-8Smrdel, A., & Jager, F. (2015). Separating sets of term and pre-term uterine EMG records. Physiological Measurement, 36(2), 341-355. doi:10.1088/0967-3334/36/2/341Aditya, S., & Tibarewala, D. N. (2012). Comparing ANN, LDA, QDA, KNN and SVM algorithms in classifying relaxed and stressful mental state from two-channel prefrontal EEG data. International Journal of Artificial Intelligence and Soft Computing, 3(2), 143. doi:10.1504/ijaisc.2012.049010Li, Q., Rajagopalan, C., & Clifford, G. D. (2014). A machine learning approach to multi-level ECG signal quality classification. Computer Methods and Programs in Biomedicine, 117(3), 435-447. doi:10.1016/j.cmpb.2014.09.002Li, Z., Zhang, Q., & Zhao, X. (2017). Performance analysis of K-nearest neighbor, support vector machine, and artificial neural network classifiers for driver drowsiness detection with different road geometries. International Journal of Distributed Sensor Networks, 13(9), 155014771773339. doi:10.1177/1550147717733391Murthy, H. S. N., & Meenakshi, D. M. (2015). ANN, SVM and KNN Classifiers for Prognosis of Cardiac Ischemia- A Comparison. Bonfring International Journal of Research in Communication Engineering, 5(2), 07-11. doi:10.9756/bijrce.8030Ren, J. (2012). ANN vs. SVM: Which one performs better in classification of MCCs in mammogram imaging. Knowledge-Based Systems, 26, 144-153. doi:10.1016/j.knosys.2011.07.016Maul, H., Maner, W., Olson, G., Saade, G., & Garfield, R. (2004). Non-invasive transabdominal uterine electromyography correlates with the strength of intrauterine pressure and is predictive of labor and delivery. The Journal of Maternal-Fetal & Neonatal Medicine, 15(5), 297-301. doi:10.1080/14767050410001695301Mas-Cabo, J., Prats-Boluda, G., Perales, A., Garcia-Casado, J., Alberola-Rubio, J., & Ye-Lin, Y. (2018). Uterine electromyography for discrimination of labor imminence in women with threatened preterm labor under tocolytic treatment. Medical & Biological Engineering & Computing, 57(2), 401-411. doi:10.1007/s11517-018-1888-yGarfield, R. E., & Maner, W. L. (2007). Physiology and electrical activity of uterine contractions. Seminars in Cell & Developmental Biology, 18(3), 289-295. doi:10.1016/j.semcdb.2007.05.004Ahmed, M., Chanwimalueang, T., Thayyil, S., & Mandic, D. (2016). A Multivariate Multiscale Fuzzy Entropy Algorithm with Application to Uterine EMG Complexity Analysis. Entropy, 19(1), 2. doi:10.3390/e19010002Brennan, M., Palaniswami, M., & Kamen, P. (2001). Do existing measures of Poincare plot geometry reflect nonlinear features of heart rate variability? IEEE Transactions on Biomedical Engineering, 48(11), 1342-1347. doi:10.1109/10.959330Cui, D., Pu, W., Liu, J., Bian, Z., Li, Q., Wang, L., & Gu, G. (2016). A new EEG synchronization strength analysis method: S-estimator based normalized weighted-permutation mutual information. Neural Networks, 82, 30-38. doi:10.1016/j.neunet.2016.06.004Chawla, N. V., Bowyer, K. W., Hall, L. O., & Kegelmeyer, W. P. (2002). SMOTE: Synthetic Minority Over-sampling Technique. Journal of Artificial Intelligence Research, 16, 321-357. doi:10.1613/jair.953Bottou, L. (2012). Stochastic Gradient Descent Tricks. Neural Networks: Tricks of the Trade, 421-436. doi:10.1007/978-3-642-35289-8_25Lim, K., Butt, K., & Crane, J. M. (2018). No. 257-Ultrasonographic Cervical Length Assessment in Predicting Preterm Birth in Singleton Pregnancies. Journal of Obstetrics and Gynaecology Canada, 40(2), e151-e164. doi:10.1016/j.jogc.2017.11.01

