Abstract MP10: Microbiome-based Diagnostic Screening Of Cardiovascular Disease Using A Machine Learning Approach

Aim: The majority of machine learning (ML) models in healthcare are built on retrospective data, much of which is collected without explicit patient consent for use in artificial intelligence (AI) and ML applications. The primary aim of this study was to evaluate whether clinicians and scientific researchers themselves consent to provide their own data for the training of ML models. Materials and Methods: This survey was conducted through an anonymous online survey, utilizing platforms such as Telegram, LinkedIn, and Viber. The target audience comprised specific international groups, primarily Russian, German, and English-speaking, of clinicians and scientific researchers. These participants ranged in their levels of expertise and experience, from beginners to veterans. The survey centered on a singular, pivotal question: “Do You Consent to the Use of Your Biological and Private Data for Training Machine Learning and AI Models?” Respondents had the option to choose from three responses: “Yes” and “No”. Results: The survey was conducted in January 2024. A total of 119 unique and verified individuals participated in the survey. The results revealed that only 50% of respondents (63 persons) expressed consent to provide their own data for the training of ML and AI models. Conclusion: In the development of ML and AI models, particularly open-source ones, it is crucial to ascertain whether participants are willing to provide their private data. While ML algorithms can transform the nature of data, it is important to remember that the primary owner of this data is the individual. Our findings show that in 50% of the cases, even participants from scientific research and clinical backgrounds – individuals typically accountable for ensuring data quality in AI and ML model development – do not consent to the use of their data in AI and ML settings. This highlights the need for more stringent consent processes and ethical considerations in the utilization of personal data in AI and ML research.

Machine learning based survival prediction of DLBCL: Using multimodal data.

Study DesignRetrospective cohort study.ObjectivesProlonged ICU stay is a driver of higher costs and inferior outcomes in Adult Spinal Deformity (ASD) patients. Machine learning (ML) models have recently been seen as a viable method of predicting pre-operative risk but are often ‘black boxes’ that do not fully explain the decision-making process. This study aims to demonstrate ML can achieve similar or greater predictive power as traditional statistical methods and follows traditional clinical decision-making processes.MethodsFive ML models (Decision Tree, Random Forest, Support Vector Classifier, GradBoost, and a CNN) were trained on data collected from a large urban academic center to predict whether prolonged ICU stay would be required post-operatively. 535 patients who underwent posterior fusion or combined fusion for treatment of ASD were included in each model with a 70-20-10 train-test-validation split. Further analysis was performed using Shapley Additive Explanation (SHAP) values to provide insight into each model’s decision-making process.ResultsThe model’s Area Under the Receiver Operating Curve (AUROC) ranged from 0.67 to 0.83. The Random Forest model achieved the highest score. The model considered length of surgery, complications, and estimated blood loss to be the greatest predictors of prolonged ICU stay based on SHAP values.ConclusionsWe developed a ML model that was able to predict whether prolonged ICU stay was required in ASD patients. Further SHAP analysis demonstrated our model aligned with traditional clinical thinking. Thus, ML models have strong potential to assist with risk stratification and more effective and cost-efficient care.

Accurate estimation of reference evapotranspiration (ETo) plays a vital role in irrigation and water resource planning. The Penman–Monteith method recommended by the Food and Agriculture Organization (FAO PM56) is widely used and considered a standard to calculate ETo. However, FAO PM56 cannot be used with limited meteorological variables, so it is compulsory to choose an alternative model for ETo estimation, which requires fewer variables. This study built ten machine learning (ML) models based on multi-function, neural network, and tree-based structure against the FAO PM56 method. For this purpose, time series temperature data on a monthly scale are only used to train ML models. The developed ML models were applied to estimate ETo at different test stations and the obtained results were compared with the FAO PM56 method to verify and validate their performance in ETo estimation for the selected stations. In addition, multiple statistical indicators, including root-mean-square error (RMSE), coefficient of determination (R2), mean absolute error (MAE), Nash–Sutcliffe efficiency (NSE), and correlation coefficient (r) were calculated to compare the performance of each ML model on ETo estimation. Among the applied ML models, the ETo tree boost (TB) ML model outperformed the other ML models in estimating ETo in diverse climatic conditions based on statistical indicators (R2, NSE, r, RMSE, and MAE). Moreover, the observed R2, NSE, and r were the highest for the TB ML model, while RMSE and MAE were found to be the lowest at the study sites compared to other applied ML models. Lastly, ETo point data yielded from the TB ML model was used in an interpolation process to create monthly and annual ETo maps. Based on the ETo maps, this study suggests mainly a focus on areas with high ETo values and proper irrigation scheduling of crops to ensure water sustainability.

