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Interpretable gene expression classifier with an accurate and compact fuzzy rule base for microarray data analysis.

An accurate classifier with linguistic interpretability using a small number of relevant genes is beneficial to microarray data analysis and development of inexpensive diagnostic tests. Several frequently used techniques for designing classifiers of microarray data, such as support vector machine, neural networks, k-nearest neighbor, and logistic regression model, suffer from low interpretabilities. This paper proposes an interpretable gene expression classifier (named iGEC) with an accurate and compact fuzzy rule base for microarray data analysis. The design of iGEC has three objectives to be simultaneously optimized: maximal classification accuracy, minimal number of rules, and minimal number of used genes. An "intelligent" genetic algorithm IGA is used to efficiently solve the design problem with a large number of tuning parameters. The performance of iGEC is evaluated using eight commonly-used data sets. It is shown that iGEC has an accurate, concise, and interpretable rule base (1.1 rules per class) on average in terms of test classification accuracy (87.9%), rule number (3.9), and used gene number (5.0). Moreover, iGEC not only has better performance than the existing fuzzy rule-based classifier in terms of the above-mentioned objectives, but also is more accurate than some existing non-rule-based classifiers.

Algorithms↗

Accurate prediction of enzyme subfamily class using an adaptive fuzzy k-nearest neighbor method.

Amphiphilic pseudo-amino acid composition (Am-Pse-AAC) with extra sequence-order information is a useful feature for representing enzymes. This study first utilizes the k-nearest neighbor (k-NN) rule to analyze the distribution of enzymes in the Am-Pse-AAC feature space. This analysis indicates the distributions of multiple classes of enzymes are highly overlapped. To cope with the overlap problem, this study proposes an efficient non-parametric classifier for predicting enzyme subfamily class using an adaptive fuzzy r-nearest neighbor (AFK-NN) method, where k and a fuzzy strength parameter m are adaptively specified. The fuzzy membership values of a query sample Q are dynamically determined according to the position of Q and its weighted distances to the k nearest neighbors. Using the same enzymes of the oxidoreductases family for comparisons, the prediction accuracy of AFK-NN is 76.6%, which is better than those of Support Vector Machine (73.6%), the decision tree method C5.0 (75.4%) and the existing covariant-discriminate algorithm (70.6%) using a jackknife test. To evaluate the generalization ability of AFK-NN, the datasets for all six families of entirely sequenced enzymes are established from the newly updated SWISS-PROT and ENZYME database. The accuracy of AFK-NN on the new large-scale dataset of oxidoreductases family is 83.3%, and the mean accuracy of the six families is 92.1%.

Algorithms↗

Fuzzy modeling in symptomatic HIV virus infected population.

This paper introduces a model for the evolution of positive HIV population and manifestation of AIDS (acquired immunideficiency syndrome). The focus is on the nature of the transference rate of HIV to AIDS. Expert knowledge indicates that the transference rate is uncertain and depends strongly on the viral load and the CD4+ level of the infected individuals. Here, we suggest to view the transference rate as a fuzzy set of the viral load and CD4+ level values. In this case the dynamic model results in a fuzzy model that preserves the biological meaning and nature of the transference rate lambda. Its behavior fits the natural history of HIV infection reported in the medical science domain. The paper also includes a comparison between the fuzzy model and a classic Anderson's model using data reported in the literature.

Acquired Immunodeficiency Syndrome↗

Fuzzy QSARs for predicting logKoc of persistent organic pollutants.

Fuzzy regression methodology has been employed in this study to develop a relationship for logKoc for persistent organic pollutants (POPs) using other property and molecular descriptors. Fuzzy regression is distinct from statistical regression and is used to characterize the imprecision arising from limited data and/or incomplete model descriptions. The study is based on the premise that statistically based QSARs do not fully account for all the sorbate-sorbent interactions pertinent to the partitioning of POPs and as such these relationships have inherent fuzziness associated with them. A comparison between the statistical and fuzzy logKow-logKoc relationship indicated that the fuzzy regression model enveloped all scatter in the data and provided a tighter fit around the mid-point values (least-square estimates). In addition, fuzzy regression was also employed to characterize imprecision associated with a three parameter QSAR that employs molecular connectivity indicies. A comparison between fuzzy and statistical regression analysis indicated that the fuzziness in this model was primarily associated with characterization of local (atomic) scale interactions while statistical randomness manifested at both local and global (molecular) scales. Experimental and estimation artifacts appear to have a higher impact on statistical regression than fuzzy regression. However, the superiority of the fuzzy regression seems to diminish with increasing correlation between the inputs and the output variable.

