Parkinson’s Disease Classification Using Random Forest Kerb Feature Selection

Machine learning (ML) models provide more choices to patients with diabetes mellitus (DM) to more properly manage blood glucose (BG) levels. However, because of numerous types of ML algorithms, choosing an appropriate model is vitally important. In a systematic review and network meta-analysis, this study aimed to comprehensively assess the performance of ML models in predicting BG levels. In addition, we assessed ML models used to detect and predict adverse BG (hypoglycemia) events by calculating pooled estimates of sensitivity and specificity. PubMed, Embase, Web of Science, and Institute of Electrical and Electronics Engineers Explore databases were systematically searched for studies on predicting BG levels and predicting or detecting adverse BG events using ML models, from inception to November 2022. Studies that assessed the performance of different ML models in predicting or detecting BG levels or adverse BG events of patients with DM were included. Studies with no derivation or performance metrics of ML models were excluded. The Quality Assessment of Diagnostic Accuracy Studies tool was applied to assess the quality of included studies. Primary outcomes were the relative ranking of ML models for predicting BG levels in different prediction horizons (PHs) and pooled estimates of the sensitivity and specificity of ML models in detecting or predicting adverse BG events. In total, 46 eligible studies were included for meta-analysis. Regarding ML models for predicting BG levels, the means of the absolute root mean square error (RMSE) in a PH of 15, 30, 45, and 60 minutes were 18.88 (SD 19.71), 21.40 (SD 12.56), 21.27 (SD 5.17), and 30.01 (SD 7.23) mg/dL, respectively. The neural network model (NNM) showed the highest relative performance in different PHs. Furthermore, the pooled estimates of the positive likelihood ratio and the negative likelihood ratio of ML models were 8.3 (95% CI 5.7-12.0) and 0.31 (95% CI 0.22-0.44), respectively, for predicting hypoglycemia and 2.4 (95% CI 1.6-3.7) and 0.37 (95% CI 0.29-0.46), respectively, for detecting hypoglycemia. Statistically significant high heterogeneity was detected in all subgroups, with different sources of heterogeneity. For predicting precise BG levels, the RMSE increases with a rise in the PH, and the NNM shows the highest relative performance among all the ML models. Meanwhile, current ML models have sufficient ability to predict adverse BG events, while their ability to detect adverse BG events needs to be enhanced. PROSPERO CRD42022375250; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=375250.

To enhance the performance of machine learning (ML) models for the post-embolization recanalization of cerebral aneurysms, we evaluated the impact of hemodynamic feature derivation and selection method on six ML algorithms. We utilized computational fluid dynamics (CFD) to simulate hemodynamics in 66 cerebral aneurysms from 65 patients, including 57 stable and nine recanalized aneurysms. We derived a total of 107 features for each aneurysm, encompassing four clinical features, 12 morphological features, and 91 hemodynamic features. To investigate the influence of feature derivation and selection methods on the ML models, we employed two derivation methods, simplified and fully derived, in combination with four selection methods: all features, statistically significant analysis, stepwise multivariate logistic regression analysis (stepwise-LR), and recursive feature elimination (RFE). Model performance was assessed using the area under the receiver operating characteristic curve (AUROC) and precision-recall curve (AUPRC) on both the training and testing datasets. The AUROC values on the testing dataset exhibited a wide-ranging spectrum, spanning from 0.373 to 0.863. Fully derived features and the RFE selection method demonstrated superior performance in intra-model comparisons. The multi-layer perceptron (MLP) model, trained with RFE-selected fully derived features, achieved the best performance on the testing dataset, with an AUROC value of 0.863 (95% CI: 0.684- 1.000). Our study demonstrated the importance of feature derivation and selection in determining the performance of ML models. This enabled the development of accurate decision-making models without the need to invade the patient.

Understanding the Performance of Machine Learning Models to Predict Credit Default: A Novel Approach for Supervisory Evaluation

