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Comparison of linear and nonlinear classification algorithms for the prediction of drug and chemical metabolism by human UDP-glucuronosyltransferase isoforms.

Partial least squares discriminant analysis (PLSDA), Bayesian regularized artificial neural network (BRANN), and support vector machine (SVM) methodologies were compared by their ability to classify substrates and nonsubstrates of 12 isoforms of human UDP-glucuronosyltransferase (UGT), an enzyme "superfamily" involved in the metabolism of drugs, nondrug xenobiotics, and endogenous compounds. Simple two-dimensional descriptors were used to capture chemical information. For each data set, 70% of the data were used for training, and the remainder were used to assess the generalization performance. In general, the SVM methodology was able to produce models with the best predictive performance, followed by BRANN and then PLSDA. However, a small number of data sets showed either equivalent or better predictability using PLSDA, which may indicate relatively linear relationships in these data sets. All SVM models showed predictive ability (>60% of test set predicted correctly) and five out of the 12 test sets showed excellent prediction (>80% prediction accuracy). These models represent the first use of pattern recognition methods to discriminate between substrates and nonsubstrates of human drug metabolizing enzymes and the first thorough assessment of three classification algorithms using multiple metabolic data sets.

Algorithms↗

[Computer aided diagnosis in chest radiology - current topics and techniques].

The proliferation of digital data sets and the increasing amount of images, e. g. through the use of multislice spiral CT or multiple follow-up examinations in the context of new therapies, are ideal prerequisites for computer-aided diagnosis (CAD) in chest radiology. Multiple studies have described the applications and advantages of computer assistance in performing different diagnostic tasks. More powerful computers will enable the introduction of these systems into the clinical routine and could provide an enormous increase in morphological and functional information. The commercial introduction of tools for detection and visualization of pulmonary nodules has already begun. This is one of the most widely-reported applications in view of the ongoing studies on lung cancer screening. The next generation of tools will improve the diagnosis of emphysema through detection, quantification and classification. Many more uses are being developed, for instance the detection and classification of infiltrates, volume measurements or functional pulmonary imaging (e. g. dynamic ventilation CT or (3)Helium-MRI). Grossly simplified, most systems use a three level structure consisting of segmentation/feature extraction, classification of extracted features and an output unit. The output can be mere visualization through color-coding, volume measurements or calculated probabilities. The output supports the radiologist in establishing his findings and preparing differential and final diagnoses as well as providing quantitative data for follow-up studies. Different techniques are used for segmentation of lung areas as the basis for a variety of applications. Some commonly-used techniques for this and other tasks are density masks and threshold-based algorithms. Data processing is predominantly carried out with Bayesian classifiers or neural networks. This article describes the current status of research and provides insight into the common schemes and capabilities of the systems. It focuses particularly on common topics such as segmentation, volume measurement, detection of pulmonary nodules, quantification of emphysema and analysis of ground glass opacities.

Diagnosis, Computer-Assisted↗

Myocarditis related to clozapine treatment.

Myocarditis has in several case reports been associated with use of clozapine. Eight cases of myocarditis during treatment with clozapine that were submitted to the Swedish Adverse Drug Reaction Advisory Committee and 18 cases that were reported in the literature are summarized. As part of the routine signal detection process on the World Health Organization (WHO) Program on International Drug Monitoring database, which contains more than two million case reports of spontaneously reported suspected adverse drug reactions, a Bayesian confidence propagation neural network (BCPNN) is used. This article also shows the retrospective output of the BCPNN over time for clozapine and myocarditis and discusses its implications. In 19 (79%; duration of treatment not stated for 2 patients) of 24 patients with myocarditis, the symptoms occurred within the first 6 weeks of clozapine treatment. Many patients shared a similar clinical course, with symptoms such as an influenza-like illness, fever, sinus tachycardia, hypotension, chest discomfort, and heart failure. The reaction was fatal in 12 (46%) of these patients. The other patients generally had a prompt recovery. By using the BCPNN technique, a quantitative association between clozapine and myocarditis was demonstrated, and the association might have been high-lighted for clinical review in 1994 had this BCPNN method been in use at the WHO center at the time. Myocarditis seems to be a rare and potentially lethal adverse effect of clozapine. Admittance for observation, interruption of the clozapine treatment, and treatment with corticosteroids should be considered for patients in whom this reaction is suspected.

