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Fair and explainable Myocardial Infarction (MI) prediction: Novel strategies for feature selection and class imbalance correction

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computers in Biology and Medicine 2025年 184卷 109413-109413页

作者： Akter, Simon Bin Akter, Sumya Tuli, Moon Das Eisenberg, David Lotvola, Aaron Islam, Humayera Fernandez, Jorge Fresneda Hüttemann, Maik Pias, Tanmoy Sarkar Martin Tuchman School of Management New Jersey Institute of Technology Newark NJ07102 United States Greenlife Medical College & Hospital Dhaka Bangladesh Department of Computer Science Virginia Tech College of Engineering BlacksburgVA United States Institute for Data Science and Informatics University of Missouri Columbia United States Department of Biochemistry Microbiology and Immunology Wayne State University School of Medicine DetroitMI United States Department of Information Management and Business Analytics Montclair State University Feliciano School of Business NJ United States Department of Oncology Wayne State University School of Medicine DetroitMI United States Center for Molecular Medicine and Genetics Wayne State University School of Medicine DetroitMI United States

The rising incidences of myocardial infarction (MI), often affecting individuals without traditional risk factors, highlight the urgent need for improved early detection using personal health data. However, health surveys and electronic health records (EHRs) frequently suffer from class imbalances, leading to prediction biases and differences between specificity and sensitivity, which hinder reliable model development despite the valuable insights contained in these datasets. To address this, we have introduced a novel approach to enhance MI risk prediction using self-reported attributes from the Behavioral Risk Factor Surveillance System (BRFSS) and the National Health Interview Survey (NHIS) dataset. Our approach incorporates three innovative techniques: the Dual-Path Artificial Neural Network (DP-ANN) to mitigate biased decision making across imbalanced datasets, the Triple Criteria Selection (TCS) for unbiased feature selection, and Minority Weighted Sampling (MWS) to tackle challenges of uncontrolled minority class sampling. These methods collectively enhance MI prediction and feature relevance. The DP-ANN model has achieved balanced performance, with an average specificity of 80%, sensitivity of 82%, and AUC–ROC of 89.5%, improving imbalance variance by approximately 14.96% compared to prior studies. By outperforming other models across four heavily imbalanced datasets, our approach demonstrates robustness and generalizability. Additionally, SHapley Additive exPlanations (SHAP) analysis has revealed key predictors and risk factors for MI, such as coronary heart disease and bronchitis in females, and stroke among individuals aged 35–54. In conclusion, our study provides a robust model for healthcare professionals to assess MI risk through targeted factors, promoting early detection and potentially improving patient outcomes. © 2024

关键词： Electronic health record

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Large Language Models in Mental Health Care: a Scoping Review

arXiv

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arXiv 2024年

作者： Hua, Yining Liu, Fenglin Yang, Kailai Li, Zehan Na, Hongbin Sheu, Yi-Han Zhou, Peilin Moran, Lauren V. Ananiadou, Sophia CliDon, David A. Beam, Andrew Torous, John Department of Epidemiology Harvard T.H. Chan School of Public Health MA United States Department of Psychiatry Beth Israel Deaconess Medical Center MA United States Institute of Biomedical Engineering Department of Engineering Science University of Oxford Oxford United Kingdom Department of Computer Science The University of Manchester Manchester United Kingdom School of Biomedical Informatics University of Texas Health Science at Houston Houston United States Australian Artificial Intelligence Institute University of Technology Sydney Sydney Australia Center for Precision Psychiatry Massachusetts General Hospital MA United States Department of Psychiatry Harvard Medical School MA United States Data Science and Analytics Thrust Hong Kong University of Science and Technology Guangzhou China Division of Psychotic Disorders McLean Hospital MA United States The Alan Turing Institute London United Kingdom