Background: Osteoporosis is a systemic skeletal disorder marked by reduced bone density and microarchitectural deterioration, leading to increased fracture risk. While the dual-energy X-ray absorptiometry (DEXA) scan is the World Health Organization (WHO)-recommended diagnostic standard, its limitations necessitate alternative methods. Emerging magnetic resonance imaging (MRI) techniques, radiomics, and machine learning promise to enhance osteoporosis diagnosis through detailed analysis of lumbar MRI apparent diffusion coefficient (ADC) maps, potentially revolutionizing early detection and treatment strategies. Objectives: In this study, we are going to evaluate the performance of machine learning (ML) models using radiomics features of lumbar MRI ADC map for osteoporosis detection, and to identify significant features and their diagnostic thresholds. Specific performance metrics such as accuracy, sensitivity, specificity, and Area Under the receiver operating characteristic (ROC) Curve (AUC) were assessed. Patients and Methods: This retrospective study employed a cross-sectional design, with a total of 140 cases, including 21 with osteoporosis. The study's inclusion criteria consisted of concurrent lumbar MRI and DEXA within a year, while exclusion criteria included infectious or neoplastic lumbar lesions, fractures, instrumentation, significant osteodegenerative changes, cases where the first four lumbar vertebrae were not included in the imaging field, and absence of diffusion-weighted imaging. Manual segmentation of lumbar vertebrae from ADC maps was performed to create a comprehensive dataset, comprising 5,580 radiomics features per case. Subsequently, the top five features selected by fast correlation-based filter (FCBF) were used to test the performance of seven Machine Learning algorithms (k-Nearest neighbors, decision tree, random forest, logistic regression, support vector machine, naive bayes, and neural network). Statistical tests and ROC curve analysis were conducted to determine the significance and thresholds of these features. Results: The study included 140 cases, with 132 females (94.3%) and 8 males (5.7%), and a mean age of 65.32 ± 8.50 years. The mean BMI was 31.43 ± 5.53 kg/m² for females and 26 ± 3.59 kg/m² for males. In terms of demographic differences, no significant age difference was found between the osteoporotic and non-osteoporotic groups (P = 0.889). However, the osteoporotic group had significantly lower mean body weight (64.90 ± 10.13 kg vs. 74.68 ± 13.94 kg, P = 0.003) and BMI (27.40 ± 4.38 kg/m² vs. 31.77 ± 5.52 kg/m², P = 0.001) compared to the non-osteoporotic group. The median interval between DEXA and lumbar MRI was 1 month (range 0.1 - 11.87 months). The Neural Network model demonstrated the highest performance with an AUC of 0.616 and a classification accuracy of 0.764 using all features. The Naive Bayes model, using the top five features selected by FCBF, showed the highest performance with an AUC of 0.913, accuracy of 0.907, sensitivity of 0.667, and specificity of 0.95. All ML models’ performance were elevated by feature selection. Independent t-tests and Mann-Whitney U tests identified 521 and 670 significant features, respectively (P < 0.05). ROC analysis revealed 58 features with AUC values above 0.70. Conclusion: This study's findings suggest that ML models, particularly the Naive Bayes algorithm, can effectively use lumbar ADC map radiomics to diagnose osteoporosis. These findings could enhance early detection and treatment strategies, potentially improving patient outcomes and reducing the burden of osteoporotic fractures. This study also established threshold values for significant features.

Objective: To investigate the feasibility of a machine learning (ML) model based on radiomic features to identify active giant cell arteritis (GCA) in the aorta and differentiate it from atherosclerosis in follow-up [18F]FDG-PET/CT images for therapy monitoring. Methods: To train the ML model, 64 [18F]FDG-PET scans of 34 patients with proven GCA and 34 control subjects with type 2 diabetes mellitus were retrospectively included. The aorta was delineated into the ascending, arch, descending, and abdominal aorta. From each segment, 95 features were extracted. All segments were randomly split into a training/validation (n = 192; 80%) and test set (n = 46; 20%). In total, 441 ML models were trained, using combinations of seven feature selection methods, seven classifiers, and nine different numbers of features. The performance was assessed by area under the curve (AUC). The best performing ML model was compared to the clinical report of nuclear medicine physicians in 19 follow-up scans (7 active GCA, 12 inactive GCA). For explainability, an occlusion map was created to illustrate the important regions of the aorta for the decision of the ML model. Results: The ten-feature model with ANOVA as the feature selector and random forest classifier demonstrated the highest performance (AUC = 0.92 ± 0.01). Compared with the clinical report, this model showed a higher PPV (0.83 vs. 0.80), NPV (0.85 vs. 0.79), and accuracy (0.84 vs. 0.79) in the detection of active GCA in follow-up scans. Conclusions: The current radiomics ML model was able to identify active GCA and differentiate GCA from atherosclerosis in follow-up [18F]FDG-PET/CT scans. This demonstrates the potential of the ML model as a monitoring tool in challenging [18F]FDG-PET scans of GCA patients.

