Advancing Artificial Intelligence in Sensors, Signals, and Imaging Informatics.

ObjectiveTo identify research works that exemplify recent developments in the field of sensors, signals, and imaging informatics.MethodA broad literature search was conducted using PubMed and Web of Science, supplemented with individual papers that were nominated by section editors. A predefined query made from a combination of Medical Subject Heading (MeSH) terms and keywords were used to search both sources. Section editors then filtered the entire set of retrieved papers with each paper having been reviewed by two section editors. Papers were assessed on a three-point Likert scale by two section editors, rated from 0 (do not include) to 2 (should be included). Only papers with a combined score of 2 or above were considered.ResultsA search for papers was executed at the start of January 2019, resulting in a combined set of 1,459 records published in 2018 in 119 unique journals. Section editors jointly filtered the list of candidates down to 14 nominations. The 14 candidate best papers were then ranked by a group of eight external reviewers. Four papers, representing different international groups and journals, were selected as the best papers by consensus of the International Medical Informatics Association (IMIA) Yearbook editorial board.ConclusionsThe fields of sensors, signals, and imaging informatics have rapidly evolved with the application of novel artificial intelligence/machine learning techniques. Studies have been able to discover hidden patterns and integrate different types of data towards improving diagnostic accuracy and patient outcomes. However, the quality of papers varied widely without clear reporting standards for these types of models. Nevertheless, a number of papers have demonstrated useful techniques to improve the generalizability, interpretability, and reproducibility of increasingly sophisticated models

Deployment of a Robust and Explainable Mortality Prediction Model: The COVID-19 Pandemic and Beyond

This study investigated the performance, explainability, and robustness of deployed artificial intelligence (AI) models in predicting mortality during the COVID-19 pandemic and beyond. The first study of its kind, we found that Bayesian Neural Networks (BNNs) and intelligent training techniques allowed our models to maintain performance amidst significant data shifts. Our results emphasize the importance of developing robust AI models capable of matching or surpassing clinician predictions, even under challenging conditions. Our exploration of model explainability revealed that stochastic models generate more diverse and personalized explanations thereby highlighting the need for AI models that provide detailed and individualized insights in real-world clinical settings. Furthermore, we underscored the importance of quantifying uncertainty in AI models which enables clinicians to make better-informed decisions based on reliable predictions. Our study advocates for prioritizing implementation science in AI research for healthcare and ensuring that AI solutions are practical, beneficial, and sustainable in real-world clinical environments. By addressing unique challenges and complexities in healthcare settings, researchers can develop AI models that effectively improve clinical practice and patient outcomes

Using Explainable Artificial Intelligence to Discover Interactions in an Ecological Model for Obesity

Ecological theories suggest that environmental, social, and individual factors interact to cause obesity. Yet, many analytic techniques, such as multilevel modeling, require manual specification of interacting factors, making them inept in their ability to search for interactions. This paper shows evidence that an explainable artificial intelligence approach, commonly employed in genomics research, can address this problem. The method entails using random intersection trees to decode interactions learned by random forest models. Here, this approach is used to extract interactions between features of a multi-level environment from random forest models of waist-to-height ratios using 11,112 participants from the Adolescent Brain Cognitive Development study. This study shows that methods used to discover interactions between genes can also discover interacting features of the environment that impact obesity. This new approach to modeling ecosystems may help shine a spotlight on combinations of environmental features that are important to obesity, as well as other health outcomes

Explainable Machine-Learning Models for COVID-19 Prognosis Prediction Using Clinical, Laboratory and Radiomic Features

The SARS-CoV-2 virus pandemic had devastating effects on various aspects of life: clinical cases, ranging from mild to severe, can lead to lung failure and to death. Due to the high incidence, data-driven models can support physicians in patient management. The explainability and interpretability of machine-learning models are mandatory in clinical scenarios. In this work, clinical, laboratory and radiomic features were used to train machine-learning models for COVID-19 prognosis prediction. Using Explainable AI algorithms, a multi-level explainable method was proposed taking into account the developer and the involved stakeholder (physician, and patient) perspectives. A total of 1023 radiomic features were extracted from 1589 Chest X-Ray images (CXR), combined with 38 clinical/laboratory features. After the pre-processing and selection phases, 40 CXR radiomic features and 23 clinical/laboratory features were used to train Support Vector Machine and Random Forest classifiers exploring three feature selection strategies. The combination of both radiomic, and clinical/laboratory features enabled higher performance in the resulting models. The intelligibility of the used features allowed us to validate the models' clinical findings. According to the medical literature, LDH, PaO2 and CRP were the most predictive laboratory features. Instead, ZoneEntropy and HighGrayLevelZoneEmphasis - indicative of the heterogeneity/uniformity of lung texture - were the most discriminating radiomic features. Our best predictive model, exploiting the Random Forest classifier and a signature composed of clinical, laboratory and radiomic features, achieved AUC=0.819, accuracy=0.733, specificity=0.705, and sensitivity=0.761 in the test set. The model, including a multi-level explainability, allows us to make strong clinical assumptions, confirmed by the literature insights

Interpretable Models Capable of Handling Systematic Missingness in Imbalanced Classes and Heterogeneous Datasets

Application of interpretable machine learning techniques on medical datasets facilitate early and fast diagnoses, along with getting deeper insight into the data. Furthermore, the transparency of these models increase trust among application domain experts. Medical datasets face common issues such as heterogeneous measurements, imbalanced classes with limited sample size, and missing data, which hinder the straightforward application of machine learning techniques. In this paper we present a family of prototype-based (PB) interpretable models which are capable of handling these issues. The models introduced in this contribution show comparable or superior performance to alternative techniques applicable in such situations. However, unlike ensemble based models, which have to compromise on easy interpretation, the PB models here do not. Moreover we propose a strategy of harnessing the power of ensembles while maintaining the intrinsic interpretability of the PB models, by averaging the model parameter manifolds. All the models were evaluated on a synthetic (publicly available dataset) in addition to detailed analyses of two real-world medical datasets (one publicly available). Results indicated that the models and strategies we introduced addressed the challenges of real-world medical data, while remaining computationally inexpensive and transparent, as well as similar or superior in performance compared to their alternatives

Exploring Causal Learning through Graph Neural Networks: An In-depth Review

In machine learning, exploring data correlations to predict outcomes is a fundamental task. Recognizing causal relationships embedded within data is pivotal for a comprehensive understanding of system dynamics, the significance of which is paramount in data-driven decision-making processes. Beyond traditional methods, there has been a surge in the use of graph neural networks (GNNs) for causal learning, given their capabilities as universal data approximators. Thus, a thorough review of the advancements in causal learning using GNNs is both relevant and timely. To structure this review, we introduce a novel taxonomy that encompasses various state-of-the-art GNN methods employed in studying causality. GNNs are further categorized based on their applications in the causality domain. We further provide an exhaustive compilation of datasets integral to causal learning with GNNs to serve as a resource for practical study. This review also touches upon the application of causal learning across diverse sectors. We conclude the review with insights into potential challenges and promising avenues for future exploration in this rapidly evolving field of machine learning