An Enhanced Artificial Neural Network Approach To Predict Student Dropout From Imbalanced Datasets

School dropout has profound and long-term impacts on global development. Machine Learning (ML) techniques have been used to create models to predict school dropouts, supporting school managers, educators, and policymakers to take proactive measures to reduce those rates and their social impact. However, most studies did not account for the imbalance of historical datasets when training those models, leading to over-optimistic performance metrics and poor practical results. In the present work, a novel ANN approach able to deal with imbalanced datasets to predict school dropout is proposed and tested with actual data, reaching the remarkable performance of correctly predicting 90.1% of the students who would dropout and outperforming the benchmark

Memetic Evolutionary Multi-Objective Neural Network Classifier to Predict Graft Survival in Liver Transplant Patients

In liver transplantation, matching donor and recipient is a problem that can be solved using machine learning techniques. In this paper we consider a liver transplant dataset obtained from eleven Spanish hospitals, including the patient survival or the rejection in liver transplantation one year after the surgery. To tackle this problem, we use a multi-objective evolutionary algorithm for training generalized radial basis functions neural networks. The obtained models provided medical experts with a mathematical value to predict survival rates allowing them to come up with a right decision according to the principles of justice, efficiency and equit

Oximetry use in obstructive sleep apnea

Producción CientíficaIntroduction. Overnight oximetry has been proposed as an accessible, simple, and reliable technique for obstructive sleep apnea syndrome (OSAS) diagnosis. From visual inspection to advanced signal processing, several studies have demonstrated the usefulness of oximetry as a screening tool. However, there is still controversy regarding the general application of oximetry as a single screening methodology for OSAS. Areas covered. Currently, high-resolution portable devices combined with pattern recognition-based applications are able to achieve high performance in the detection this disease. In this review, recent studies involving automated analysis of oximetry by means of advanced signal processing and machine learning algorithms are analyzed. Advantages and limitations are highlighted and novel research lines aimed at improving the screening ability of oximetry are proposed. Expert commentary. Oximetry is a cost-effective tool for OSAS screening in patients showing high pretest probability for the disease. Nevertheless, exhaustive analyses are still needed to further assess unattended oximetry monitoring as a single diagnostic test for sleep apnea, particularly in the pediatric population and in especial groups with significant comorbidities. In the following years, communication technologies and big data analysis will overcome current limitations of simplified sleep testing approaches, changing the detection and management of OSAS.This research has been partially supported by the projects DPI2017-84280-R and RTC-2015-3446-1 from Ministerio de Economía, Industria y Competitividad and European Regional Development Fund (FEDER), the project 66/2016 of the Sociedad Española de Neumología y Cirugía Torácica (SEPAR), and the project VA037U16 from the Consejería de Educación de la Junta de Castilla y León and FEDER. D. Álvarez was in receipt of a Juan de la Cierva grant IJCI-2014-22664 from the Ministerio de Economía y Competitividad

A Study on Comparison of Classification Algorithms for Pump Failure Prediction

The reliability of pumps can be compromised by faults, impacting their functionality. Detecting these faults is crucial, and many studies have utilized motor current signals for this purpose. However, as pumps are rotational equipped, vibrations also play a vital role in fault identification. Rising pump failures have led to increased maintenance costs and unavailability, emphasizing the need for cost-effective and dependable machinery operation. This study addresses the imperative challenge of defect classification through the lens of predictive modeling. With a problem statement centered on achieving accurate and efficient identification of defects, this study’s objective is to evaluate the performance of five distinct algorithms: Fine Decision Tree, Medium Decision Tree, Bagged Trees (Ensemble), RUS-Boosted Trees, and Boosted Trees. Leveraging a comprehensive dataset, the study meticulously trained and tested each model, analyzing training accuracy, test accuracy, and Area Under the Curve (AUC) metrics. The results showcase the supremacy of the Fine Decision Tree (91.2% training accuracy, 74% test accuracy, AUC 0.80), the robustness of the Ensemble approach (Bagged Trees with 94.9% training accuracy, 99.9% test accuracy, and AUC 1.00), and the competitiveness of Boosted Trees (89.4% training accuracy, 72.2% test accuracy, AUC 0.79) in defect classification. Notably, Support Vector Machines (SVM), Artificial Neural Networks (ANN), and k-Nearest Neighbors (KNN) exhibited comparatively lower performance. Our study contributes valuable insights into the efficacy of these algorithms, guiding practitioners toward optimal model selection for defect classification scenarios. This research lays a foundation for enhanced decision-making in quality control and predictive maintenance, fostering advancements in the realm of defect prediction and classification