Supervised machine learning (ML) is used in this article to create a prediction model for the degree of work-life balance (on a scale of 1–5) of information technology (IT) women professionals. In total, 425 women working in the IT industry participated in this article. Data collected is based on a questionnaire with 40 parameters, which is the input for supervised ML. Different ML models, such as regression trees and support vector machines (SVM), are created and compared. The performance of ML models is evaluated using the coefficient of determination ( <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">R</i> <sup xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">2</sup> ), mean absolute error, and mean square error. An optimized SVM model is found to have the highest accuracy for work-life balance prediction. Furthermore, a comparison between the prediction capabilities of an SVM model and a multiple regression model is done. A comparison of the two prediction models finds that the accuracy of SVM is higher than that of multiple regression. This article provides SVM as an alternative prediction modeling technique to multiple regression in organizational behavior studies. ML modeling, optimization, training, validation, and interpretation of results are done stepwise to act as a practical guideline for researchers interested in ML modeling.

Accurate wind speed forecasting is essential for daily activities and socio‐economic production. This study employs an explainable machine learning (ML) model to correct wind speed forecasts from a numerical weather prediction (NWP) model over weather stations across lead times of 1–24 hr in Zhejiang Province, China. Eleven meteorological variables derived from the NWP model are used as predictors. The results demonstrate that ML model substantially improves the original NWP forecasts, reducing the root mean square error of approximately 20%–40% at most stations and about 10% at certain coastal stations. The corrected forecasts also consistently achieve higher Kling‐Gupta Efficiency scores and Forecast Accuracy across all lead times. To enhance model interpretability, we apply Split Count and SHapley Additive exPlanation analyses. The results indicate that the friction velocity (UST) is the most influential predictor and reveal a threshold beyond which the ML model's correction performance improves markedly. The ML model performance slightly declines in coastal regions, likely due to the inconsistent representation of UST between the land and water surface in the NWP model. Monthly analysis further shows superior model performance in November and December, when UST values are higher. This study underscores the value of explainable ML models in improving NWP wind forecasts and provides insights for correcting meteorological variables in NWP models.

MP07-06 EVALUATING THE EFFICACY OF ARTIFICIAL INTELLIGENCE IN PREDICTING OUTCOMES FOR PEDIATRIC HYDRONEPHROSIS: A SYSTEMATIC REVIEW

ObjectiveTo build a machine learning (ML) prediction model for prostate cancer (PCa) from transrectal ultrasound video clips of the whole prostate gland, diagnostic performance was compared with magnetic resonance imaging (MRI).MethodsWe systematically collated data from 501 patients—276 with prostate cancer and 225 with benign lesions. From a final selection of 231 patients (118 with prostate cancer and 113 with benign lesions), we randomly chose 170 for the purpose of training and validating a machine learning model, while using the remaining 61 to test a derived model. We extracted 851 features from ultrasound video clips. After dimensionality reduction with the least absolute shrinkage and selection operator (LASSO) regression, 14 features were finally selected and the support vector machine (SVM) and random forest (RF) algorithms were used to establish radiomics models based on those features. In addition, we creatively proposed a machine learning models aided diagnosis algorithm (MLAD) composed of SVM, RF, and radiologists’ diagnosis based on MRI to evaluate the performance of ML models in computer-aided diagnosis (CAD). We evaluated the area under the curve (AUC) as well as the sensitivity, specificity, and precision of the ML models and radiologists’ diagnosis based on MRI by employing receiver operator characteristic curve (ROC) analysis.ResultsThe AUC, sensitivity, specificity, and precision of the SVM in the diagnosis of PCa in the validation set and the test set were 0.78, 63%, 80%; 0.75, 65%, and 67%, respectively. Additionally, the SVM model was found to be superior to senior radiologists’ (SR, more than 10 years of experience) diagnosis based on MRI (AUC, 0.78 vs. 0.75 in the validation set and 0.75 vs. 0.72 in the test set), and the difference was statistically significant (p< 0.05).ConclusionThe prediction model constructed by the ML algorithm has good diagnostic efficiency for prostate cancer. The SVM model’s diagnostic efficiency is superior to that of MRI, as it has a more focused application value. Overall, these prediction models can aid radiologists in making better diagnoses.

Improving autocoding performance of rare categories in injury classification: Is more training data or filtering the solution?

Student’s mental health problems have been explored previously in higher education literature in various contexts including empirical work involving quantitative and qualitative methods. Nevertheless, comparatively few research could be found, aiming for computational methods that learn information directly from data without relying on set parameters for a predetermined equation as an analytical method. This study aims to investigate the performance of Machine learning (ML) models used in higher education. ML models considered are Naïve Bayes, Support Vector Machine, K-Nearest Neighbor, Logistic Regression, Stochastic Gradient Descent, Decision Tree, Random Forest, XGBoost (Extreme Gradient Boosting Decision Tree), and NGBoost (Natural) algorithm. Considering the factors of mental health illness among students, we follow three phases of data processing: segmentation, feature extraction, and classification. We evaluate these ML models against classification performance metrics such as accuracy, precision, recall, F1 score, and predicted run time. The empirical analysis includes two contributions: 1. It examines the performance of various ML models on a survey-based educational dataset, inferring a significant classification performance by a tree-based XGBoost algorithm; 2. It explores the feature importance [variables] from the datasets to infer the significant importance of social support, learning environment, and childhood adversities on a student’s mental health illness.