The integration of large language models (LLMs) in mental health care is an emerging field. There is a need to systematically review the application outcomes and delineate the advantages and limitations in clinical settings. This review aims to provide a comprehensive overview of the use of LLMs in mental health care, assessing their efficacy, challenges, and potential for future applications. A systematic search was conducted across multiple databases including PubMed, Web of science, Google Scholar, arXiv, medRxiv, and PsyArXiv in November 2023. All forms of original research, peer-reviewed or not, published or disseminated between October 1, 2019, and December 2, 2023, are included without language restrictions if they used LLMs developed after T5 and directly addressed research questions in mental health care settings. From an initial pool of 313 articles, 34 met the inclusion criteria based on their relevance to LLM application in mental health care and the robustness of reported outcomes. Diverse applications of LLMs in mental health care are identified, including diagnosis, therapy, patient engagement enhancement, etc. Key challenges include data availability and reliability, nuanced handling of mental states, and effective evaluation methods. Despite successes in accuracy and accessibility improvement, gaps in clinical applicability and ethical considerations were evident, pointing to the need for robust data, standardized evaluations, and interdisciplinary collaboration. LLMs hold substantial promise for enhancing mental health care. For their full potential to be realized, emphasis must be placed on developing robust datasets, development and evaluation frameworks, ethical guidelines, and interdisciplinary collaborations to address current limitations. © 2024, CC BY.

关键词： Electronic health record

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Generalized Bayes Approach to Inverse Problems with Model Misspecification

arXiv

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arXiv 2022年

作者： Baek, Youngsoo Aquino, Wilkins Mukherjee, Sayan Department of Statistical Science Duke University NC United States Department of Mechanical Engineering and Materials Science Duke University NC United States Department of Mathematics Computer Science Biostatistics & Bioinformatics Duke University NC United States Center for Scalable Data Analytics and Artificial Intelligence Universität Leipzig Germany Max Planck Institute for Mathematics in the Sciences Leipzig Germany

We propose a general framework for obtaining probabilistic solutions to PDE-based inverse problems. Bayesian methods are attractive for uncertainty quantification but assume knowledge of the likelihood model or data generation process. This assumption is difficult to justify in many inverse problems, where the specification of the data generation process is not obvious. We adopt a Gibbs posterior framework that directly posits a regularized variational problem on the space of probability distributions of the parameter. We propose a novel model comparison framework that evaluates the optimality of a given loss based on its "predictive performance". We provide cross-validation procedures to calibrate the regularization parameter of the variational objective and compare multiple loss functions. Some novel theoretical properties of Gibbs posteriors are also presented. We illustrate the utility of our framework via a simulated example, motivated by dispersion-based wave models used to characterize arterial vessels in ultrasound vibrometry. © 2022, CC BY.

关键词： Inverse problems

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Multi-Path Long-Term Vessel Trajectories Forecasting with Probabilistic Feature Fusion for Problem Shifting

arXiv

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arXiv 2023年

作者： Spadon, Gabriel Kumar, Jay Eden, Derek van Berkel, Josh Foster, Tom Soares, Amilcar Fablet, Ronan Matwin, Stan Pelot, Ronald Institute for Big Data Analytics Dalhousie University HalifaxNS Canada Industrial Engineering Department Dalhousie University HalifaxNS Canada Departement de Genie Mathematique et Electrique IMT Atlantique Brest France Department of Comp. Sci. and Media Tech. Linnaeus University Vaxjo Sweden Institute of Computer Science Polish Academy of Sciences Warsaw Poland DHI Water & Environment Inc. Ottawa Canada

This paper addresses the challenge of boosting the precision of multi-path long-term vessel trajectory forecasting on engineered sequences of Automatic Identification System (AIS) data using feature fusion for problem shifting. We have developed a deep auto-encoder model and a phased framework approach to predict the next 12 hours of vessel trajectories using 1 to 3 hours of AIS data as input. To this end, we fuse the spatiotemporal features from the AIS messages with probabilistic features engineered from historical AIS data referring to potential routes and destinations. As a result, we reduce the forecasting uncertainty by shifting the problem into a trajectory reconstruction problem. The probabilistic features have an F1-Score of approximately 85% and 75% for the vessel route and destination prediction, respectively. Under such circumstances, we achieved an R2 Score of over 98% with different layer structures and varying feature combinations;the high R2 Score is a natural outcome of the well-defined shipping lanes in the study region. However, our proposal stands out among competing approaches as it demonstrates the capability of complex decision-making during turnings and route selection. Furthermore, we have shown that our model achieves more accurate forecasting with average and median errors of 11km and 6km, respectively, a 25% improvement from the current state-of-the-art approaches. The resulting model from this proposal is deployed as part of a broader Decision Support System to safeguard whales by preventing the risk of vessel-whale collisions under the smartWhales initiative and acting on the Gulf of St. Lawrence in Atlantic Canada. Copyright © 2023, The Authors. All rights reserved.

