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A Bayesian neural network approach for modelling censored data with an application to prognosis after surgery for breast cancer.

A Bayesian framework is introduced to carry out Automatic Relevance Determination (ARD) in feedforward neural networks to model censored data. A procedure to identify and interpret the prognostic group allocation is also described. These methodologies are applied to 1616 records routinely collected at Christie Hospital, in a monthly cohort study with 5-year follow-up. Two cohort studies are presented, for low- and high-risk patients allocated by standard clinical staging. The results of contrasting the Partial Logistic Artificial Neural Network (PLANN)-ARD model with the proportional hazards model are that the two are consistent, but the neural network may be more specific in the allocation of patients into prognostic groups. With automatic model selection, the regularised neural network is more conservative than the default stepwise forward selection procedure implemented by SPSS with the Akaike Information Criterion.

Bayes Theorem↗

Determination of the diameter distribution of single-wall carbon nanotubes from the Raman G-band using an artificial neural network.

A novel, artificial neural network-based method is now available for obtaining the mean diameter of single wall carbon nanotube (SWCNT) samples from the diameter dispersive features of their Raman G-band. The method is demonstrated here for six different diameter SWCNT samples and 14 different excitation wavelengths. With an adequately large pool of standard nanotube samples, the suggested method is a useful complementary technique for SWCNT diameter analysis as it is capable of rapid diameter evaluation without prior knowledge of the relevant phonon dispersion relations.

Artificial Intelligence↗

Validity of an artificial neural network in predicting discharge destination from a postacute geriatric rehabilitation unit.

OBJECTIVE: To develop an artificial neural network (ANN) designed to predict discharge destination from postacute geriatric rehabilitation units. DESIGN: Nonconcurrent prospective study. SETTING: Postacute geriatric rehabilitation units: a 20-bed unit in a nonproprietary skilled nursing facility and a 40-bed unit in a suburban private facility. PATIENTS: Consecutive sample of 661 patients admitted between January 1995 and February 1999, including a derivation group of 452 patients and a validation group of 209 patients. INTERVENTIONS: A feed-forward, back-propagation neural network to predict discharge destination. MAIN OUTCOME MEASURE: Discharge destination from postacute geriatric rehabilitation. RESULTS: An ANN was trained on clinical pattern set derived from 452 patients and validated prospectively on 209 consecutive patients admitted to postacute geriatric rehabilitation units. The neural network achieved a sensitivity of 85.7% (95% confidence interval [CI], 83.7-89.4) and specificity of 94.1% (95% CI, 84.4-99.1) in identifying discharge destination with a corresponding area under the curve of 95.7% (95% CI, 92.1-98.3). CONCLUSION: An ANN can predict discharge to the community postacute rehabilitation with a high degree of accuracy. It could have particular value to predict return to the community for older adults with multiple comorbidities after an acute hospitalization.

Activities of Daily Living↗

Recognition of handwritten similar Chinese characters by self-growing probabilistic decision-based neural network.

Recognition of similar (confusion) characters is a difficult problem in optical character recognition (OCR). In this paper, we introduce a neural network solution that is capable of modeling minor differences among similar characters, and is robust to various personal handwriting styles. The Self-growing Probabilistic Decision-based Neural Network (SPDNN) is a probabilistic type neural network, which adopts a hierarchical network structure with nonlinear basis functions and a competitive credit-assignment scheme. Based on the SPDNN model, we have constructed a three-stage recognition system. First, a coarse classifier determines a character to be input to one of the pre-defined subclasses partitioned from a large character set, such as Chinese mixed with alphanumerics. Then a character recognizer determines the input image which best matches the reference character in the subclass. Lastly, the third module is a similar character recognizer, which can further enhance the recognition accuracy among similar or confusing characters. The prototype system has demonstrated a successful application of SPDNN to similar handwritten Chinese recognition for the public database CCL/HCCR1 (5401 characters x200 samples). Regarding performance, experiments on the CCL/HCCR1 database produced 90.12% recognition accuracy with no rejection, and 94.11% accuracy with 6.7% rejection, respectively. This recognition accuracy represents about 4% improvement on the previously announced performance. As to processing speed, processing before recognition (including image preprocessing, segmentation, and feature extraction) requires about one second for an A4 size character image, and recognition consumes approximately 0.27 second per character on a Pentium-100 based personal computer, without use of any hardware accelerator or co-processor.