Adult↗

Hepatic injury and pancreatitis during treatment with serotonin reuptake inhibitors: data from the World Health Organization (WHO) database of adverse drug reactions.

Severe hepatic adverse drug reactions have been occasionally reported in the literature for the selective serotonin reuptake inhibitors (SSRIs), venlafaxine and nefazodone. In addition, a few case reports have suggested a possible association between SSRI treatment and pancreatitis. To further investigate this issue, a Bayesian confidence propagation neural network (BCPNN) method was applied on the World Health Organization database of adverse drug reactions. This method identifies whether a drug/adverse drug reaction combination is reported more frequently to the database than expected on the basis of chance alone compared to general reporting in the database. A statistically significant unexpected high number of reports were found for nefazodone and hepatic injury, relative to the generality of the dataset but, for the other drug/adverse drug reaction combinations, no such association was found. The nefazodone finding is in accordance with data from other publications, suggesting that the risk of hepatic injury is increased. However, because of the nature of the BCPNN, the negative findings do not necessarily prove that there is no excess risk for hepatic injury/pancreatitis during treatment with drugs other than nefazodone. Further studies are required using alternative methodologies to demonstrate whether the selective serotonin reuptake inhibitors or venlafaxine may cause hepatic injury or pancreatitis.

Adverse Drug Reaction Reporting Systems↗

Hierarchical Bayesian modeling of spatially correlated health service outcome and utilization rates.

We present Bayesian hierarchical spatial models for spatially correlated small-area health service outcome and utilization rates, with a particular emphasis on the estimation of both measured and unmeasured or unknown covariate effects. This Bayesian hierarchical model framework enables simultaneous modeling of fixed covariate effects and random residual effects. The random effects are modeled via Bayesian prior specifications reflecting spatial heterogeneity globally and relative homogeneity among neighboring areas. The model inference is implemented using Markov chain Monte Carlo methods. Specifically, a hybrid Markov chain Monte Carlo algorithm (Neal, 1995, Bayesian Learning for Neural Networks; Gustafson, MacNab, and Wen, 2003, Statistics and Computing, to appear) is used for posterior sampling of the random effects. To illustrate relevant problems, methods, and techniques, we present an analysis of regional variation in intraventricular hemorrhage incidence rates among neonatal intensive care unit patients across Canada.

Bayes Theorem↗

Manifold stochastic dynamics for Bayesian learning.

We propose a new Markov Chain Monte Carlo algorithm, which is a generalization of the stochastic dynamics method. The algorithm performs exploration of the state-space using its intrinsic geometric structure, which facilitates efficient sampling of complex distributions. Applied to Bayesian learning in neural networks, our algorithm was found to produce results comparable to the best state-of-the-art method while consuming considerably less time.

Journal Article↗

Evidence for recent gene flow between north-eastern and south-eastern Madagascan poison frogs from a phylogeography of the Mantella cowani group.

BACKGROUND: The genus Mantella, endemic poison frogs of Madagascar with 16 described species, are known in the field of international pet trade and entered under the CITES control for the last four years. The phylogeny and phylogeography of this genus have been recently subject of study for conservation purposes. Here we report on the studies of the phylogeography of the Mantella cowani group using a fragment of 453 bp of the mitochondrial cytochrome b gene from 195 individuals from 21 localities. This group is represented by five forms: M. cowani, a critically endangered species, a vulnerable species, M. haraldmeieri, and the non-threatened M. baroni, M. aff. baroni, and M. nigricans. RESULTS: The Bayesian phylogenetic and haplotype network analyses revealed the presence of three separated haplotype clades: (1) M. baroni, M. aff. baroni, M. nigricans, and putative hybrids of M. cowani and M. baroni, (2) M. cowani and putative hybrids of M. cowani and M. baroni, and (3) M. haraldmeieri. The putative hybrids were collected from sites where M. cowani and M. baroni live in sympatry. CONCLUSION: These results suggest (a) a probable hybridization between M. cowani and M. baroni, (b) a lack of genetic differentiation between M. baroni/M. aff. baroni and M. nigricans, (c) evidence of recent gene-flow between the northern (M. nigricans), eastern (M. baroni), and south-eastern (M. aff. baroni) forms of distinct coloration, and (d) the existence of at least three units for conservation in the Mantella cowani group.

Journal Article↗

Glucose intolerance with atypical antipsychotics.