关键词： data fusion

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Domain decomposition and mortar mixed approach for nonlinear elliptic equations modeling flow in porous media

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Heliyon 2025年第4期11卷 e42724页

作者： Arshad, Muhammad Mehmood, Adil Salleh, Zabidin Akhtar, Sumaira Saleem Khan, Suliman Inc, Mustafa Department of Mathematics Abbottabad University of Science and Technology Abbottabad Pakistan Special Interest Group on Modelling and Data Analytics Faculty of Computer Science and Mathematics Universiti Malaysia Terengganu Kuala Nerus Terengganu 21030 Malaysia Department of Mathematics Women University Mardan Khyber Pakhtunkhwa Pakistan State Key Laboratory of Mechanics and Control for Aerospace Structures College of Aerospace Engineering Nanjing University of Aeronautics and Astronautics Nanjing 210016 China Department of Mathematıcs Firat University Elazig 23119 Türkiye Department of Mathematics Saveetha School of Engineering Saveetha Institute of Medical and Technical Sciences Saveetha University Tamil Nadu Chennai 602105 India Department of Computer Engineering Biruni University Istanbul 34010 Türkiye

The equations describe the behavior of steady state flow in porous medium generally results in elliptic partial differential equations with coefficient represents the permeability of the medium. This article presents the extension of mortar mixed method for second order nonlinear elliptic equations that describes flow in porous media. The domain is decomposed into non-overlapping regions with each partitioned independently. The grids on subdomains are allowed to be non-matching across the subdomains internal boundaries. The fixed point argument (FPA) is employed to establish the existence and uniqueness of discrete problem, and optimal order error estimates are provided for approximations. The computational results are given to validate the theory. © 2025 The Author(s)

关键词： Darcy law Existence Mixed methods Mortar methods Nonlinear equations Numerical results

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A Graph-Matching Approach for Cross-view Registration of Over-view 2 and Street-view based Point Clouds

arXiv

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arXiv 2022年

作者： Ling, Xiao Qin, Rongjun Geospatial Data Analytics Laboratory The Ohio State University 218B Bolz Hall 2036 Neil Avenue ColumbusOH43210 United States Department of Civil Environmental and Geodetic Engineering The Ohio State University 218B Bolz Hall 2036 Neil Avenue ColumbusOH43210 United States Department of Electrical and Computer Engineering The Ohio State University 205 Dreese Lab 2036 Neil Avenue ColumbusOH43210 United States Translational Data Analytics Institute The Ohio State University United States

Wide-area 3D data generation for complex urban environments often needs to leverage a mixed use of data collected from both air and ground platforms, such as from aerial surveys, satellite, and mobile vehicles, etc. On one hand, such kind of data with information from drastically different views (ca. 90°and more) forming cross-view data, which due to very limited overlapping region caused by the drastically different line of sight of the sensors, is difficult to be registered without significant manual efforts. On the other hand, the registration of such data often suffers from non-rigid distortion of the street-view data (e.g., non-rigid trajectory drift), which cannot be simply rectified by a similarity transformation. In this paper, based on the assumption that the object boundaries (e.g., buildings) from the over-view data should coincide with footprints of façade 3D points generated from street-view photogrammetric images, we aim to address this problem by proposing a fully automated geo-registration method for cross-view data, which utilizes semantically segmented object boundaries as view-invariant features under a global optimization framework through graph-matching: taking the over-view point clouds generated from stereo/multi-stereo satellite images and the street-view point clouds generated from monocular video images as the inputs, the proposed method models segments of buildings as nodes of graphs, both detected from the satellite-based and street-view based point clouds, thus to form the registration as a graph-matching problem to allow non-rigid matches;to enable a robust solution and fully utilize the topological relations between these segments, we propose to address the graph-matching problem on its conjugate graph solved through a belief-propagation algorithm. The matched nodes will be subject to a further optimization to allow precise-registration, followed by a constrained bundle adjustment on the street-view image to keep 2D-3D consistencies, w

关键词： Global optimization

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A Comparative Study on Deep-Learning Methods for Dense Image Matching of Multi-angle and Multi-date Remote Sensing Stereo Images

arXiv

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arXiv 2022年

作者： Albanwan, Hessah Qin, Rongjun Geospatial Data Analytics Laboratory The Ohio State University 218B Bolz Hall 2036 Neil Avenue ColumbusOH43210 United States Department of Civil Environmental and Geodetic Engineering The Ohio State University 218B Bolz Hall 2036 Neil Avenue ColumbusOH43210 United States Department of Electrical and Computer Engineering The Ohio State University 205 Dreese Lab 2036 Neil Avenue ColumbusOH43210 United States Translational Data Analytics Institute The Ohio State University United States