Background Current heart failure guidelines emphasize the importance of timely detection of subclinical left ventricular (LV) remodelling and dysfunction for more precise risk stratification of asymptomatic subjects. Both LV diastolic dysfunction (LVDD) and LV hypertrophy (LVH) as assessed by echocardiography are known independent prognostic markers of future cardiovascular events in the community. However, selective screening strategies of individuals at risk who would benefit most from in-depth cardiac phenotyping are lacking. Purpose We assess the utility of several Machine Learning (ML) classifiers built on clinical and biochemical features for detecting subclinical LV abnormalities. Methods We included 1407 participants (mean age, 51 years, 51% women) randomly recruited from the general population. We used echocardiographic parameters reflecting LV diastolic function and structure to define LV abnormalities (LVDD, n=239; LVH, n=135). After that four supervised ML algorithms (Random Forest (RF), Gradient Boosting (GD), Stochastic Gradient Descent (SGD) and Support Vector Machines (SV)) were built based on routine clinical, hemodynamic and laboratory data (features; n=61) to categorize LVDD and LVH (two prediction tasks). We applied a 10-fold stratified cross-validation set-up. Results ML classifiers exhibited a high area under the ROC (AUC) for predicting LVDD with values between 88.5% and 93.1% (Figure, left panel). Age, BMI, different components of blood pressure, antihypertensive treatment, routine biomarkers such as serum electrolytes, creatinine, blood sugar, leptin, uric acid, lipid profile, as well as blood cell counts were the top selected features for predicting LVDD. Prediction AUC of ML algorithms for detection of LVH was somewhat lower than for LVDD and ranged from 72.5% to 78.7% (Figure, right panel). The top selected features for LVH classifier were similar to those of LVDD, but also included social class, serum gamma-glutamyl transferase, fasting insulin, plasma renin activity and cortisol. ROC curves (sensitivity-1-specificity) Conclusions ML algorithms combining routinely measured clinical and laboratory data have shown high accuracy of LVDD and LVH prediction. These ML classifiers might be useful to preselect individuals at risk for further in depth echocardiographic examination, monitoring and implementation of preventive strategies in order to delay transition to disease symptoms.

Use of Machine Learning to Predict 30-Day Reutilization of Care for Patients with Sickle Cell Disease Treated for Vaso-Occlusive Crisis

Implantable medical devices are commonly used to treat various medical conditions. These devices, however, may cause serious adverse events, including repeated surgical intervention and death. Prolonged use of some implantable medical devices can shorten life expectancy and significantly decrease a person‘s quality of life. Large adverse event databases can be used to predict serious adverse events by training machine learning (ML) models on available data. However, the large volume of data and long free-text response make it challenging to use the databases effectively. This study focuses on one such dataset: the Australian Database of Adverse Event Notifications, comprising text written by patients, or healthcare professionals, or pharmaceutical industry. The study focuses on predicting three significant events: Injury, No Injury, and Death, based on the adverse events reported about the implanted device. A new ML approach called the random regression voting classifier, which combines random forest (RF) and logistic regression (LR), is proposed. The model’s efficiency is evaluated through experiments using techniques, such as Bag of Words, Term-Frequency-Inverse-Document Frequency, and Global Vector, and is compared to existing ML models such as decision tree, RF, kernel support vector machine, Naive Bayes, LR, and XGboost. The results demonstrate a higher performance in predicting adverse events than other considered approaches. The various experimental analyses showed that the proposed approach performed better than other ML models. Received: 23 October 2023 | Revised: 27 November 2023 | Accepted: 13 December 2023 Conflicts of Interest The authors declare that they have no conflicts of interest to this work. Data Availability Statement The data that support the findings of this study are openly available in the Therapeutic Goods Administration, the Department of Health and Aged Care, Austrilian Government at https://www.tga.gov.au/safety/safety/safety-monitoring-daen-database-adverse-event-notifications/database-adverse-event-notifications-daen.