BACKGROUND: Previous studies have suggested that the atypical antipsychotics clozapine and olanzapine may be associated with an increased risk of glucose intolerance and diabetes mellitus. Early studies have also suggested an association between use of conventional antipsychotics and the development of glucose intolerance. OBJECTIVE: To examine quantitatively the association between glucose intolerance including diabetes mellitus and the use of the atypical antipsychotics clozapine, olanzapine or risperidone, and to identify possible risk factors for the development of glucose intolerance during treatment with these drugs. METHODS: All reports suggestive of glucose intolerance for clozapine, olanzapine and risperidone were identified in the WHO database for adverse drug reactions. In the analyses of possible risk factors for glucose intolerance all other reports of adverse drug reactions for clozapine, olanzapine and risperidone were used as reference. Using the Bayesian Confidence Propagation Neural Network method, the strengths of the associations over time between glucose intolerance and the use of these drugs were analysed. For comparison, the strengths of the associations between glucose intolerance and the use of the conventional antipsychotics haloperidol and chlorpromazine were also analysed. RESULTS: Clozapine, olanzapine and risperidone were significantly associated with glucose intolerance. In contrast, chlorpromazine and haloperidol were not associated with glucose intolerance. For clozapine, olanzapine and risperidone grouped together, the following potential risk factors for glucose intolerance were identified: an underlying diabetic condition (odds ratio [OR] 10.22, 95% CI 8.20-12.73), an increase in weight (OR 2.36, 95% CI 1.76-3.17), male gender (OR 1.27, 95% CI 1.11-1.47), and concomitant use of valproic acid (OR 1.97, 95% CI 1.61-2.40), selective serotonin reuptake inhibitors (OR 1.63, 95% CI 1.33-1.99) or buspirone (OR 2.24, 95% CI 1.33-3.77). CONCLUSION: Treatment with clozapine, olanzapine or risperidone appears to be associated with an increased risk of glucose intolerance.

Adverse Drug Reaction Reporting Systems↗

Quantitative methods in pharmacovigilance: focus on signal detection.

Pharmacovigilance serves to detect previously unrecognised adverse events associated with the use of medicines. The simplest method for detecting signals of such events is crude inspection of lists of spontaneously reported drug-event combinations. Quantitative and automated numerator-based methods such as Bayesian data mining can supplement or supplant these methods. The theoretical basis and limitations of these methods should be understood by drug safety professionals, and automated methods should not be automatically accepted. Published evaluations of these techniques are mainly limited to large regulatory databases, and performance characteristics may differ in smaller safety databases of drug developers. Head-to-head comparisons of the major techniques have not been published. Regardless of previous statistical training, pharmacovigilance practitioners should understand how these methods work. The mathematical basis of these techniques should not obscure the numerous confounders and biases inherent in the data. This article seeks to make automated signal detection methods transparent to drug safety professionals of various backgrounds. This is accomplished by first providing a brief overview of the evolution of signal detection followed by a series of sections devoted to the methods with the greatest utilisation and evidentiary support: proportional reporting rations, the Bayesian Confidence Propagation Neural Network and empirical Bayes screening. Sophisticated yet intuitive explanations are provided for each method, supported by figures in which the underlying statistical concepts are explored. Finally the strengths, limitations, pitfalls and outstanding unresolved issues are discussed. Pharmacovigilance specialists should not be intimidated by the mathematics. Understanding the theoretical basis of these methods should enhance the effective assessment and possible implementation of these techniques by drug safety professionals.

Adverse Drug Reaction Reporting Systems↗

Nuclear grading of breast carcinoma by image analysis. Classification by multivariate and neural network analysis.

The use of nuclear grade as a prognostic indicator for breast carcinoma has been limited by interobserver variability. Advances in image analysis and automated cell classification offer one approach to this problem. The authors used the CAS-100 (Cell Analysis System. Elmhurst, IL) system to measure and analyze nuclear morphometric and texture features of cytologic preparations from 35 breast carcinomas (well, moderate, and poorly differentiated) as well as benign lesions. Morphometric and Markovian texture feature data from breast cancer nuclei of various grades comprised a training set, which was then used to establish classification criteria by multivariate (Bayesian) analysis and to train a neural network system. Both systems were tested for the ability to classify the nuclear grade of individual nuclei. There was good agreement between computer classification and the grade assigned by human observer to individual nuclei using either Bayesian or neural network analysis. Thirty-one unknown cases, which were assigned an overall grade by an observer, were then analyzed by computer, and an overall grade assigned based on the grade of nucleus most frequently present. Using this method, both classification systems were able to assign a "correct" grade to low-grade lesions (approximately 70% correct) more often than to high-grade tumors (approximately 20%). Difficulty in computer assignment of high-grade tumors was explained by nuclear heterogeneity in these tumors (i.e., although the percentage of high-grade nuclei was increased compared with that of low-grade tumors, high-grade nuclei frequently did not predominate). The authors present this study to demonstrate the feasibility of using image analysis as an objective means of nuclear grading. Further studies will be needed to establish criteria for assigning overall nuclear grade based on computer analysis of imaging data.