China↗

An artificial neural network approach to ERP classification.

Artificial neural network-based approaches were developed to classify event-related potential (ERP) waveforms. The networks utilized scalp-recorded ERP returns from six electrode sites. These ERPs were evoked as one individual responded to a series of auditorily presented object names while viewing various objects on a computer screen. The ERPs at the electrode sites were classified as a match decision or a no-match decision. A three-layer backpropagation neural network model was selected to formulate a global and a local classification approach. The backpropagation network in the global approach was designed to operate on a single ERP response which was the average of the ERP responses generated at the six electrode sites. The local ERP classification system consisted of six three-layer backpropagation networks. Each network was designed to operate on the ERPs generated at a single electrode site. A small data base consisting of eight match and eight no-match ERP responses was used to train and test the networks in a variety of ways. The results obtained clearly show that the neural network-based classifiers are able to discriminate with a high degree of accuracy between match and no-match conditions in ERP waveforms.

Brain↗

Wavelet-based neural network analysis of internal carotid arterial Doppler signals.

In this study, internal carotid arterial Doppler signals recorded from 130 subjects, where 45 of them suffered from internal carotid artery stenosis, 44 of them suffered from internal carotid artery occlusion and the rest of them were healthy subjects, were classified using wavelet-based neural network. Wavelet-based neural network model, employing the multilayer perceptron, was used for analysis of the internal carotid arterial Doppler signals. Multi-layer perceptron neural network (MLPNN) trained with the Levenberg-Marquardt algorithm was used to detect stenosis and occlusion in internal carotid arteries. In order to determine the MLPNN inputs, spectral analysis of the internal carotid arterial Doppler signals was performed using wavelet transform (WT). The MLPNN was trained, cross validated, and tested with training, cross validation, and testing sets, respectively. All these data sets were obtained from internal carotid arteries of healthy subjects, subjects suffering from internal carotid artery stenosis and occlusion. The correct classification rate was 96% for healthy subjects, 96.15% for subjects having internal carotid artery stenosis and 96.30% for subjects having internal carotid artery occlusion. The classification results showed that the MLPNN trained with the Levenberg-Marquardt algorithm was effective to detect internal carotid artery stenosis and occlusion.

Adult↗

On the use of neural network ensembles in QSAR and QSPR.

Despite their growing popularity among neural network practitioners, ensemble methods have not been widely adopted in structure-activity and structure-property correlation. Neural networks are inherently unstable, in that small changes in the training set and/or training parameters can lead to large changes in their generalization performance. Recent research has shown that by capitalizing on the diversity of the individual models, ensemble techniques can minimize uncertainty and produce more stable and accurate predictors. In this work, we present a critical assessment of the most common ensemble technique known as bootstrap aggregation, or bagging, as applied to QSAR and QSPR. Although aggregation does offer definitive advantages, we demonstrate that bagging may not be the best possible choice and that simpler techniques such as retraining with the full sample can often produce superior results. These findings are rationalized using Krogh and Vedelsby's decomposition of the generalization error into a term that measures the average generalization performance of the individual networks and a term that measures the diversity among them. For networks that are designed to resist over-fitting, the benefits of aggregation are clear but not overwhelming.

Computer Simulation↗

Applications of neural network analyses to in vivo 1H magnetic resonance spectroscopy of Parkinson disease patients.

