Association Rules Mining Based Clinical Observations

Healthcare institutes enrich the repository of patients' disease related information in an increasing manner which could have been more useful by carrying out relational analysis. Data mining algorithms are proven to be quite useful in exploring useful correlations from larger data repositories. In this paper we have implemented Association Rules mining based a novel idea for finding co-occurrences of diseases carried by a patient using the healthcare repository. We have developed a system-prototype for Clinical State Correlation Prediction (CSCP) which extracts data from patients' healthcare database, transforms the OLTP data into a Data Warehouse by generating association rules. The CSCP system helps reveal relations among the diseases. The CSCP system predicts the correlation(s) among primary disease (the disease for which the patient visits the doctor) and secondary disease/s (which is/are other associated disease/s carried by the same patient having the primary disease).Comment: 5 pages, MEDINFO 2010, C. Safran et al. (Eds.), IOS Pres

Elicitation and representation of expert knowledge for computer aided diagnosis in mammography

To study how professional radiologists describe, interpret and make decisions about micro-calcifications in mammograms. The purpose was to develop a model of the radiologists' decision making for use in CADMIUM II, a computerized aid for mammogram interpretation that combines symbolic reasoning with image processing

Multi-Criterion Mammographic Risk Analysis Supported with Multi-Label Fuzzy-Rough Feature Selection

Context and background Breast cancer is one of the most common diseases threatening the human lives globally, requiring effective and early risk analysis for which learning classifiers supported with automated feature selection offer a potential robust solution. Motivation Computer aided risk analysis of breast cancer typically works with a set of extracted mammographic features which may contain significant redundancy and noise, thereby requiring technical developments to improve runtime performance in both computational efficiency and classification accuracy. Hypothesis Use of advanced feature selection methods based on multiple diagnosis criteria may lead to improved results for mammographic risk analysis. Methods An approach for multi-criterion based mammographic risk analysis is proposed, by adapting the recently developed multi-label fuzzy-rough feature selection mechanism. Results A system for multi-criterion mammographic risk analysis is implemented with the aid of multi-label fuzzy-rough feature selection and its performance is positively verified experimentally, in comparison with representative popular mechanisms. Conclusions The novel approach for mammographic risk analysis based on multiple criteria helps improve classification accuracy using selected informative features, without suffering from the redundancy caused by such complex criteria, with the implemented system demonstrating practical efficacy

Bioinformatics and Machine Learning for Cancer Biology

Cancer is a leading cause of death worldwide, claiming millions of lives each year. Cancer biology is an essential research field to understand how cancer develops, evolves, and responds to therapy. By taking advantage of a series of “omics” technologies (e.g., genomics, transcriptomics, and epigenomics), computational methods in bioinformatics and machine learning can help scientists and researchers to decipher the complexity of cancer heterogeneity, tumorigenesis, and anticancer drug discovery. Particularly, bioinformatics enables the systematic interrogation and analysis of cancer from various perspectives, including genetics, epigenetics, signaling networks, cellular behavior, clinical manifestation, and epidemiology. Moreover, thanks to the influx of next-generation sequencing (NGS) data in the postgenomic era and multiple landmark cancer-focused projects, such as The Cancer Genome Atlas (TCGA) and Clinical Proteomic Tumor Analysis Consortium (CPTAC), machine learning has a uniquely advantageous role in boosting data-driven cancer research and unraveling novel methods for the prognosis, prediction, and treatment of cancer

Deep learning applications in neuro-oncology

Deep learning (DL) is a relatively newer subdomain of machine learning (ML) with incredible potential for certain applications in the medical field. Given recent advances in its use in neuro-oncology, its role in diagnosing, prognosticating, and managing the care of cancer patients has been the subject of many research studies. The gamut of studies has shown that the landscape of algorithmic methods is constantly improving with each iteration from its inception. With the increase in the availability of high-quality data, more training sets will allow for higher fidelity models. However, logistical and ethical concerns over a prospective trial comparing prognostic abilities of DL and physicians severely limit the ability of this technology to be widely adopted. One of the medical tenets is judgment, a facet of medical decision making in DL that is often missing because of its inherent nature as a black box. A natural distrust for newer technology, combined with a lack of autonomy that is normally expected in our current medical practices, is just one of several important limitations in implementation. In our review, we will first define and outline the different types of artificial intelligence (AI) as well as the role of AI in the current advances of clinical medicine. We briefly highlight several of the salient studies using different methods of DL in the realm of neuroradiology and summarize the key findings and challenges faced when using this nascent technology, particularly ethical challenges that could be faced by users of DL

Implementing decision tree-based algorithms in medical diagnostic decision support systems