Deep learning (DL) stereo matching methods gained great attention in remote sensing satellite datasets. However, most of these existing studies conclude assessments based only on a few/single stereo images lacking a systematic evaluation on how robust DL methods are on satellite stereo images with varying radiometric and geometric configurations. This paper provides an evaluation of four DL stereo matching methods through hundreds of multi-date multi-site satellite stereo pairs with varying geometric configurations, against the traditional well-practiced Census-SGM (Semi-global matching), to comprehensively understand their accuracy, robustness, generalization capabilities, and their practical potential. The DL methods include a learning-based cost metric through convolutional neural networks (MC-CNN) followed by SGM, and three end-to-end (E2E) learning models using Geometry and Context Network (GCNet), Pyramid Stereo Matching Network (PSMNet), and LEAStereo. Our experiments show that E2E algorithms can achieve upper limits of geometric accuracies, while may not generalize well for unseen data. The learning-based cost metric and Census-SGM are rather robust and can consistently achieve acceptable results. All DL algorithms are robust to geometric configurations of stereo pairs and are less sensitive in comparison to the Census-SGM, while learning-based cost metrics can generalize on satellite images when trained on different datasets (airborne or ground-view). Copyright © 2022, The Authors. All rights reserved.

关键词： Satellites

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Development,validation,and transportability of several machine-learned,non-exercise-based VO_(2max)prediction models for older adults

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Journal of Sport and Health science 2024年第5期13卷 611-620页

作者： Benjamin T.Schumacher Michael J.LaMonte Andrea Z.LaCroix Eleanor M.Simonsick Steven P.Hooker Humberto Parada Jr. John Bellettiere Arun Kumar Herbert Wertheim School of Public Health and Human Longevity Science University of California San DiegoLa JollaCA 92093USA Department of Epidemiology and Environmental Health School of Public Health and Health ProfessionsUniversity at BuffaloState University of New YorkBuffaloNY 14214USA Translational Gerontology Branch Intramural Research ProgramNational Institute on AgingNational Institutes of HealthBaltimoreMD 21225USA College of Health and Human Services San Diego State UniversitySan DiegoCA 92182USA Division of Epidemiology and Biostatistics School of Public HealthSan Diego State UniversitySan DiegoCA 92182USA University of California San Diego Moores Cancer Center La JollaCA 92093USA Computer Science and Engineering and Halicioglu Data Science Institute University of California San DiegoLa JollaCA 92093USA

Background:There exist few maximal oxygen uptake(VO_(2max))non-exercise-based prediction equations,fewer using machine learning(ML),and none specifically for older *** direct measurement of VO_(2max)is infeasible in large epidemiologic cohort studies,we sought to develop,validate,compare,and assess the transportability of several ML VO_(2max)prediction ***:The Baltimore Longitudinal Study of Aging(BLSA)participants with valid VO2_(max)tests were included(n=1080).Least absolute shrinkage and selection operator,linear-and tree-boosted extreme gradient boosting,random forest,and support vector machine(SVM)algorithms were trained to predict VO_(2max)*** developed these algorithms for:(a)the overall BLSA,(b)by sex,(c)using all BLSA variables,and(d)variables common in aging ***,we quantified the associations between measured and predicted VO_(2max)and ***:The age was 69.0±10.4 years(mean±SD)and the measured VO_(2max)was 21.6±5.9 mL/kg/*** absolute shrinkage and selection operator,linear-and tree-boosted extreme gradient boosting,random forest,and support vector machine yielded root mean squared errors of 3.4 mL/kg/min,3.6 mL/kg/min,3.4 mL/kg/min,3.6 mL/kg/min,and 3.5 mL/kg/min,*** quartiles of measured VO_(2max)showed an inverse gradient in mortality *** VO_(2max)variables yielded similar effect estimates but were not robust to ***:Measured VO_(2max)is a strong predictor of *** ML can improve the accuracy of prediction as compared to simpler approaches but estimates of association with mortality remain sensitive to *** studies should seek to reproduce these results so that VO_(2max),an important vital sign,can be more broadly studied as a modifiable target for promoting functional resiliency and healthy aging.

