New fair regression method improves fairness in chronic kidney disease classification.
problem Mitigating societal bias in health care for multiple groups.
method Penalized fair regression framework for multiple groups, with penalties for true positive rate disparity.
result Achieves fairness-accuracy frontier beyond existing methods in simulations and real-world data.
Purpose - Functional bowel diseases, including irritable bowel syndrome, chronic constipation, and chronic diarrhea, are some of the most common diseases seen in clinical practice. Many patients describe a range of triggers for altered bowel consistency and symptoms. However, characterization of the relationship betwee…
Simulation framework assesses ROI of chronic disease adherence and policy timing.
problem Uncertainty in ROI of adherence-enhancing interventions under heterogeneous patient behavior and socioeconomic variation.
method Simulation-based framework integrating disease progression, time-varying adherence, and policy timing.
result Early and adaptive interventions yield highest ROI, exceeding 20% under certain conditions.
DPVis integrates HMMs into visualizations for disease progression analysis.
problem Challenges in interpreting HMMs for disease progression modeling.
method Design study with clinical experts, visualizations of HMM parameters and outcomes.
result DPVis successfully evaluates and summarizes disease progression models.
Study uses machine learning and survival analysis to predict CKD progression.
problem Early detection and management of CKD to reduce ESRD risk.
method Combines machine learning and classical statistical models to identify novel CKD progression predictors.
result Deep learning models outperform other methods in predicting CKD progression.
Prediction of the future trajectory of a disease is an important challenge for personalized medicine and population health management. However, many complex chronic diseases exhibit large degrees of heterogeneity, and furthermore there is not always a single readily available biomarker to quantify disease severity. Eve…
Novel framework detects CKD in diabetic patients using sparse EHR representations.
problem Early detection of CKD in diabetic patients.
method Sparse longitudinal representations of EHR data.
result Proposed model achieves higher predictive performance than baselines.
Machine learning predicts obesity causes using genetic and imaging data.
problem Predicting causes of obesity in children and adults.
method Use ML techniques like decision trees, SVM, RF, GBM, LASSO, BN, and ANN on genetic and imaging data.
result ML models accurately predict obesity causes and chronic diseases.
Proposes a new model for predicting chronic conditions over time.
problem Predicting complex relationships between multiple chronic conditions.
method Continuous time Bayesian network with adaptive regularization for structure and parameter learning.
result Proposed model provides sparse, intuitive representation of chronic condition relationships.
Enhances generative model for clinical data privacy and accuracy.
problem Data privacy in electronic patient records.
method Improves a time-series generative model with privacy safeguards.
result DP-TimeGAN achieves a mean authenticity of 0.778 on the CKD dataset.
StageNet improves health risk prediction by integrating disease stage information.
problem Improving health risk prediction for patients with chronic conditions.
method StageNet uses a stage-aware LSTM and stage-adaptive convolutional modules to extract and integrate disease stage information.
result StageNet achieves up to 12% higher AUPRC for risk prediction and over 58% higher Calinski-Harabasz score for patient subtyping compared to state-of-the-art models.
Modeling disease progression in healthcare administrative databases is complicated by the fact that patients are observed only at irregular intervals when they seek healthcare services. In a longitudinal cohort of 76,888 patients with chronic obstructive pulmonary disease (COPD), we used a continuous-time hidden Markov…
Deep learning predicts drug prescriptions across global health records.
problem Predicting drug prescriptions in chronic disease patients.
method Adaptive cross-global attention graph kernel network with support vector machine.
result Model outperforms current methods in accuracy and interpretability.
RL algorithms with medical integration improve personalized treatment recommendations.
problem Developing effective personalized treatment strategies for chronic diseases.
method Integrating medical knowledge into RL algorithms for DTR.
result Enhanced treatment recommendations with increased confidence.
We study the behavior of a Time-Aware Long Short-Term Memory Autoencoder, a state-of-the-art method, in the context of learning latent representations from irregularly sampled patient data. We identify a key issue in the way such recurrent neural network models are being currently used and show that the solution of the…
Hidden Markov Models classify cough events with high accuracy.
problem Identifying coughing events in noisy environments for health monitoring.
method Used Hidden Markov Models (HMMs) for cough classification.
result Multivariate HMMs achieved 92% AUR in classifying cough events.