Artificial Intelligence↗

Estimating UV erythemal irradiance by means of neural networks.

In recent years, there has been a substantial increase in attempts to model the flux of ultraviolet radiation (UV). UV irradiance at surface level is a result of the combined effects of solar zenith angle, surface elevation, cloud cover, aerosol load and optical properties, surface albedo and the vertical profile of ozone. In this study, we present the development of an artificial neural network (ANN) model that can be used to estimate solar UV irradiance on the basis of optical air mass, ozone columnar content, latitude, horizontal visibility data and cloud information such as type, coverage and height. ANN are widely accepted as a technology offering an alternative way to tackle complex and ill-defined problems. They can learn from examples, are fault tolerant in the sense that they are able to handle noisy and incomplete data, are able to deal with nonlinear problems and, once trained, can perform prediction and generalization at high speed. In this study, a multilayer perceptron network (MLP) consisting of an input layer, an output layer and one hidden layer was used. Training of the neural network was done using the Bayesian regulation back propagation algorithm. The study was developed using data from three stations on the Iberian Peninsula: Madrid and Murcia during the period 2000-2001 and Zaragoza in 2001. To train and validate the MPL neural networks, independent subsets of data were extracted from the complete database at each station. The results suggest that a MLP neural network using optical air mass, ozone columnar content, latitude and total cloud coverage provides the best estimates, with mean bias deviation and root mean square deviation of -0.1% and 18.0%, 1.6% and 19.6%, 0.1% and 14.6% at Madrid, Murcia and Zaragoza, respectively. Despite the dependence of the cloud radiative effect on cloud type, the use of additional information such as cloud type or cloud elevation did not improve these results. The performance of the developed ANN has been checked regarding its ability to estimate the UV index (UVI); results indicate that in more than 95% of the cases, the difference between estimated and measured values does not exceed one unit of UVI.

Journal Article↗

An ischemia detection method based on artificial neural networks.

An automated technique was developed for the detection of ischemic episodes in long duration electrocardiographic (ECG) recordings that employs an artificial neural network. In order to train the network for beat classification, a cardiac beat dataset was constructed based on recordings from the European Society of Cardiology (ESC) ST-T database. The network was trained using a Bayesian regularisation method. The raw ECG signal containing the ST segment and the T wave of each beat were the inputs to the beat classification system and the output was the classification of the beat. The input to the network was produced through a principal component analysis (PCA) to achieve dimensionality reduction. The network performance in beat classification was tested on the cardiac beat database providing 90% sensitivity (Se) and 90% specificity (Sp). The neural beat classifier is integrated in a four-stage procedure for ischemic episode detection. The whole system was evaluated on the ESC ST-T database. When aggregate gross statistics was used the Se was 90% and the positive predictive accuracy (PPA) 89%. When aggregate average statistics was used the Se became 86% and the PPA 87%. These results are better than other reported.

Automation↗

A discrete firing event analysis of the adaptive cluster expansion network.

This paper describes how a hierarchical network for encoding sensor data (the adaptive cluster expansion network) can be constructed by linking together a number of elementary modules, each of which is a simple two-layer encoder/decoder network. To achieve this goal, a Bayesian analysis is applied to the discrete neural firing events that occur within each layer of the network.

Journal Article↗

Spatio-temporal modeling and analysis of fMRI data using NARX neural network.

This paper presents spatio-temporal modeling and analysis methods to fMRI data. Based on the nonlinear autoregressive with exogenous inputs (NARX) model realized by the Bayesian radial basis function (RBF) neural networks, two methods (NARX-1 and NARX-2) are proposed to capture the unknown complex dynamics of the brain activities. Simulation results on both synthetic and real fMRI data clearly show that the proposed schemes outperform the conventional t-test method in detecting the activated regions of the brain.