The rising machine learning (ML) models have become the preferred way for landslide detection based on remote sensing images, but the performance of these models in a sample-free area are rarely concerned in many studies. In this study, we used a cross-validation method (training model in one area and validation in another) to compare the model portability of trained ML models applied in an “off-site” area, as a consideration of the landslide detection ability of these models in sample-free areas. We integrate nighttime light imagery, multi-seasonal optical Landsat time-series and digital elevation data, and we employed support vector machines (SVM), artificial neural networks (ANN) and random forest (RF) models to classify the satellite imagery and identify landslides. Samples of two scenarios generated from two subareas of the Jiuzhaigou disaster-stricken region are used for the cross-application and accuracy evaluation of three ML models. The results revealed that when the trained models are applied in areas outside those in which they were developed, the landslide identification accuracy of these three models has declined. Especially for the SVM and ANN models, the accuracy is greatly reduced and there appears a seriously imbalanced user’s and producer’s accuracy. However, although the performance of the RF model is lower than that of SVM and ANN models in their local area, the RF model exhibits stable portability, and retains the original performance and achieves a satisfactory balance between overestimation and underestimation in “off-site” areas. An additional validation from a new area proved that the landslide detection performance of the RF model with stable portability is higher than that of the SVM and ANN models in “off-site” areas. The results suggest that evaluating the model portability through cross-application can be a useful way to determine the most suitable model for landslide detection in “off-site” areas with a similar geographic environment to model development areas, so as to maximize the accuracy of landslide detection based on limited samples.

Summary A meticulous interpretation of steady-state or unsteady-state relative permeability (Kr) experimental data is required to determine a complete set of Kr curves. In this work, different machine learning (ML) models were developed to assist in a faster estimation of these curves from steady-state drainage coreflooding experimental runs. These ML algorithms include gradient boosting (GB), random forest (RF), extreme gradient boosting (XGB), and deep neural network (DNN) with a main focus on and comparison of the two latter algorithms (XGB and DNN). Based on existing mathematical models, a leading-edge framework was developed where a large database of Kr and capillary pressure (Pc) curves were generated. This database was used to perform thousands of coreflood simulation runs representing oil-water drainage steady-state experiments. The results obtained from these simulation runs, mainly pressure drop along with other conventional core analysis data, were used to estimate analytical Kr curves based on Darcy’s law. These analytically estimated Kr curves along with the previously generated Pc curves were fed as features into the ML model. The entire data set was split into 80% for training and 20% for testing. The k-fold cross-validation technique was applied to increase the model’s accuracy by splitting 80% of the training data into 10 folds. In this manner, for each of the 10 experiments, nine folds were used for training and the remaining fold was used for model validation. Once the model was trained and validated, it was subjected to blind testing on the remaining 20% of the data set. The ML model learns to capture fluid flow behavior inside the core from the training data set. In terms of applicability of these ML models, two sets of experimental data were needed as input; the first was the analytically estimated Kr curves from the steady-state drainage coreflooding experiments, while the other was the Pc curves estimated from centrifuge or mercury injection capillary pressure (MICP) measurements. The trained/tested model was then able to estimate Kr curves based on the experimental results fed as input. Furthermore, to test the performance of the ML model when only one set of experimental data is available to an end user, a recurrent neural network (RNN) algorithm was trained/tested to predict Kr curves in the absence of Pc curves as an input. The performance of the three developed models (XGB, DNN, and RNN) was assessed using the values of the coefficient of determination (R2) along with the loss calculated during training/validation of the model. The respective crossplots along with comparisons of ground truth vs. artificial intelligence (AI)-predicted curves indicated that the model is capable of making accurate predictions with an error percentage between 0.2% and 0.6% on history-matching experimental data for all three tested ML techniques. This implies that the AI-based model exhibits better efficiency and reliability in determining Kr curves when compared to conventional methods. The developed ML models by no means replace the need to conduct drainage coreflooding or centrifuge experiments but act as an alternative to existing commercial platforms that are used to interpret experimental data to predict Kr curves. The two main advantages of the developed ML models are their capability of predicting Kr curves within a matter of a few minutes as well as with limited intervention from the end user. The results also include a comparison between classical ML approaches, shallow neural networks, and DNNs in terms of accuracy in predicting the final Kr curves. The research presented here is an extension of the state-of-the-art framework proposed by Mathew et al. (2021). However, the two main aspects of the current study are the application of deep learning for the prediction of Kr curves and the application of feature engineering. The latter not only reduces the training/testing time for the ML models but also enables the end user to obtain the final predictions with the least set of experimental data. The various models discussed in this research work currently focus on the prediction of Kr curves for drainage steady-state experiments; however, the work can be extended to capture the imbibition cycle as well.