A method models continuous-time glucose distributions in children with diabetes.
problem Capturing subtle temporal changes in glucose distributions.
method Probabilistic framework using Gaussian mixtures and neural ODEs.
result Detects treatment-related improvements in glucose dynamics.
A Convolutional Neural Network was used to predict kidney function in patients with chronic kidney disease from high-resolution digital pathology scans of their kidney biopsies. Kidney biopsies were taken from participants of the NEPTUNE study, a longitudinal cohort study whose goal is to set up infrastructure for obse…
Study predicts diabetes biomarkers using wearable data.
problem Understanding and predicting diabetes progression.
method Wide and deep neural network with LSTM structure.
result Model predicts biomarkers with low error rates.
Managing patients with chronic diseases is a major and growing healthcare challenge in several countries. A chronic condition, such as diabetes, is an illness that lasts a long time and does not go away, and often leads to the patient's health gradually getting worse. While recent works involve raw electronic health re…
One primary task of population health analysis is the identification of risk factors that, for some subpopulation, have a significant association with some health condition. Examples include finding lifestyle factors associated with chronic diseases and finding genetic mutations associated with diseases in precision he…
This paper develops explainable treatment policies for RPM using clinical knowledge.
problem Barriers to adoption of DHIs and lack of interpretability in purely black-box algorithms.
method Developed a pipeline for learning explainable treatment policies using clinician-informed representations.
result Policies learned from clinician-informed representations are more efficacious and efficient than black-box policies.
Paper characterizes early-stage dementia signatures from sensor data.
problem Detecting early-stage dementia from sensor data.
method Developed bespoke behavioural models from longitudinal sensor data.
result Found subtle differences in sleep quality and wandering between dementia patients and controls.
Early detection of preventable diseases is important for better disease management, improved inter-ventions, and more efficient health-care resource allocation. Various machine learning approacheshave been developed to utilize information in Electronic Health Record (EHR) for this task. Majorityof previous attempts, ho…
Paper predicts multiple types of miRNA-disease associations using tensor decomposition.
problem Predicting miRNA-disease associations, especially multi-type ones.
method Represented miRNA-disease-type triplets as a tensor and used Tensor Decomposition methods.
result Tensor Decomposition methods improve a recent baseline by up to 38% in top-1 F1.
Deep learning model diagnoses celiac disease severity from intestinal biopsy images.
problem Diagnosing celiac disease severity from biopsy images, especially mild cases.
method Deep residual networks trained on a modified Marsh score histological scoring system.
result Model achieved AUC > 0.96 in all classes for CD severity classification.
Chronic obstructive pulmonary disease (COPD) is a lung disease where early detection benefits the survival rate. COPD can be quantified by classifying patches of computed tomography images, and combining patch labels into an overall diagnosis for the image. As labeled patches are often not available, image labels are p…
FILTER model uses fusion penalized logistic threshold regression for high-dimensional data with unknown cut points.
problem Modeling high-dimensional data with unknown cut points and binary responses.
method Fusion penalized logistic threshold regression (FILTER) model with fused lasso penalty for variable selection.
result Established non-asymptotic error bounds for coefficient estimation and model selection consistency.
A new algorithm discovers causal factors between T2DM and bone mineral density.
problem Discovering causal factors between T2DM and bone mineral density from clinical data.
method Prior-Knowledge-driven local Causal structure Learning (PKCL) algorithm.
result PKCL achieves more reliable results without long-standing medical experiments.
In this paper, the development of a probabilistic network for the diagnosis of acute cardiopulmonary diseases is presented. This paper is a draft version of the article published after peer review in 2018 (https://doi.org/10.1002/bimj.201600206). A panel of expert physicians collaborated to specify the qualitative part…
Improves tree-based models' interpretability for medical applications.
problem Lack of explainability in tree-based models.
method Developed new algorithms and tools for local and global model understanding.
result Combining local explanations reveals global model structure and identifies non-linear interactions.
A typical problem in causal modeling is the instability of model structure learning, i.e., small changes in finite data can result in completely different optimal models. The present work introduces a novel causal modeling algorithm for longitudinal data, that is robust for finite samples based on recent advances in st…
New methods improve genetic studies of complex diseases.
problem Improving genetic studies of complex diseases using high-dimensional clinical data.
method Evaluation of unsupervised disentangled representation learning methods (autoencoders, VAE, beta-VAE, FactorVAE) for genetic association studies.
result FactorVAEs and beta-VAEs outperform standard VAEs and non-variational autoencoders in genetic studies of asthma and COPD.