Environmental Pollutants↗

Quantifying agitation in sedated ICU patients using digital imaging.

Agitation is a significant problem in the Intensive Care Unit (ICU), affecting 71% of sedated adult patients during 58% of ICU patient-days. Subjective scale based assessment-methods focused primarily on assessing excessive patient motion are currently used to assess the level of patient agitation, but are limited in their accuracy and resolution. This research quantifies this approach by developing an objective agitation measurement from patient motion that is sensed using digital video image processing. A fuzzy inference system (FIS) is developed to classify levels of motion that correlate with observed patient agitation, while accounting for motion due to medical staff working on the patient. Clinical tests for five ICU patients have been performed to verify the validity of this approach in comparison to agitation graded by nursing staff using the Riker Sedation-Agitation Scale (SAS). All trials were performed in the Christchurch Hospital Department of Intensive Care, with ethics approval from the Canterbury Ethics Committee. Results show good correlation with medical staff assessment with no false positive results during calm periods. Clinically, this initial agitation measurement method promises the ability to consistently and objectively quantify patient agitation to enable better management of sedation and agitation through optimised drug delivery leading to reduced length of stay and improved outcome.

Procedural Sedation↗

A diagnostic reasoning and optimal treatment model for bacterial infections with fuzzy information.

This study proposes an optimization model for optimal treatment of bacterial infections. Using an influence diagram as the knowledge and decision model, we can conduct two kinds of reasoning simultaneously: diagnostic reasoning and treatment planning. The input information of the reasoning system are conditional probability distributions of the network model, the costs of the candidate antibiotic treatments, the expected effects of the treatments, and extra constraints regarding belief propagation. Since the prevalence of the pathogens and infections are determined by many site-by-site factors, which are not compliant with conventional approaches for approximate reasoning, we introduce fuzzy information. The output results of the reasoning model are the likelihood of a bacterial infection, the most likely pathogen(s), the suggestion of optimal treatment, the gain of life expectancy for the patient related to the optimal treatment, the probability of coverage associated with the antibiotic treatment, and the cost-effect analysis of the treatment prescribed.

Anti-Bacterial Agents↗

Intelligent classification of electrocardiogram (ECG) signal using extended Kalman Filter (EKF) based neuro fuzzy system.

This study presents the development of a hybrid system consisting of an ensemble of Extended Kalman Filter (EKF) based Multi Layer Perceptron Network (MLPN) and a one-pass learning Fuzzy Inference System using Look-up Table Scheme for the recognition of electrocardiogram (ECG) signals. This system can distinguish various types of abnormal ECG signals such as Ventricular Premature Cycle (VPC), T wave inversion (TINV), ST segment depression (STDP), and Supraventricular Tachycardia (SVT) from normal sinus rhythm (NSR) ECG signal.

Algorithms↗

A neuro-fuzzy inference system for modeling and prediction of heart rate variability in the neuro-intensive care unit.

In the neurological intensive care unit (NICU), prediction of impending changes in patient condition would be highly beneficial. In this paper, we employ a neuro-fuzzy inference system (NFIS) for short-term prediction of heart rate variability in the NICU. An NFIS was selected because it allows for a "gray-box" approach through which a system identification procedure is used in conjunction with fuzzy modeling. The NFIS is described in detail and is compared to an auto-regressive moving average (ARMA) model for its ability to model both simulated and measured data from NICU patients. We found that the NFIS is capable of predicting changes in heart rate to a reasonable extent, and that the NFIS has both advantages and limitations over the ARMA model. The NFIS may therefore be a reasonable technique to consider for more extensive prediction purposes in ICU settings.

Blood Pressure↗

A fuzzy clustering neural network architecture for classification of ECG arrhythmias.

Accurate and computationally efficient means of classifying electrocardiography (ECG) arrhythmias has been the subject of considerable research effort in recent years. This study presents a comparative study of the classification accuracy of ECG signals using a well-known neural network architecture named multi-layered perceptron (MLP) with backpropagation training algorithm, and a new fuzzy clustering NN architecture (FCNN) for early diagnosis. The ECG signals are taken from MIT-BIH ECG database, which are used to classify 10 different arrhythmias for training. These are normal sinus rhythm, sinus bradycardia, ventricular tachycardia, sinus arrhythmia, atrial premature contraction, paced beat, right bundle branch block, left bundle branch block, atrial fibrillation and atrial flutter. For testing, the proposed structures were trained by backpropagation algorithm. Both of them tested using experimental ECG records of 92 patients (40 male and 52 female, average age is 39.75 +/- 19.06). The test results suggest that a new proposed FCNN architecture can generalize better than ordinary MLP architecture and also learn better and faster. The advantage of proposed structure is a result of decreasing the number of segments by grouping similar segments in training data with fuzzy c-means clustering.