Bayes Theorem↗

Design, construction and evaluation of systems to predict risk in obstetrics.

We present a systematic, practical approach to developing risk prediction systems, suitable for use with large databases of medical information. An important part of this approach is a novel feature selection algorithm which uses the area under the receiver operating characteristic (ROC) curve to measure the expected discriminative power of different sets of predictor variables. We describe this algorithm and use it to select variables to predict risk of a specific adverse pregnancy outcome: failure to progress in labour. Neural network, logistic regression and hierarchical Bayesian risk prediction models are constructed, all of which achieve close to the limit of performance attainable on this prediction task. We show that better prediction performance requires more discriminative clinical information rather than improved modelling techniques. It is also shown that better diagnostic criteria in clinical records would greatly assist the development of systems to predict risk in pregnancy.

Algorithms↗

Genetic neural network modeling of the selective inhibition of the intermediate-conductance Ca2+ -activated K+ channel by some triarylmethanes using topological charge indexes descriptors.

Selective inhibition of the intermediate-conductance Ca(2+)-activated K(+ )channel (IK (Ca)) by some clotrimazole analogs has been successfully modeled using topological charge indexes (TCI) and genetic neural networks (GNNs). A neural network monitoring scheme evidenced a highly non-linear dependence between the IK (Ca) blocking activity and TCI descriptors. Suitable subsets of descriptors were selected by means of genetic algorithm. Bayesian regularization was implemented in the network training function with the aim of assuring good generalization qualities to the predictors. GNNs were able to yield a reliable predictor that explained about 97% data variance with good predictive ability. On the contrary, the best multivariate linear equation with descriptors selected by linear genetic search, only explained about 60%. In spite of when using the descriptors from the linear equations to train neural networks yielded higher fitted models, such networks were very unstable and had relative low predictive ability. However, the best GNN BRANN 2 had a Q ( 2 ) of LOO of cross-validation equal to 0.901 and at the same time exhibited outstanding stability when calculating 80 randomly constructed training/test sets partitions. Our model suggested that structural fragments of size three and seven have relevant influence on the inhibitory potency of the studied IK (Ca) channel blockers. Furthermore, inhibitors were well distributed regarding its activity levels in a Kohonen self-organizing map (KSOM) built using the inputs of the best neural network predictor.

Algorithms↗

Modelling techniques and their application for monitoring in high dependency environments--learning models.

This paper reviews the use of learning models including Bayesian classifiers and artificial neural networks in monitoring and interpreting biosignals. Generally learning models applied for analysis of biosignals are "black-box' types trained on the basis of measured signals. It is illustrated that the training and application of learning models more or less follow the same sequences. The main focus is the interpretation of electrical signals from the brain (electroencephalogram (EEG) and evoked potentials (EP)). Current analysis of these signals often reveals sudden changes in the EEG or evoked potentials to be the earliest discernible signs of inadequate perfusion of the brain. They may reflect problems such as systemic arterial oxygen desaturation or hypotension arising from other body system failures during critical illness. It is suggested that these brain signals should be recorded in the critical care unit, and that they should form part of the annotated database of biosignals established during the IMPROVE project. This would allow for the development of new methods for on-line warning of impending damage to the central nervous system, such that corrective actions could be taken before permanent damage occurred.

Auscultation↗

Partial correlation for functional brain interactivity investigation in functional MRI.

Examination of functional interactions through effective connectivity requires the determination of three distinct levels of information: (1) the regions involved in the process and forming the spatial support of the network, (2) the presence or absence of interactions between each pair of regions, and (3) the directionality of the existing interactions. While many methods exist to select regions (Step 1), very little is available to complete Step 2. The two main methods developed so far, structural equation modeling (SEM) and dynamical causal modeling (DCM), usually require precise prior information to be used, while such information is sometimes lacking. Assuming that Step 1 was successfully completed, we here propose a data-driven method to deal with Step 2 and extract functional interactions from fMRI datasets through partial correlations. Partial correlation is more closely related to effective connectivity than marginal correlation and provides a convenient graphical representation for functional interactions. As an instance of brain interactivity investigation, we consider how simple hand movements are processed by the bihemispheric cortical motor network. In the proposed framework, Bayesian analysis makes it possible to estimate and test the partial statistical dependencies between regions without any prior model on the underlying functional interactions. We demonstrate the interest of this approach on real data.

Cerebral Cortex↗