The pooled cohort equations (PCE) predict atherosclerotic cardiovascular disease (ASCVD) risk in patients with characteristics within prespecified ranges and has uncertain performance among Asians or Hispanics. It is unknown if machine learning (ML) models can improve ASCVD risk prediction across broader diverse, real-world populations. We developed ML models for ASCVD risk prediction for multi-ethnic patients using an electronic health record (EHR) database from Northern California. Our cohort included patients aged 18 years or older with no prior CVD and not on statins at baseline (n = 262,923), stratified by PCE-eligible (n = 131,721) or PCE-ineligible patients based on missing or out-of-range variables. We trained ML models [logistic regression with L2 penalty and L1 lasso penalty, random forest, gradient boosting machine (GBM), extreme gradient boosting] and determined 5-year ASCVD risk prediction, including with and without incorporation of additional EHR variables, and in Asian and Hispanic subgroups. A total of 4309 patients had ASCVD events, with 2077 in PCE-ineligible patients. GBM performance in the full cohort, including PCE-ineligible patients (area under receiver-operating characteristic curve (AUC) 0.835, 95% confidence interval (CI): 0.825–0.846), was significantly better than that of the PCE in the PCE-eligible cohort (AUC 0.775, 95% CI: 0.755–0.794). Among patients aged 40–79, GBM performed similarly before (AUC 0.784, 95% CI: 0.759–0.808) and after (AUC 0.790, 95% CI: 0.765–0.814) incorporating additional EHR data. Overall, ML models achieved comparable or improved performance compared to the PCE while allowing risk discrimination in a larger group of patients including PCE-ineligible patients. EHR-trained ML models may help bridge important gaps in ASCVD risk prediction.

PurposeTo develop machine learning (ML) and deep learning (DL) models to predict glaucoma surgical outcomes, including postoperative intraocular pressure, use of ocular antihypertensive medications, and need for repeat surgery.MethodsWe identified glaucoma surgeries performed at Stanford from 2013–2024, with two or more postoperative visits with intraocular pressure (IOP) measurement. Patient features were identified from the electronic health record (EHR), including demographics, prior diagnosis and procedure codes, medications and eye exam findings. Classical ML and DL models were developed to predict which glaucoma surgeries would result in surgical failure, defined as (1) IOP not reduced by more than 20% of preoperative baseline on two consecutive postoperative visits, (2) increased classes of glaucoma medications, and (3) need for additional glaucoma surgery or revision of original surgery.ResultsA total of 2398 glaucoma surgeries of 1571 patients were included, of which 1677 surgeries met failure criteria. Random forest performed best for prediction of overall surgical failure, with accuracy of 75.5% and area under the receiver operator curve (AUROC) of 76.7%, similar to the deep learning model (accuracy 75.5%, AUROC 76.6%). Across all models, prediction performance was better for IOP outcomes (AUROC 86%) than need for an additional surgery (AUROC 76%) or need for additional glaucoma medication (AUC 70%).ConclusionsML and DL algorithms can predict glaucoma surgery outcomes using structured data inputs from EHRs.Translational RelevanceModels that predict outcomes of glaucoma surgery may one day provide the basis for clinical decision support tools supporting surgeons in personalizing glaucoma treatment plans.