Adult↗

Continuous non-invasive blood pressure monitoring using concentrically interlocking control loops.

A new method and apparatus for non-disruptive blood pressure (BP) recording in the finger based on the vascular unloading technique is introduced. The instrument, in contrast to intermittent set point readjustments of the conventional vascular unloading technique, delivers BP without interruptions, thus refining the Penáz' principle. The method is based on concentrically interlocking control loops for correct long-term tracing of finger BP, including automatic set point adaptation, light control and separate inlet and outlet valves for electro-pneumatic control. Examples of long-term BP recordings at rest and during autonomic function tests illustrate the potential of the new instrument.

Blood Pressure Monitors↗

Similarity classifier with generalized mean applied to medical data.

A new approach based on fuzzy similarity was presented for the detection of erythemato-squamous diseases, diabetes, liver disorders, breast cancer and thyroid. The domain contained records of patients with known diagnoses. The results were very promising with all data sets and some conclusions can be drawn that a fuzzy similarity model can be used for the diagnosis of patients taking into consideration the error rate. A fuzzy similarity classifier was used to detect the six erythemato-squamous diseases when 34 features defining six disease indications were used as inputs. The results confirmed that the proposed model has potential in detecting erythemato-squamous diseases. The fuzzy similarity model achieved accuracy rates (over 97%) which were higher than that of the stand-alone neural network model or the ANFIS model suggested in [E.D. Ubeyli, I. Güler, Comput. Biol. Med. 35(5) (2005) 421-433]. With PIMA Indian diabetes, the detection model has an error rate of about 25% which is much better than the overall rate of 33% for diabetes. The model was also tested with other data sets: thyroid and two breast cancer data sets where the average detection accuracy was over 96% for all cases, which is quite good. Also, the liver disorder data set gave promising results.

Algorithms↗

Advances in classification of EEG signals via evolving fuzzy classifiers and dependant multiple HMMs.

Two novel approaches to the problem of brain signals (electroencephalogram (EEG)) classification are introduced in the paper. The first method is based on a modular probabilistic network architecture that employs multiple dependant hidden Markov models (DM-HMM-D) on the input features (channels). The second method, eClass, is based on an on-line evolvable fuzzy rule base of EEG signal prototypes that represent each class and take into consideration the spatial proximity between input signals. Both approaches use supervised learning but differ in their mode of operation. eClass is designed recursively, on-line, and has an evolvable structure, while DM-HMM-D is trained off-line, in a block-based mode, and has a fixed architecture. Both methods have been extensively tested on real EEG data that is recorded during several experimental sessions involving a single female subject who is exposed to mild pain induced by a laser beam. Experimental results illustrate the viability of the proposed approaches and their potential in solving similar classification problems.

Adult↗

A dynamic fuzzy neural filter for separation of discontinuous adventitious sounds from vesicular sounds.

This paper presents a recurrent filter that performs real-time separation of discontinuous adventitious sounds from vesicular sounds. The filter uses two Dynamic Fuzzy Neural Networks, operating in parallel, to perform the task of separation of the lung sounds, obtained from patients with pulmonary pathology. Extensive experimental results, including fine/coarse crackles and squawks, are given, and a performance comparison with a series of other models is conducted, underlining the separation capabilities of the proposed filter and its improved performance with respect to its competing rivals.

Algorithms↗

A new hybrid method based on fuzzy-artificial immune system and k-nn algorithm for breast cancer diagnosis.

The use of machine learning tools in medical diagnosis is increasing gradually. This is mainly because the effectiveness of classification and recognition systems has improved in a great deal to help medical experts in diagnosing diseases. Such a disease is breast cancer, which is a very common type of cancer among woman. As the incidence of this disease has increased significantly in the recent years, machine learning applications to this problem have also took a great attention as well as medical consideration. This study aims at diagnosing breast cancer with a new hybrid machine learning method. By hybridizing a fuzzy-artificial immune system with k-nearest neighbour algorithm, a method was obtained to solve this diagnosis problem via classifying Wisconsin Breast Cancer Dataset (WBCD). This data set is a very commonly used data set in the literature relating the use of classification systems for breast cancer diagnosis and it was used in this study to compare the classification performance of our proposed method with regard to other studies. We obtained a classification accuracy of 99.14%, which is the highest one reached so far. The classification accuracy was obtained via 10-fold cross validation. This result is for WBCD but it states that this method can be used confidently for other breast cancer diagnosis problems, too.