PURPOSE: To apply neural network analyses to in vivo magnetic resonance spectra of controls and Parkinson disease (PD) patients for the purpose of classification. MATERIALS AND METHODS: Ninety-seven in vivo proton magnetic resonance spectra of the basal ganglia were recorded from 31 patients with (PD) and 14 age-matched healthy volunteers on a 1.5-T imager. The PD patients were grouped as follows: probable PD (N = 15), possible PD (N = 11), and atypical PD (N = 5). Total acquisition times of approximately five minutes were achieved with a TE (echo time) of 135 msec, a TR (repetition time) of 2000 msec, and 128 scan averages. Neural network (back propagation, Kohonen, probabilistic, and radial basis function) and related (generative topographic mapping) data analyses were performed. RESULTS: Conventional data analysis showed no statistically significant differences in metabolite ratios based on measuring signal intensities. The trained networks could distinguish control from PD with considerable accuracy (true positive fraction 0.971, true negative fraction 0.933). When four classes were defined, approximately 88% of the predictions were correct. The multivariate analysis indicated metabolic changes in the basal ganglia in PD. CONCLUSION: A variety of neural network and related approaches can be successfully applied to both qualitative visualization and classification of in vivo spectra of PD patients.

Aged↗

Treatment of missing data values in a neural network based decision support system for acute abdominal pain.

In this study different substitution methods for the replacement of missing data values were inspected for the use of these cases in a neural network based decision support system for acute appendicitis. The leucocyte count had the greatest number of missing values and was used in the analyses. Four different methods were compared: substituting means, random values, nearest neighbour and a neural network. There were great differences in the substituted leucocyte count values between different methods and only nearest neighbour and neural network agreed about most of the cases. The importance of the substitution method for the final diagnostic classification of the patients by the neural network based decision support system was found to be small.

Abdominal Pain↗

Absolutely exponential stability of a class of neural networks with unbounded delay.

In this paper, the existence and uniqueness of the equilibrium point and absolute stability of a class of neural networks with partially Lipschitz continuous activation functions are investigated. The neural networks contain both variable and unbounded delays. Using the matrix property, a necessary and sufficient condition for the existence and uniqueness of the equilibrium point of the neural networks is obtained. By constructing proper vector Liapunov functions and nonlinear integro-differential inequalities involving both variable delays and unbounded delay, using M-matrix theory, sufficient conditions for absolutely exponential stability are obtained.

Algorithms↗

A neural network ActiveX based integrated image processing environment.

The paper outlines an integrated image processing environment that uses neural networks ActiveX technology for object recognition and classification. The image processing environment which is Windows based, encapsulates a Multiple-Document Interface (MDI) and is menu driven. Object (shape) parameter extraction is focused on features that are invariant in terms of translation, rotation and scale transformations. The neural network models that can be incorporated as ActiveX components into the environment allow both clustering and classification of objects from the analysed image. Mapping neural networks perform an input sensitivity analysis on the extracted feature measurements and thus facilitate the removal of irrelevant features and improvements in the degree of generalisation. The program has been used to evaluate the dimensions of the hydrocephalus in a study for calculating the Evans index and the angle of the frontal horns of the ventricular system modifications.

Humans↗

Results concerning the absolute stability of delayed neural networks.

We report on results concerning the global asymptotic stability (GAS) and absolute stability (ABST) of delay models of continuous-time neural networks. These results present sufficient conditions for GAS and in case the network has instantaneous signalling as well as delay signalling (for example, a delayed cellular neural network (DCNN)), are milder than previously known criteria; they apply to neural networks with a broad range of activation functions assuming neither differentiability nor strict monotonicity. We are therefore able to interpret the results as guarantees of absolute stability of the network with respect to the wide class of admissible activation functions. Furthermore, these results do not assume symmetry of the connection matrices. We also present a sufficient condition for absolute stability in the presence of nonconstant delays.

Neural Networks, Computer↗

Design and stabilization of sampled-data neural-network-based control systems.

