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1.
Pediatr Res ; 95(4): 1124-1131, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38092963

RESUMO

BACKGROUND: Cardiovascular support (CVS) treatment failure (TF) is associated with a poor prognosis in preterm infants. METHODS: Medical charts of infants with a birth weight <1500 g who received either dopamine (Dp) or dobutamine (Db), were reviewed. Treatment response (TR) occurred if blood pressure increased >3rd centile for gestational age or superior vena cava flow was maintained >55 ml/kg/min, with decreased lactate or less negative base excess, without additional CVS. A predictive model of Dp and Db on TR was designed and the impact of TR on survival was analyzed. RESULTS: Sixty-six infants (median gestational age 27.3 weeks, median birth weight 864 g) received Dp (n = 44) or Db (n = 22). TR occurred in 59% of the cases treated with Dp and 31% with Db, p = 0.04. Machine learning identified a model that correctly labeled Db response in 90% of the cases and Dp response in 61.4%. Sixteen infants died (9% of the TR group, 39% of the TF group; p = 0.004). Brain or gut morbidity-free survival was observed in 52% vs 30% in the TR and TF groups, respectively (p = 0.08). CONCLUSIONS: New predictive models can anticipate Db but not Dp effectiveness in preterm infants. These algorithms may help the clinicians in the decision-making process. IMPACT: Failure of cardiovascular support treatment increases the risk of mortality in very low birth weight infants. A predictive model built with machine learning techniques can help anticipate treatment response to dobutamine with high accuracy. Predictive models based on artificial intelligence may guide the clinicians in the decision-making process.


Assuntos
Doenças Cardiovasculares , Recém-Nascido Prematuro , Lactente , Recém-Nascido , Humanos , Recém-Nascido Prematuro/fisiologia , Dobutamina/uso terapêutico , Peso ao Nascer , Veia Cava Superior/fisiologia , Inteligência Artificial , Dopamina/uso terapêutico , Recém-Nascido de muito Baixo Peso
2.
Artigo em Inglês | MEDLINE | ID: mdl-37467092

RESUMO

Adaptive learning is necessary for nonstationary environments where the learning machine needs to forget past data distribution. Efficient algorithms require a compact model update to not grow in computational burden with the incoming data and with the lowest possible computational cost for online parameter updating. Existing solutions only partially cover these needs. Here, we propose the first adaptive sparse Gaussian process (GP) able to address all these issues. We first reformulate a variational sparse GP (VSGP) algorithm to make it adaptive through a forgetting factor. Next, to make the model inference as simple as possible, we propose updating a single inducing point of the SGP model together with the remaining model parameters every time a new sample arrives. As a result, the algorithm presents a fast convergence of the inference process, which allows an efficient model update (with a single inference iteration) even in highly nonstationary environments. Experimental results demonstrate the capabilities of the proposed algorithm and its good performance in modeling the predictive posterior in mean and confidence interval estimation compared to state-of-the-art approaches.

3.
Neuroinformatics ; 17(4): 593-609, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-30919255

RESUMO

An important problem that hinders the use of supervised classification algorithms for brain imaging is that the number of variables per single subject far exceeds the number of training subjects available. Deriving multivariate measures of variable importance becomes a challenge in such scenarios. This paper proposes a new measure of variable importance termed sign-consistency bagging (SCB). The SCB captures variable importance by analyzing the sign consistency of the corresponding weights in an ensemble of linear support vector machine (SVM) classifiers. Further, the SCB variable importances are enhanced by means of transductive conformal analysis. This extra step is important when the data can be assumed to be heterogeneous. Finally, the proposal of these SCB variable importance measures is completed with the derivation of a parametric hypothesis test of variable importance. The new importance measures were compared with a t-test based univariate and an SVM-based multivariate variable importances using anatomical and functional magnetic resonance imaging data. The obtained results demonstrated that the new SCB based importance measures were superior to the compared methods in terms of reproducibility and classification accuracy.


Assuntos
Mapeamento Encefálico/métodos , Encéfalo/diagnóstico por imagem , Aprendizado de Máquina , Imageamento por Ressonância Magnética/métodos , Algoritmos , Mapeamento Encefálico/tendências , Humanos , Aprendizado de Máquina/tendências , Imageamento por Ressonância Magnética/tendências , Reprodutibilidade dos Testes , Máquina de Vetores de Suporte/tendências
4.
Sensors (Basel) ; 18(3)2018 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-29494556

RESUMO

The measurement of partial discharge (PD) signals in the radio frequency (RF) range has gained popularity among utilities and specialized monitoring companies in recent years. Unfortunately, in most of the occasions the data are hidden by noise and coupled interferences that hinder their interpretation and renders them useless especially in acquisition systems in the ultra high frequency (UHF) band where the signals of interest are weak. This paper is focused on a method that uses a selective spectral signal characterization to feature each signal, type of partial discharge or interferences/noise, with the power contained in the most representative frequency bands. The technique can be considered as a dimensionality reduction problem where all the energy information contained in the frequency components is condensed in a reduced number of UHF or high frequency (HF) and very high frequency (VHF) bands. In general, dimensionality reduction methods make the interpretation of results a difficult task because the inherent physical nature of the signal is lost in the process. The proposed selective spectral characterization is a preprocessing tool that facilitates further main processing. The starting point is a clustering of signals that could form the core of a PD monitoring system. Therefore, the dimensionality reduction technique should discover the best frequency bands to enhance the affinity between signals in the same cluster and the differences between signals in different clusters. This is done maximizing the minimum Mahalanobis distance between clusters using particle swarm optimization (PSO). The tool is tested with three sets of experimental signals to demonstrate its capabilities in separating noise and PDs with low signal-to-noise ratio and separating different types of partial discharges measured in the UHF and HF/VHF bands.

