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Register a new user3D Cardiac Shape Prediction with Deep Neural Networks: Simultaneous Use of Images and Patient Metadata
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Large prospective epidemiological studies acquire cardiovascular magnetic resonance (CMR) images for pre-symptomatic populations and follow these over time. To support this approach, fully automatic large-scale 3D analysis is essential. In this work, we propose a novel deep neural network using both CMR images and patient metadata to directly predict cardiac shape parameters. The proposed method uses the promising ability of statistical shape models to simplify shape complexity and variability together with the advantages of convolutional neural networks for the extraction of solid visual features. To the best of our knowledge, this is the first work that uses such an approach for 3D cardiac shape prediction. We validated our proposed CMR analytics method against a reference cohort containing 500 3D shapes of the cardiac ventricles. Our results show broadly significant agreement with the reference shapes in terms of the estimated volume of the cardiac ventricles, myocardial mass, 3D Dice, and mean and Hausdorff distance.
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We describe a novel neural network architecture for the prediction of ventricular tachyarrhythmias. The model receives input features that capture the change in RR intervals and ectopic beats, along with features based on heart rate variability and frequency analysis. Patient age is also included as a trainable embedding, while the whole network is optimized with multi-task objectives. Each of these modifications provides a consistent improvement to the model performance, achieving 74.02% prediction accuracy and 77.22% specificity 60 seconds in advance of the episode.
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Prior skin image datasets have not addressed patient-level information obtained from multiple skin lesions from the same patient. Though artificial intelligence classification algorithms have achieved expert-level performance in controlled studies examining single images, in practice dermatologists base their judgment holistically from multiple lesions on the same patient. The 2020 SIIM-ISIC Melanoma Classification challenge dataset described herein was constructed to address this discrepancy between prior challenges and clinical practice, providing for each image in the dataset an identifier allowing lesions from the same patient to be mapped to one another. This patient-level contextual information is frequently used by clinicians to diagnose melanoma and is especially useful in ruling out false positives in patients with many atypical nevi. The dataset represents 2,056 patients from three continents with an average of 16 lesions per patient, consisting of 33,126 dermoscopic images and 584 histopathologically confirmed melanomas compared with benign melanoma mimickers.
We present an operational component of a real-world patient triage system. Given a specific patient presentation, the system is able to assess the level of medical urgency and issue the most appropriate recommendation in terms of best point of care and time to treat. We use an attention-based convolutional neural network architecture trained on 600,000 doctor notes in German. We compare two approaches, one that uses the full text of the medical notes and one that uses only a selected list of medical entities extracted from the text. These approaches achieve 79% and 66% precision, respectively, but on a confidence threshold of 0.6, precision increases to 85% and 75%, respectively. In addition, a method to detect warning symptoms is implemented to render the classification task transparent from a medical perspective. The method is based on the learning of attention scores and a method of automatic validation using the same data.
Off-the-shelf machine learning algorithms for prediction such as regularized logistic regression cannot exploit the information of time-varying features without previously using an aggregation procedure of such sequential data. However, recurrent neural networks provide an alternative approach by which time-varying features can be readily used for modeling. This paper assesses the performance of neural networks for churn modeling using recency, frequency, and monetary value data from a financial services provider. Results show that RFM variables in combination with LSTM neural networks have larger top-decile lift and expected maximum profit metrics than regularized logistic regression models with commonly-used demographic variables. Moreover, we show that using the fitted probabilities from the LSTM as feature in the logistic regression increases the out-of-sample performance of the latter by 25 percent compared to a model with only static features.
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