Ecological models at fish community and species level to support effective river restoration

RESUMEN Los peces nativos son indicadores de la salud de los ecosistemas acuáticos, y se han convertido en un elemento de calidad clave para evaluar el estado ecológico de los ríos. La comprensión de los factores que afectan a las especies nativas de peces es importante para la gestión y conservación de los ecosistemas acuáticos. El objetivo general de esta tesis es analizar las relaciones entre variables biológicas y de hábitat (incluyendo la conectividad) a través de una variedad de escalas espaciales en los ríos Mediterráneos, con el desarrollo de herramientas de modelación para apoyar la toma de decisiones en la restauración de ríos. Esta tesis se compone de cuatro artículos. El primero tiene como objetivos modelar la relación entre un conjunto de variables ambientales y la riqueza de especies nativas (NFSR), y evaluar la eficacia de potenciales acciones de restauración para mejorar la NFSR en la cuenca del río Júcar. Para ello se aplicó un enfoque de modelación de red neuronal artificial (ANN), utilizando en la fase de entrenamiento el algoritmo Levenberg-Marquardt. Se aplicó el método de las derivadas parciales para determinar la importancia relativa de las variables ambientales. Según los resultados, el modelo de ANN combina variables que describen la calidad de ribera, la calidad del agua y el hábitat físico, y ayudó a identificar los principales factores que condicionan el patrón de distribución de la NFSR en los ríos Mediterráneos. En la segunda parte del estudio, el modelo fue utilizado para evaluar la eficacia de dos acciones de restauración en el río Júcar: la eliminación de dos azudes abandonados, con el consiguiente incremento de la proporción de corrientes. Estas simulaciones indican que la riqueza aumenta con el incremento de la longitud libre de barreras artificiales y la proporción del mesohabitat de corriente, y demostró la utilidad de las ANN como una poderosa herramienta para apoyar la toma de decisiones en el manejo y restauración ecológica de los ríos Mediterráneos. El segundo artículo tiene como objetivo determinar la importancia relativa de los dos principales factores que controlan la reducción de la riqueza de peces (NFSR), es decir, las interacciones entre las especies acuáticas, variables del hábitat (incluyendo la conectividad fluvial) y biológicas (incluidas las especies invasoras) en los ríos Júcar, Cabriel y Turia. Con este fin, tres modelos de ANN fueron analizados: el primero fue construido solamente con variables biológicas, el segundo se construyó únicamente con variables de hábitat y el tercero con la combinación de estos dos grupos de variables. Los resultados muestran que las variables de hábitat son los ¿drivers¿ más importantes para la distribución de NFSR, y demuestran la importancia ecológica de los modelos desarrollados. Los resultados de este estudio destacan la necesidad de proponer medidas de mitigación relacionadas con la mejora del hábitat (incluyendo la variabilidad de caudales en el río) como medida para conservar y restaurar los ríos Mediterráneos. El tercer artículo busca comparar la fiabilidad y relevancia ecológica de dos modelos predictivos de NFSR, basados en redes neuronales artificiales (ANN) y random forests (RF). La relevancia de las variables seleccionadas por cada modelo se evaluó a partir del conocimiento ecológico y apoyado por otras investigaciones. Los dos modelos fueron desarrollados utilizando validación cruzada k-fold y su desempeño fue evaluado a través de tres índices: el coeficiente de determinación (R2 ), el error cuadrático medio (MSE) y el coeficiente de determinación ajustado (R2 adj). Según los resultados, RF obtuvo el mejor desempeño en entrenamiento. Pero, el procedimiento de validación cruzada reveló que ambas técnicas generaron resultados similares (R2 = 68% para RF y R2 = 66% para ANN). La comparación de diferentes métodos de machine learning es muy útil para el análisis crítico de los resultados obtenidos a través de los modelos. El cuarto artículo tiene como objetivo evaluar la capacidad de las ANN para identificar los factores que afectan a la densidad y la presencia/ausencia de Luciobarbus guiraonis en la demarcación hidrográfica del Júcar. Se utilizó una red neuronal artificial multicapa de tipo feedforward (ANN) para representar relaciones no lineales entre descriptores de L. guiraonis con variables biológicas y de hábitat. El poder predictivo de los modelos se evaluó con base en el índice Kappa (k), la proporción de casos correctamente clasificados (CCI) y el área bajo la curva (AUC) característica operativa del receptor (ROC). La presencia/ausencia de L. guiraonis fue bien predicha por el modelo ANN (CCI = 87%, AUC = 0.85 y k = 0.66). La predicción de la densidad fue moderada (CCI = 62%, AUC = 0.71 y k = 0.43). Las variables más importantes que describen la presencia/ausencia fueron: radiación solar, área de drenaje y la proporción de especies exóticas de peces con un peso relativo del 27.8%, 24.53% y 13.60% respectivamente. En el modelo de densidad, las variables más importantes fueron el coeficiente de variación de los caudales medios anuales con una importancia relativa del 50.5% y la proporción de especies exóticas de peces con el 24.4%. Los modelos proporcionan información importante acerca de la relación de L. guiraonis con variables bióticas y de hábitat, este nuevo conocimiento podría utilizarse para apoyar futuros estudios y para contribuir en la toma de decisiones para la conservación y manejo de especies en los en los ríos Júcar, Cabriel y Turia.Olaya Marín, EJ. (2013). Ecological models at fish community and species level to support effective river restoration [Tesis doctoral no publicada]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/28853TESI