This paper presents the design and stability analysis of a sampled-data neural-network-based control system. A continuous-time nonlinear plant and a sampled-data three-layer fully connected feedforward neural-network-based controller are connected in a closed loop to perform the control task. Stability conditions will be derived to guarantee the closed-loop system stability. Linear-matrix-inequality- and genetic-algorithm-based approaches will be employed to obtain the largest sampling period and the connection weights of the neural network subject to the considerations of the system stability and performance. An application example will be given to illustrate the design procedure and effectiveness of the proposed approach.

Algorithms↗

Prediction of n-octanol/water partition coefficients from PHYSPROP database using artificial neural networks and E-state indices.

A new method, ALOGPS v 2.0 (http://www.lnh.unil.ch/~itetko/logp/), for the assessment of n-octanol/water partition coefficient, log P, was developed on the basis of neural network ensemble analysis of 12 908 organic compounds available from PHYSPROP database of Syracuse Research Corporation. The atom and bond-type E-state indices as well as the number of hydrogen and non-hydrogen atoms were used to represent the molecular structures. A preliminary selection of indices was performed by multiple linear regression analysis, and 75 input parameters were chosen. Some of the parameters combined several atom-type or bond-type indices with similar physicochemical properties. The neural network ensemble training was performed by efficient partition algorithm developed by the authors. The ensemble contained 50 neural networks, and each neural network had 10 neurons in one hidden layer. The prediction ability of the developed approach was estimated using both leave-one-out (LOO) technique and training/test protocol. In case of interseries predictions, i.e., when molecules in the test and in the training subsets were selected by chance from the same set of compounds, both approaches provided similar results. ALOGPS performance was significantly better than the results obtained by other tested methods. For a subset of 12 777 molecules the LOO results, namely correlation coefficient r(2)= 0.95, root mean squared error, RMSE = 0.39, and an absolute mean error, MAE = 0.29, were calculated. For two cross-series predictions, i.e., when molecules in the training and in the test sets belong to different series of compounds, all analyzed methods performed less efficiently. The decrease in the performance could be explained by a different diversity of molecules in the training and in the test sets. However, even for such difficult cases the ALOGPS method provided better prediction ability than the other tested methods. We have shown that the diversity of the training sets rather than the design of the methods is the main factor determining their prediction ability for new data. A comparative performance of the methods as well as a dependence on the number of non-hydrogen atoms in a molecule is also presented.

Journal Article↗

Radial basis function neural network approach for the diagnosis of coronary artery disease based on the standard electrocardiogram exercise test.

The purpose of the paper is the evaluation of a radial basis function neural network as a tool for computer aided coronary artery disease diagnosis based on the results of the traditional ECG exercise test. The research was performed using 776 data records from an exercise test (297 records from healthy patients and 479 from ill patients) confirmed by coronary arteriography results. Each record described the state of the patient, provided input data for the neural network, included the level and slope of an ST segment of a 12-lead ECG signal made at rest and after effort, heart rate, blood pressure, load during the test, and occurrence of coronary pain, coronary arteriography, correct output pattern for the neural network, and verified the existence (or not) of more than 50% stenosis of the particular coronary vessels. Radial basis function neural networks for coronary artery disease diagnosis were optimised by choosing the type of radial function, the method of training (setting the number of centres and their dimensions), and regularisation. The best network correctly recognised over 97% of cases from a 400-element test set, diagnosing not only the patients' condition (simple 'healthy/unhealthy' diagnosis), but also pointing out individual unhealthy/stenosed vessels.

Adult↗

Neural networks morbidity and mortality modeling during loss of HIV T-cell homeostasis.