Algorithms↗

An automated feature extraction and emboli detection system based on the PCA and fuzzy sets.

The Doppler ultrasound technique is commonly used to detect emboli in the cerebral circulation. Here an automated feature extraction and emboli detection system is proposed based on the principal components analysis (PCA) and fuzzy sets. In the system, two features, R(ry) and k, are extracted by the PCA method. Meanwhile, MMR and sigma(f min) are obtained with the traditional temporal processing and spectrogram analysis, respectively. Normal blood flow signals are firstly distinguished from abnormal signals by MMR. Then signals containing emboli and disturbance noises are further differentiated by other features based on fuzzy sets. From experiments with computer-simulated and clinical Doppler ultrasound signals, it is shown that features extracted from the PCA method achieve better classification performance than those of traditional methods. The fuzzy-based detection system not only obtains high classification accuracy but is more applicable in clinical diagnosis.

Computer Simulation↗

Similarity classifier using similarity measure derived from Yu's norms in classification of medical data sets.

A new approach using a similarity measure based on Yu's norms is presented for the detection of erythemato-squamous diseases, diabetes, breast cancer, lung cancer and lymphography. The domain contains records of patients with known diagnoses. The results are very promising with all data sets and (in conclusion, can be drawn that) a similarity model derived from Yu's norms could be used for the diagnosis of patients taking into consideration the error rate. A similarity classifier derived from Yu's norms was used to detect the six erythemato-squamous diseases when 34 features defining six disease indications were used as inputs. The results confirmed that the proposed model has potential in detecting the erythemato-squamous diseases. The similarity model derived from Yu's norms achieved an accuracy rate (97.8%) which was higher than that of the stand-alone neural network model or the ANFIS model suggested in Ubeyli and Güler [Automatic detection of erythemato-squamous diseases using adaptive neuro-fuzzy inference systems, Comput. Biol. Med. 35 (2005) 421-433] or the similarity model based on Łukasiewicz similarity [Luukka and Leppälampi, Similarity classifier with generalized mean applied to medical data, Comput. Biol. Med. 36 (2006) 1026-1040]. With PIMA Indian diabetes, the detection model has an error rate of about 24% which is much better than the overall rate of 33% for diabetes. Also, a classifier was applied to the lung cancer data set and the results were to my knowledge better than before. When the lung cancer data were preprocessed with an entropy minimization technique and the classifier with similarity based on Yu's norm was applied, 99.99% accuracy was achieved. The use of this preprocessing method enhanced the results over 30%. In lymphography, entropy minimization also enhanced the results remarkably and 86.2% accuracy was achieved.

Breast Neoplasms↗

A study on fuzzy C-means clustering-based systems in automatic spike detection.

In this study, different systems based on the fuzzy C-means (FCM) clustering algorithm are utilized for the detection of epileptic spikes in electroencephalogram (EEG) records. The systems are constructed as either single or two-stages. In contrast to single-stage systems, the two-stage system comprises a pre-classifier stage realized by a neural network. The FCM based two-stage system is also compared to a similar system implemented using the K-means clustering algorithm. The results imply that an FCM based two-stage system should be preferred as the spike detection system.

Algorithms↗

3D airway segmentation via hyperpolarized 3He gas MRI by using scale-based fuzzy connectedness.

Computerized segmentation of 3D tracheobronchial tree is a necessary first step for subsequent registration and analysis of pulmonary airway and vascular magnetic resonance (MR) images obtained by using hyperpolarized 3Helium gas and Gadolinium. The scientific and clinical implications of acquiring these data on the tracheobronchial tree (for studying ventilation, V) and on the coinciding pulmonary arterioles (for studying perfusion, Q), is the next frontier for static and dynamic pulmonary MRI. In this paper, we report an airway segmentation method from 3He MR images based on the scale-based fuzzy connectedness approach. Incorporated in this method are the pre-processing steps of inhomogeneity correction and intensity standardization. The basic sequential steps in the proposed airway segmentation method are: (1) image acquisition, (2) radio frequency field inhomogeneity correction, (3) standardization of MR image intensity scale, (4) seed specification, (5) scale-based fuzzy connected segmentation of airways, and (6) thresholding and binarization. The majority of these steps are automatically executed; others allow interaction through a graphical interface provided in the 3DVIEWNIX software system, in which the algorithms are implemented. The method achieves an overall precision of about 98% in terms of the extent of overlap in repeated segmentations. Its level of accuracy can be described by a true positive volume fraction of about 98% (considering manual delineation as the surrogate of true delineation), and a false negative and positive volume fraction of about 1%. The total operator and computational time required per study are on the average 2 and 20 min.

Bronchi↗