5.
Sensors (Basel) ; 17(11)2017 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-29140267

RESUMO

The measurement of the emitted electromagnetic energy in the UHF region of the spectrum allows the detection of partial discharges and, thus, the on-line monitoring of the condition of the insulation of electrical equipment. Unfortunately, determining the affected asset is difficult when there are several simultaneous insulation defects. This paper proposes the use of an independent component analysis (ICA) algorithm to separate the signals coming from different partial discharge (PD) sources. The performance of the algorithm has been tested using UHF signals generated by test objects. The results are validated by two automatic classification techniques: support vector machines and similarity with class mean. Both methods corroborate the suitability of the algorithm to separate the signals emitted by each PD source even when they are generated by the same type of insulation defect.

6.
Med Image Anal ; 18(3): 435-48, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24556078

RESUMO

In the present study we applied a multivariate feature selection method based on the analysis of the sign consistency of voxel weights across bagged linear Support Vector Machines (SVMs) with the aim of detecting brain regions relevant for the discrimination of subjects with obsessive-compulsive disorder (OCD, n=86) from healthy controls (n=86). Each participant underwent a structural magnetic resonance imaging (sMRI) examination that was pre-processed in Statistical Parametric Mapping (SPM8) using the standard pipeline of voxel-based morphometry (VBM) studies. Subsequently, we applied our multivariate feature selection algorithm, which also included an L2 norm regularization to account for the clustering nature of MRI data, and a transduction-based refinement to further control overfitting. Our approach proved to be superior to two state-of-the-art feature selection methods (i.e., mass-univariate t-Test selection and recursive feature elimination), since, following the application of transductive refinement, we obtained a lower test error rate of the final classifier. Importantly, the regions identified by our method have been previously reported to be altered in OCD patients in studies using traditional brain morphometry methods. By contrast, the discrimination patterns obtained with the t-Test and the recursive feature elimination approaches extended across fewer brain regions and included fewer voxels per cluster. These findings suggest that the feature selection method presented here provides a more comprehensive characterization of the disorder, thus yielding not only a superior identification of OCD patients on the basis of their brain anatomy, but also a discrimination map that incorporates most of the alterations previously described to be associated with the disorder.


Assuntos
Inteligência Artificial , Mapeamento Encefálico/métodos , Encéfalo/patologia , Interpretação de Imagem Assistida por Computador/métodos , Rede Nervosa/patologia , Transtorno Obsessivo-Compulsivo/patologia , Adulto , Algoritmos , Feminino , Humanos , Aumento da Imagem/métodos , Imageamento por Ressonância Magnética/métodos , Masculino , Reconhecimento Automatizado de Padrão/métodos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
7.
IEEE Trans Pattern Anal Mach Intell ; 31(7): 1325-31, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19443928

RESUMO

We review the existing alternatives for defining model-based distances for clustering sequences and propose a new one based on the Kullback-Leibler divergence. This distance is shown to be especially useful in combination with spectral clustering. For improved performance in real-world scenarios, a model selection scheme is also proposed.


Assuntos
Algoritmos , Inteligência Artificial , Armazenamento e Recuperação da Informação/métodos , Reconhecimento Automatizado de Padrão/métodos , Análise de Sequência/métodos , Análise por Conglomerados , Simulação por Computador , Modelos Estatísticos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
8.
Neural Netw ; 16(7): 1039-57, 2003 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-14692638

RESUMO

An evaluation of distributed learning as a means to attenuate the category proliferation problem in Fuzzy ARTMAP based neural systems is carried out, from both qualitative and quantitative points of view. The study involves two original winner-take-all (WTA) architectures, Fuzzy ARTMAP and FasArt, and their distributed versions, dARTMAP and dFasArt. A qualitative analysis of the distributed learning properties of dARTMAP is made, focusing on the new elements introduced to endow Fuzzy ARTMAP with distributed learning. In addition, a quantitative study on a selected set of classification problems points out that problems have to present certain features in their output classes in order to noticeably reduce the number of recruited categories and achieve an acceptable classification accuracy. As part of this analysis, distributed learning was successfully adapted to a member of the Fuzzy ARTMAP family, FasArt, and similar procedures can be used to extend distributed learning capabilities to other Fuzzy ARTMAP based systems.


Assuntos
Lógica Fuzzy , Aprendizagem , Redes Neurais de Computação , Software , Aprendizagem/fisiologia
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