Despite the proven clinical benefits of HAART, mortality may still occur; particularly in those with less than 50 CD4+ cells/mL and, in some cases, with a viral burden below detectable plasma levels of HIV-1 RNA. Multiple factors may predict mortality including initial response to therapy, viral factors and host immune parameters. Due to the complexity of this problem, we developed Artificial Intelligence based tools/Neural Network (NN) to optimally evaluate outcomes of therapy and predict morbidity and mortality. To further validate the accuracy of these tools, we challenged their performance with that of Cox regression modeling (RM). Our study population involved 116 HIV+ individuals who consistently maintained CD4+ count < 50 cells/mL for over 6 months. All patients were treated with antiretrovirals. To assess clinical outcomes, we developed a feedforward back-propagation Neural Network. We then compared the performance of this network to a Cox regression model. The Neural Network outscored the Cox regression model in the ROC curve areas: 0.888 vs 0.760 (HIV+ first Seropositivity to AIDS), 0.901 vs 0.758 (HIV+ first Seropositivity to Last Assessment incl. death) and 0.832 vs 0.799 (AIDS to Last Assessment incl. death), for the NN & Cox, respectively. In patients with a history of AIDS defining events and with severe T-Cell depletion, mortality occurs despite therapy. Although Neural Networks and Cox modeling were successful in predicting mortality, the Neural Network was superior in assessing risk in this population.

Biomarkers↗

A statistically tailored neural network approach to tomographic image reconstruction.

In previous work it has been shown that a standard backpropagation neural network can be trained to reconstruct sections of single photon emission computed tomography (SPECT) images based on the planar image projections as inputs. In this study, it is demonstrated that an artificial neural network (ANN) trained on a series of simulated SPECT images or trained on a set of rudimentary geometric images can learn the planar data-to-tomographic image relationship for 64 x 64 tomograms. As a result, a properly trained ANN can produce accurate, novel image reconstructions but without the high computational cost inherent in some traditional reconstruction techniques. We also present a method of deriving activation functions for a backpropagation ANN that make it readily trainable for cardiac SPECT image reconstruction. The activation functions are derived from the estimated probability density functions (p.d.f.s) of the ANN training set data. The performance of the statistically tailored ANNs are compared with the performance of standard sigmoidal back-propagation ANNs, both in terms of their trainability and generalization ability. The results presented demonstrate that statistically tailored ANNs are significantly better than standard sigmoidal ANNs at reconstructing novel tomographic images based on a simulated SPECT image training set or a rudimentary geometric image training set. Neural network based image reconstruction has two potential advantages over conventional reconstruction methods. The first advantage is that ANNs can rapidly reconstruction tomograms. Secondly, the quality of the reconstructions produced are directly correlated to the quality of the images used to train the ANN.

Heart↗

A simple prediction rule and a neural network model to predict pancreatic beta-cell reserve in young adults with diabetes mellitus.

In the present study we developed and assessed the performance of a simple prediction rule and a neural network model to predict beta-cell reserve in young adults with diabetes. Eighty three young adults with diabetes were included in the study. All were less than 40 years old and without apparent secondary causes of diabetes. The subjects were randomly allocated to 2 groups; group 1 (n = 59) for developing a prediction rule and training a neural network, group 2 (n = 24) for validation purpose. The prediction rule was developed by using stepwise logistic regression. Using stepwise logistic regression and modification of the derived equation, the patient would be insulin deficient if 3(waist circumference in cm) + 4(age at diagnosis) < 340 in the absence of previous diabetic ketoacidosis (DKA) or < 400 in the presence of previous DKA. When tested in the validation set, the prediction rule had positive and negative predictive values of 86.7 per cent and 77.8 per cent respectively with 83.3 per cent accuracy while the ANN model had a positive predictive value of 88.2 per cent and a negative predictive value of 100 per cent with 91.7 per cent accuracy. When testing the performance of the prediction rule and the ANN model compared to the assessment of 23 internists in a subgroup of 9 diabetics whose age at onset was less than 30 years and without a history of DKA, the ANN had the highest ability to predict beta-cell reserve (accuracy = 88.9), followed by the prediction rule (accuracy = 77.8%) and assessments by internists (accuracy = 60.9%). We concluded that beta-cell reserve in young adults with diabetes mellitus could be predicted by a simple prediction rule or a neural network model. The prediction rule and the neural network model can be helpful clinically in patients with mixed clinical features of type 1 and type 2 diabetes.

Adolescent↗