As a branch of healthcare, medical diagnosis can be defined as finding the disease based on the signs and symptoms of the patient. To this end, the required information is gathered from different sources like physical examination, medical history and general information of the patient. Development of smart classification models for medical diagnosis is of great interest amongst the researchers. This is mainly owing to the fact that the machine learning and data mining algorithms are capable of detecting the hidden trends between features of a database. Hence, classifying the medical datasets using smart techniques paves the way to design more efficient medical diagnostic decision support systems. Several databases have been provided in the literature to investigate different aspects of diseases. As an alternative to the available diagnosis tools/methods, this research involves machine learning algorithms called Classification and Regression Tree (CART), Random Forest (RF) and Extremely Randomized Trees or Extra Trees (ET) for the development of classification models that can be implemented in computer-aided diagnosis systems. As a decision tree (DT), CART is fast to create, and it applies to both the quantitative and qualitative data. For classification problems, RF and ET employ a number of weak learners like CART to develop models for classification tasks. We employed Wisconsin Breast Cancer Database (WBCD), Z-Alizadeh Sani dataset for coronary artery disease (CAD) and the databanks gathered in Ghaem Hospital’s dermatology clinic for the response of patients having common and/or plantar warts to the cryotherapy and/or immunotherapy methods. To classify the breast cancer type based on the WBCD, the RF and ET methods were employed. It was found that the developed RF and ET models forecast the WBCD type with 100% accuracy in all cases. To choose the proper treatment approach for warts as well as the CAD diagnosis, the CART methodology was employed. The findings of the error analysis revealed that the proposed CART models for the applications of interest attain the highest precision and no literature model can rival it. The outcome of this study supports the idea that methods like CART, RF and ET not only improve the diagnosis precision, but also reduce the time and expense needed to reach a diagnosis. However, since these strategies are highly sensitive to the quality and quantity of the introduced data, more extensive databases with a greater number of independent parameters might be required for further practical implications of the developed models

Eye Tracking Methods for Analysis of Visuo-Cognitive Behavior in Medical Imaging

Predictive modeling of human visual search behavior and the underlying metacognitive processes is now possible thanks to significant advances in bio-sensing device technology and machine intelligence. Eye tracking bio-sensors, for example, can measure psycho-physiological response through change events in configuration of the human eye. These events include positional changes such as visual fixation, saccadic movements, and scanpath, and non-positional changes such as blinks and pupil dilation and constriction. Using data from eye-tracking sensors, we can model human perception, cognitive processes, and responses to external stimuli. In this study, we investigated the visuo-cognitive behavior of clinicians during the diagnostic decision process for breast cancer screening under clinically equivalent experimental conditions involving multiple monitors and breast projection views. Using a head-mounted eye tracking device and a customized user interface, we recorded eye change events and diagnostic decisions from 10 clinicians (three breast-imaging radiologists and seven Radiology residents) for a corpus of 100 screening mammograms (comprising cases of varied pathology and breast parenchyma density). We proposed novel features and gaze analysis techniques, which help to encode discriminative pattern changes in positional and non-positional measures of eye events. These changes were shown to correlate with individual image readers' identity and experience level, mammographic case pathology and breast parenchyma density, and diagnostic decision. Furthermore, our results suggest that a combination of machine intelligence and bio-sensing modalities can provide adequate predictive capability for the characterization of a mammographic case and image readers diagnostic performance. Lastly, features characterizing eye movements can be utilized for biometric identification purposes. These findings are impactful in real-time performance monitoring and personalized intelligent training and evaluation systems in screening mammography. Further, the developed algorithms are applicable in other application domains involving high-risk visual tasks

An investigation of the breast cancer classification using various machine learning techniques

It is an extremely cumbersome process to predict a disease based on the visual diagnosis of cell type with precision or accuracy, especially when multiple features are associated. Cancer is one such example where the phenomenon is very complex and also multiple features of cell types are involved. Breast cancer is a disease mostly affects female population and the number of affected people is highest among all cancer types in India. In the present investigation, various pattern recognition techniques were used for the classification of breast cancer using cell image processing. Under these pattern recognition techniques, cell image segmentation, texture based image feature extraction and subsequent classification of breast cancer cells was successfully performed. When four different machine learning techniques: Kth nearest neighbor (KNN), Artificial Neural Network ( ANN), Support Vector Machine (SVM) and Least Square Support Vector Machine (LS-SVM) was used to classify 81 cell images, it was observed from the results that the LS-SVM with both Radial Basis Function (RBF) and linear kernel classifiers demonstrated the highest classification rate of 95.3488% among four other classifiers while SVM with linear kernel resulted a classification rate of 93.02% which was close to LSSVM classifier. Thus, it was demonstrated that the LS-SVM classifier showed accuracy higher than other classifiers reported so far. Moreover, our classifier can classify the disease in a short period of time using only cell images unlike other approaches reported so far

Optimization of Computer Aided Detection systems: an evolutionary approach

Computer Aided Diagnosis (CAD) systems are designed to aid the radiologist in interpreting medical images. They are usually based on lesion detection and segmentation algorithms whose performance depends on a large number of parameters. While time consuming and sub-optimal, manual adjustment is still widely used to adjust parameter values. Genetic or evolutionary algorithms (GA) are effective optimization methods that mimic biological evolution. Genetic algorithms have been shown to efficiently manage complex search spaces, and can be applied to all kinds of objective functions, including discontinuous, nondifferentiable, or highly nonlinear ones. In this study, we have adopted an evolutionary approach to the problem of parameter optimization. We show that the genetic algorithm is able to effectively converge to a better solution than manual optimization on a case study for digital breast tomosynthesis CAD. Parameter optimization was framed as a constrained optimization problem, where the function to be maximized was defined as weighted sum of sensitivity, false positive rate and segmentation accuracy. A modified Dice coefficient was defined to assess the segmentation quality of individual lesions. Finally, all viable solutions evaluated by the GA were studied by means of exploratory data analysis techniques, such as association rules, to gain useful insight on the strength of the influence of each parameter on overall algorithm performance. We showed that this combination was able to identify multiple ranges of viable solutions with good segmentation accuracy