The development of machine learning (ML) approaches in materials science offers the opportunity to exploit existing engineering and developmental alloy datasets, such as Oak Ridge National Laboratory (ORNL)’s consistently measured creep-rupture dataset for alumina-forming austenitic (AFA) alloys, to accelerate their further development. As a first step toward achieving ML insights for improved alloy design, the potential sources of uncertainty and their impacts on ML output are examined. It is observed that the selection of algorithms and features as well as data sampling significantly affects the performance of ML models, either positively or negatively. The performance of various ML models in predicting the creep properties of AFA alloys is compared, with further evaluation by assessment of a small set of new developmental AFA alloys that were not part of the training dataset. The present study demonstrates that uncertainty quantification (UQ) is essential in materials science for evaluating the performance of ML algorithms with specifically selected feature sets and obtaining a comprehensive understanding of their limitations and the resultant capability of effective prediction in complex materials systems.

Machine Learning (ML) models have been extensively applied in various fields to enhance prediction. For instance, in cybersecurity, they examine large amounts of data, establish trends in the data, and draw insights from previous events, to enhance detection and respond to cyber threats. Random Forest, Logistic Regression, K-Nearest Neighbor and LSTM are some of the popular ML models vastly used for anomaly detection. The accuracy of these models is therefore the cornerstone of the organization’s information systems security since wrong predictions result to false positives and negatives which significantly reduce employees’ output and may result into workers’ frustrations when interacting with the information systems. Among the many factors that affect ML model performance, data pre-processing has been underscored. Using the various publicly available datasets, this paper examines the impact of data preprocessing techniques on selected ML model architectures’ performance. Training time, Accuracy, Precision, Recall and F1 scores are used for evaluating the ML models’ performance.

Improving Clinical Decisions in IR: Interpretable Machine Learning Models for Predicting Ascites Improvement after Transjugular Intrahepatic Portosystemic Shunt Procedures

Parkinson's disease (PD) heterogeneity poses challenges to the current development of discovering the best therapeutic targets. Here, we employ K-means and hierarchical clustering algorithms on data from the Parkinson's Progression Markers Initiative (PPMI) to identify network-specific patterns that describe PD subtypes using the optimal number of brain features. The features were specifically the gray matter volume and dopaminergic features of the neostriatum, i.e., the caudate, putamen, and anterior putamen. We use machine learning (ML) algorithms, including Random Forest, Logistic Regression, and Support Vector Machine, to evaluate the diagnostic power of the brain features and network patterns in differentiating the PD subtypes and distinguishing PD from HC. Finally, we assessed whether PD subtypes described through network-specific patterns are dependent on the APOE genotype. Using data from 2396 subjects, we show that PD (n=2037) is highly associated with APOE ϵ2/ϵ4. Our findings reveal a significant DAT deficit in the left and right structures of the caudate, putamen, and anterior putamen in subjects with PD compared to subjects with SWEDD(n=137) or HC(n=222), and that APOE ϵ2/ϵ4 may accelerate DAT deficits and brain alterations in both PD and SWEDD. Furthermore, clinical symptoms of PD in subjects (SWEDD), which hardly validated by DAT scan data, can be explained by variations in APOE genotypes and other brain features beyond DAT. We show the existence of three networks states for the whole data, with the first network state describing the subjects in HC, while the remaining two network states describing the two PD subtypes-one network state typified by a mildly sparsely connected network (patterns) and the other network state characterized by a more intensified sparsity in their network. We also show that the two subtypes of PD are characterized by distinctly different levels of total gray matter volume and DAT deficit. ML models show that features extracted from brain structure and network patterns can serve as reliable biomarkers for PD and its subtypes, with the highest performance (100% AUC, 99.3% accuracy, 0.993 F1) demonstrated by the fine-tuned SVM model. Our findings suggest that, while PD is generally associated with a larger DAT deficit in specific brain structures of the neostriatum, it exhibits intrinsic heterogeneity across individuals, which may stem from genetic factors. Such heterogeneity can be characterized by ML models and optimally mapped into network states, providing new insights to consider when developing personalized drugs.