Longitudinal patient data has the potential to improve clinical risk stratification models for disease. However, chronic diseases that progress slowly over time are often heterogeneous in their clinical presentation. Patients may progress through disease stages at varying rates. This leads to pathophysiological misalig…
Characterization of a patient clinical phenotype is central to biomedical informatics. ICD codes, assigned to inpatient encounters by coders, is important for population health and cohort discovery when clinical information is limited. While ICD codes are assigned to patients by professionals trained and certified in c…
Proposes a tool to contrast global vs personalized models in clinical prediction.
problem Balancing global vs personalized models in clinical prediction.
method Localized regression approach using autoencoder for dimension reduction.
result Identification of patient subgroups where global models fall short.
Study proposes deep learning techniques to diagnose and differentiate Celiac Disease and Environmental Enteropathy from biopsy images.
problem Challenging histopathologic overlap between Celiac Disease and Environmental Enteropathy in biopsy images.
method Color balancing and Random Multimodel Deep Learning (RMDL) architecture to address staining variability.
result Proposed deep learning techniques improve diagnosis accuracy of Celiac Disease and Environmental Enteropathy.
Machine learning detects subtle glucose changes for early diabetes diagnosis.
problem Challenging early-stage diabetes diagnosis due to subtle glucose changes.
method Applied machine learning to synthetic glucose profiles generated by a biophysical model.
result High accuracy (above 85%) in detecting insulin resistance using various neural networks.
Chronic Pulmonary Aspergillosis (CPA) is a complex lung disease caused by infection with Aspergillus. Computed tomography (CT) images are frequently requested in patients with suspected and established disease, but the radiological signs on CT are difficult to quantify making accurate follow-up challenging. We propose …
Study uses data to analyze COPD patients' impact on hospital systems.
problem Understanding and quantifying resource requirements for COPD patients.
method Combines segmentation, queuing theory, and data recovery techniques.
result Finding useful operational results from incomplete administrative data.
The study compares Euclidean and cosine distances in medical drug prescription prediction.
problem Comparing Euclidean and cosine distances in medical drug prescription prediction.
method Established geometric properties and compared distances in real-world medical data.
result Different distances lead to different optimizing nonlinear kernel embedding frameworks.
CoI framework models clinical feature interactions, revealing temporal dependencies and enhancing transparency.
problem Capturing latent, time-varying dependencies among clinical features in time-series data.
method Chain-of-Influence (CoI) framework constructs an explicit, time-unfolded graph of feature interactions.
result Achieves state-of-the-art predictive performance (AUROC of 0.960 on CKD progression and 0.950 on ICU mortality).
CNNs accurately measure airways and vessels on CT images, improving lung disease diagnosis.
problem Accurately characterizing small pulmonary structures from CT images for disease diagnosis.
method Generative model combined with Convolutional Neural Regressor (CNR) for cross-sectional measurements.
result CNNs provide accurate measurements with physiological correlates.
This paper presents the first deep reinforcement learning (DRL) framework to estimate the optimal Dynamic Treatment Regimes from observational medical data. This framework is more flexible and adaptive for high dimensional action and state spaces than existing reinforcement learning methods to model real-life complexit…
A hybrid deep learning model improves ESD diagnosis accuracy.
problem Automated diagnosis of Erythemato-Squamous Disease (ESD) is challenging.
method Proposes Derm2Vec, a hybrid model combining Autoencoders and Deep Neural Networks.
result Derm2Vec outperforms other methods in real-world dermatology dataset.
HIP method extended to multi-class, Poisson, and Zero-Inflated Poisson outcomes with an R Shiny app.
problem Subgroup heterogeneity in complex diseases like COPD.
method Integrating multiple data views while accounting for subgroup heterogeneity.
result Identified common and subgroup-specific markers of exacerbation frequency in males and females.
Deep learning predicts asthma ED visits better than traditional methods.
problem Predicting asthma-related ED visits to improve patient management.
method Deep learning (Artificial Neural Networks) compared to Lasso logistic regression.
result Deep learning model (ANN) outperforms traditional Lasso logistic regression (AUC = 0.845 vs. AUC = 0.842).
The application of existing methods for constructing optimal dynamic treatment regimes is limited to cases where investigators are interested in optimizing a utility function over a fixed period of time (finite horizon). In this manuscript, we develop an inferential procedure based on temporal difference residuals for …