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1.
Sci Rep ; 13(1): 21800, 2023 12 09.
Artículo en Inglés | MEDLINE | ID: mdl-38066096

RESUMEN

Osteoporosis is a serious health concern in patients with rheumatoid arthritis (RA). Machine learning (ML) models have been increasingly incorporated into various clinical practices, including disease classification, risk prediction, and treatment response. However, only a few studies have focused on predicting osteoporosis using ML in patients with RA. We aimed to develop an ML model to predict osteoporosis using a representative Korean RA cohort database. The KORean Observational study Network for Arthritis (KORONA) database, established by the Clinical Research Center for RA in Korea, was used in this study. Among the 5077 patients registered in KORONA, 2374 patients were included in this study. Four representative ML algorithms were used for the prediction: logistic regression (LR), random forest, XGBoost (XGB), and LightGBM. The accuracy, F1 score, and area under the curve (AUC) of each model were measured. The LR model achieved the highest AUC value at 0.750, while the XGB model achieved the highest accuracy at 0.682. Body mass index, age, menopause, waist and hip circumferences, RA surgery, and monthly income were risk factors of osteoporosis. In conclusion, ML algorithms are a useful option for screening for osteoporosis in patients with RA.


Asunto(s)
Artritis Reumatoide , Osteoporosis , Femenino , Humanos , Artritis Reumatoide/tratamiento farmacológico , Aprendizaje Automático , Menopausia , Osteoporosis/diagnóstico , Osteoporosis/epidemiología , Osteoporosis/etiología , Factores de Riesgo , Estudios Observacionales como Asunto
2.
Front Cardiovasc Med ; 10: 1168054, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37781313

RESUMEN

Background and aims: It is difficult to document atrial fibrillation (AF) on ECG in patients with non-persistent atrial fibrillation (non-PeAF). There is limited understanding of whether an AI prediction algorithm could predict the occurrence of non-PeAF from the information of normal sinus rhythm (SR) of a 12-lead ECG. This study aimed to derive a precise predictive AI model for screening non-PeAF using SR ECG within 4 weeks. Methods: This retrospective cohort study included patients aged 18 to 99 with SR ECG on 12-lead standard ECG (10 seconds) in Ewha Womans University Medical Center for 3 years. Data were preprocessed into three window periods (which are defined with the duration from SR to non-PeAF detection) - 1 week, 2 weeks, and 4 weeks from the AF detection prospectively. For experiments, we adopted a Residual Neural Network model based on 1D-CNN proposed in a previous study. We used 7,595 SR ECGs (extracted from 215,875 ECGs) with window periods of 1 week, 2 weeks, and 4 weeks for analysis. Results: The prediction algorithm showed an AUC of 0.862 and an F1-score of 0.84 in the 1:4 matched group of a 1-week window period. For the 1:4 matched group of a 2-week window period, it showed an AUC of 0.864 and an F1-score of 0.85. Finally, for the 1:4 matched group of a 4-week window period, it showed an AUC of 0.842 and an F1-score of 0.83. Conclusion: The AI prediction algorithm showed the possibility of risk stratification for early detection of non-PeAF. Moreover, this study showed that a short window period is also sufficient to detect non-PeAF.

3.
Front Neurol ; 13: 906257, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36071894

RESUMEN

Background and Objective: Identifying biomarkers for predicting progression to dementia in patients with mild cognitive impairment (MCI) is crucial. To this end, the comprehensive visual rating scale (CVRS), which is based on magnetic resonance imaging (MRI), was developed for the assessment of structural changes in the brains of patients with MCI. This study aimed to investigate the use of the CVRS score for predicting dementia in patients with MCI over a 2-year follow-up period using various machine learning (ML) algorithms. Methods: We included 197 patients with MCI who were followed up more than once. The data used for this study were obtained from the Japanese-Alzheimer's Disease Neuroimaging Initiative study. We assessed all the patients using their CVRS scores, cortical thickness data, and clinical data to determine their progression to dementia during a follow-up period of over 2 years. ML algorithms, such as logistic regression, random forest (RF), XGBoost, and LightGBM, were applied to the combination of the dataset. Further, feature importance that contributed to the progression from MCI to dementia was analyzed to confirm the risk predictors among the various variables evaluated. Results: Of the 197 patients, 108 (54.8%) showed progression from MCI to dementia. Tree-based classifiers, such as XGBoost, LightGBM, and RF, achieved relatively high performance. In addition, the prediction models showed better performance when clinical data and CVRS score (accuracy 0.701-0.711) were used than when clinical data and cortical thickness (accuracy 0.650-0.685) were used. The features related to CVRS helped predict progression to dementia using the tree-based models compared to logistic regression. Conclusions: Tree-based ML algorithms can predict progression from MCI to dementia using baseline CVRS scores combined with clinical data.

4.
Sensors (Basel) ; 22(17)2022 Aug 27.
Artículo en Inglés | MEDLINE | ID: mdl-36080918

RESUMEN

Three-dimensional mesh post-processing is an important task because low-precision hardware and a poor capture environment will inevitably lead to unordered point clouds with unwanted noise and holes that should be suitably corrected while preserving the original shapes and details. Although many 3D mesh data-processing approaches have been proposed over several decades, the resulting 3D mesh often has artifacts that must be removed and loses important original details that should otherwise be maintained. To address these issues, we propose a novel 3D mesh completion and denoising system with a deep learning framework that reconstructs a high-quality mesh structure from input mesh data with several holes and various types of noise. We build upon SpiralNet by using a variational deep autoencoder with anisotropic filters that apply different convolutional filters to each vertex of the 3D mesh. Experimental results show that the proposed method enhances the reconstruction quality and achieves better accuracy compared to previous neural network systems.


Asunto(s)
Artefactos , Redes Neurales de la Computación , Anisotropía , Cabeza
5.
Sensors (Basel) ; 19(5)2019 Mar 07.
Artículo en Inglés | MEDLINE | ID: mdl-30866551

RESUMEN

To effectively maintain and analyze a large amount of real-time sensor data, one often uses a filtering technique that reflects characteristics of original data well. This paper proposes a novel method for recommending the measurement noise for Kalman filtering, which is one of the most representative filtering techniques. Kalman filtering corrects inaccurate values of input sensor data, and its filtering performance varies depending on the input noise parameters. In particular, if the noise parameters determined based on the user's experience are incorrect, the accuracy of Kalman filtering may be reduced significantly. Based on this observation, this paper addresses how to determine the measurement noise variance, a major input parameter of Kalman filtering, by analyzing past sensor data and how to use the estimated noise to improve the filtering accuracy. More specifically, to estimate the measurement noise variance, two analytical methods are proposed: one a transform-based method using a wavelet transform and the other a learning-based method using a denoising autoencoder. Experimental results show that the proposed methods estimated the measurement noise variance accurately and were superior to the experience-based method in the filtering accuracy.

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