Recognition of Morphometric Vertebral Fractures by Artificial Neural Networks: Analysis from GISMO Lombardia Database

BACKGROUND: It is known that bone mineral density (BMD) predicts the fracture's risk only partially and the severity and number of vertebral fractures are predictive of subsequent osteoporotic fractures (OF). Spinal deformity index (SDI) integrates the severity and number of morphometric vertebral fractures. Nowadays, there is interest in developing algorithms that use traditional statistics for predicting OF. Some studies suggest their poor sensitivity. Artificial Neural Networks (ANNs) could represent an alternative. So far, no study investigated ANNs ability in predicting OF and SDI. The aim of the present study is to compare ANNs and Logistic Regression (LR) in recognising, on the basis of osteoporotic risk-factors and other clinical information, patients with SDI≥1 and SDI≥5 from those with SDI = 0. METHODOLOGY: We compared ANNs prognostic performance with that of LR in identifying SDI≥1/SDI≥5 in 372 women with postmenopausal-osteoporosis (SDI≥1, n = 176; SDI = 0, n = 196; SDI≥5, n = 51), using 45 variables (44 clinical parameters plus BMD). ANNs were allowed to choose relevant input data automatically (TWIST-system-Semeion). Among 45 variables, 17 and 25 were selected by TWIST-system-Semeion, in SDI≥1 vs SDI = 0 (first) and SDI≥5 vs SDI = 0 (second) analysis. In the first analysis sensitivity of LR and ANNs was 35.8% and 72.5%, specificity 76.5% and 78.5% and accuracy 56.2% and 75.5%, respectively. In the second analysis, sensitivity of LR and ANNs was 37.3% and 74.8%, specificity 90.3% and 87.8%, and accuracy 63.8% and 81.3%, respectively. CONCLUSIONS: ANNs showed a better performance in identifying both SDI≥1 and SDI≥5, with a higher sensitivity, suggesting its promising role in the development of algorithm for predicting OF