Reconstructing the emergence of the modern continental crust is crucial to understand the evolution of the crust, the onset of plate tectonics, elemental cycling, and long-term climate. However, it remains highly contentious about when and how the major subaerial continental crust emerged over time. Here, we used a machine learning (ML) model (XGBoost) to reveal the exposed history of continental crust over the last 3.8 billion years ago (Ga). First, we compiled ~10,000 modern subaerial or submarine basalts with major and trace elements to train the ML model. Then, the trained ML model (with resampling) was utilized to predict and calculate the mean proportions of subaerially erupted continental basaltic rocks since 3.8 Ga. The result suggested that the subaerial proportion only reached about 50% at ~2.5 Ga, indicating the exposure of the continental crust was far from the present-day level at the end of the Archean era. On the other hand, since ~1.8 Ga, the subaerial proportion of the continental crust exhibited a dynamic balance between ~60% and 80%, reaching the present-day level.

HADA: An automated tool for hardware dimensioning of AI applications

Federated learning enables privacy-preserving and data-efficient dimension prediction and part qualification across additive manufacturing factories

Batteries, recognized as effective energy storage solutions, are considered the main facilitators of the world-wide transition towards clean and renewable energy sources. Among different types of batteries, lithium-ion (Li-ion) variants offer higher energy densities and relatively longer life spans when compared to other types. Nonetheless, a primary concern with these batteries is their lifetime. Batteries undergo various degradation mechanisms under storage and use, significantly impacting their lifespan. To this end, it is crucial to predict the degradation and lifetime of Li-ion batteries under given conditions.Researchers use three main methodologies to perform battery health diagnostics and to predict the lifetime of batteries. One approach revolves around using mechanistic, first-principle electrochemical models, also known as physics-based models. If equipped with proper thermodynamic theories, such models can show promising capabilities; however, holistic degradation prediction with these models is still challenging due to the computational complexities and the multitude of parameters that need to be fine-tuned in this approach. The other common strategy is to use empirical models to predict battery degradation. These models generally entail fewer parameters to be identified and are computationally less intensive to solve. Nonetheless, empirical models can suffer from the accuracy point-of-view as they are constrained to predict degradation trends introduced by certain degradation modes. Another common technique in battery life prediction is to utilize purely data-driven methods, such as machine learning (ML) algorithms, which also have shown promising results in the literature on rapid health predictions. However, these methods require large volumes of experimental data for training and testing ML models to ensure accuracy. In addition, data-driven methods are likely to extrapolate poorly to conditions beyond their training data and are indifferent towards the underlying degradation mechanisms. Recently, physics-informed machine learning (PI-ML) methods have garnered significant attention. They integrate physics-based or empirical models (developed based on physics) with a data-driven approach and allow one to train ML models on a smaller set of experimental data.To the best of the authors’ knowledge, the performance comparison between first-principle and empirical models when integrated within PI-ML remains unclear. Therefore, in this work, we aim to compare these two models when applied to prognostics (capacity forecasting and remaining useful life prediction) of a set of Li-ion batteries. To perform this study, we generate aging data for 40 Li-ion coin cells cycled under randomized conditions. Each cell undergoes a three-step charging stage followed by a two-step discharge stage. After obtaining the aging data, we will develop two PI-ML models, one equipped with a physics-based model and another with a set of empirical models. Both PI-ML models in this work will follow the sequential integration approach, where the training data for the final PI-ML model come from both experimental and computational data, the latter of which are obtained from the physics-based or empirical models. The parameters for the physics-based and empirical models are identified from another set of experimental data. Finally, the PI-ML models will be tested with experimental data obtained at different cycling conditions. The data flow for the sequential architecture of PI-ML is shown in the attached figure. This comparative study will help identify the performance of physics-based and empirical models when integrated into PI-ML. The main performance metric considered in this work is each model’s ability to extrapolate beyond the experimental training data set, hence aiding the final PI-ML model in generalizing to conditions not covered by its experimental training data set. Figure 1