关键词： Cardiorespiratory fitness Prediction algorithms Epidemiology Mortality

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A Brief Review of Explainable Artificial Intelligence in Healthcare

arXiv

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arXiv 2023年

作者： Sadeghi, Zahra Alizadehsani, Roohallah Cifci, Mehmet Akif Kausar, Samina Rehman, Rizwan Mahanta, Priyakshi Bora, Pranjal Kumar Almasri, Ammar Alkhawaldeh, Rami S. Hussain, Sadiq Alatas, Bilal Shoeibi, Afshin Moosaei, Hossein Hladík, Milan Nahavandi, Saeid Pardalos, Panos M. Institute for Big Data Analytics Faculty of Computer Science Dalhousie University Canada Deakin University Geelong Australia The Institute of Computer Technology Tu Wien University Vienna1040 Austria University of Kotli Azad Jammu and Kashmir Azad Kashmir Kotli Pakistan Centre for Computer Science and Applications Dibrugarh University Assam India Department of Management Information Sys Al-Balqa Applied University Salt19117 Jordan Department of Computer Information Systems The University of Jordan Aqaba77110 Jordan Examination Branch Dibrugarh University Assam Dibrugarh India Department of Software Eng. Firat University Elazig23100 Turkey Data Science and Computational Intelligence Institute University of Granada Spain Department of Informatics Faculty of Science Jan Evangelista Purkyně University in Ústí nad Labem Czech Republic Department of Applied Mathematics School of Computer Science Faculty of Mathematics and Physics Charles University Prague Czech Republic Harvard Paulson School of Engineering and Applied Sciences Harvard University AllstonMA02134 United States Center for Applied Optimization Department of Industrial and Systems Engineering University of Florida Gainesville32611 United States

XAI refers to the techniques and methods for building AI applications which assist end users to interpret output and predictions of AI models. Black box AI applications in high-stakes decision-making situations, such as medical domain have increased the demand for transparency and explainability since wrong predictions may have severe consequences. Model explainability and interpretability are vital successful deployment of AI models in healthcare practices. AI applications' underlying reasoning needs to be transparent to clinicians in order to gain their trust. This paper presents a systematic review of XAI aspects and challenges in the healthcare domain. The primary goals of this study are to review various XAI methods, their challenges, and related machine learning models in healthcare. The methods are discussed under six categories: Features-oriented methods, global methods, concept models, surrogate models, local pixel-based methods, and human-centric methods. Most importantly, the paper explores XAI role in healthcare problems to clarify its necessity in safety-critical applications. The paper intends to establish a comprehensive understanding of XAI-related applications in the healthcare field by reviewing the related experimental results. To facilitate future research for filling research gaps, the importance of XAI models from different viewpoints and their limitations are investigated. © 2023, CC BY-NC-ND.

关键词： Decision making

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G2Retro as a Two-Step Graph Generative Models for Retrosynthesis Prediction

arXiv

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arXiv 2022年

作者： Chen, Ziqi Ayinde, Oluwatosin R. Fuchs, James R. Sun, Huan Ning, Xia Computer Science and Engineering The Ohio State University ColumbusOH43210 United States Medicinal Chemistry and Pharmacognosy College of Pharmacy The Ohio State University ColumbusOH43210 United States Translational Data Analytics Institute The Ohio State University ColumbusOH43210 United States Biomedical Informatics The Ohio State University ColumbusOH43210 United States

Retrosynthesis is a procedure where a target molecule is transformed into potential reactants and thus the synthesis routes can be identified. Recently, computational approaches have been developed to accelerate the design of synthesis routes. In this paper, we develop a generative framework G2Retro for one-step retrosynthesis prediction. G2Retro imitates the reversed logic of synthetic reactions. It first predicts the reaction centers in the target molecules (products), identifies the synthons needed to assemble the products, and transforms these synthons into reactants. G2Retro defines a comprehensive set of reaction center types, and learns from the molecular graphs of the products to predict potential reaction centers. To complete synthons into reactants, G2Retro considers all the involved synthon structures and the product structures to identify the optimal completion paths, and accordingly attaches small substructures sequentially to the synthons. Here we show that G2Retro is able to better predict the reactants for given products in the benchmark dataset than the state-of-the-art methods. © 2022, CC BY-NC-SA.

关键词： Forecasting

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