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Results for “Data-centric”

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4 recordsLinked to original sources
PubMed2026

Data-centric, robust, and explainable multimodal deep learning for clinical decision support: A systematic review.

PURPOSE: Multimodal deep learning is increasingly proposed for clinical decision support (CDS) under a "data-centric" framing that prioritizes label quality, missing-modality robustness, distribution shift, calibration, and explainability. Prior reviews have examined multimodal medical AI, CDS, and data-centric methods separately, but none address their intersection. We mapped the modalities, fusion strategies, and data-centric and explainability techniques used in this recent literature, quantified how often each is implemented rather than merely mentioned, assessed deployment-relevant evidence (external validation, clinical-outcome measurement, equity), and formally appraised study-level risk of bias. METHODS: Following the PRISMA 2020 statement (PROSPERO CRD420261427815; registered retrospectively), we screened 150 records and included primary, clinical, multimodal studies that applied machine or deep learning to a decision-support task and reported at least one quantitative result. Two reviewers screened and extracted data with consensus adjudication. Each study was coded against pre-specified operational definitions, separating implemented or empirically evaluated techniques from those only mentioned. Study-level risk of bias was assessed with PROBAST + AI. Synthesis was narrative. RESULTS: Thirty-one studies met inclusion; 30 (97%) were published between 2024 and 2026, with a median of three modalities (range 2-6), most commonly structured EHR (71%) and imaging (39%). Data-centric techniques were frequently reported (74-84% across label-noise, distribution-shift, calibration, missing-modality and class-imbalance handling; equity 61%). However, external validation was reported in only 4/31 studies (13%), a clinical or provider outcome in 3/31 (10%), and no study reported routine deployment. Overall risk of bias was high in 27/31 studies (87%), driven by the analysis domain. CONCLUSION: Within this recent, self-selected slice of the field, technical robustness and explainability techniques are widely reported but rarely validated out-of-distribution or against clinical outcomes, and the underlying evidence is at high risk of bias. Progress requires external multi-site validation, clinical-outcome measurement, formal bias appraisal, and adherence to AI reporting standards (e.g., TRIPOD + AI) before deployment can be justified.

Deep Learning↗
PubMed2006

Synergistic techniques for better understanding and classifying the environmental structure of landscapes.

The desire to capture natural regions in the landscape has been a goal of geographic and environmental classification and ecological land classification (ELC) for decades. Since the increased adoption of data-centric, multivariate, computational methods, the search for natural regions has become the search for the best classification that optimally trades off classification complexity for class homogeneity. In this study, three techniques are investigated for their ability to find the best classification of the physical environments of the Mt. Lofty Ranges in South Australia: AutoClass-C (a Bayesian classifier), a Kohonen Self-Organising Map neural network, and a k-means classifier with homogeneity analysis. AutoClass-C is specifically designed to find the classification that optimally trades off classification complexity for class homogeneity. However, AutoClass analysis was not found to be assumption-free because it was very sensitive to the user-specified level of relative error of input data. The AutoClass results suggest that there may be no way of finding the best classification without making critical assumptions as to the level of class heterogeneity acceptable in the classification when using continuous environmental data. Therefore, rather than relying on adjusting abstract parameters to arrive at a classification of suitable complexity, it is better to quantify and visualize the data structure and the relationship between classification complexity and class homogeneity. Individually and when integrated, the Self-Organizing Map and k-means classification with homogeneity analysis techniques also used in this study facilitate this and provide information upon which the decision of the scale of classification can be made. It is argued that instead of searching for the elusive classification of natural regions in the landscape, it is much better to understand and visualize the environmental structure of the landscape and to use this knowledge to select the best ELC at the required scale of analysis.

Bayes Theorem↗
PubMed2004

Let the data speak for themselves?

No medical discipline has been more shaped, driven, and scrutinized by outcomes data than cardiac surgery. Unlike high-volume operations for acquired heart disease, congenital heart disease is considerably more heterogeneous, many anomalies are rare, and outcomes after surgical correction are highly variable. How, then, can outcome of institutional programs be compared fairly? Growing in popularity among congenital heart surgeons are methods of comparison that rely fundamentally on expert opinion about perceived complexity of treatment. They may be broadly calibrated using administrative or registry outcomes data. This approach, one of two suggested by Aristotle, characterized pre-Newtonian science, in which observed data played a secondary role. This contrasts sharply with the second approach suggested by Aristotle and revived by Newton in the 18th century that places data at its center: "Let the data speak for themselves." The latter is the basis for contemporary methods of risk-adjusted comparisons. The proposed international collection of a uniform set of congenital heart surgery data elements, a well-conceived and internationally accepted ontology of congenital heart disease, accurate understanding of established incremental risk factor concepts and their role in risk adjustment, advent of powerful data analysis techniques that include new types of predictive modeling, and wide understanding of risk-adjusted comparison suggest there is ample motivation and opportunity for letting data speak for themselves. There is no evidence that a data-centric approach, based on Aristotle's and Newton's ideas that liberated 18th century science, has failed and should be abandoned.

Cardiac Surgical Procedures↗
PubMed2006

Interpreter of maladies: redescription mining applied to biomedical data analysis.

Comprehensive, systematic and integrated data-centric statistical approaches to disease modeling can provide powerful frameworks for understanding disease etiology. Here, one such computational framework based on redescription mining in both its incarnations, static and dynamic, is discussed. The static framework provides bioinformatic tools applicable to multifaceted datasets, containing genetic, transcriptomic, proteomic, and clinical data for diseased patients and normal subjects. The dynamic redescription framework provides systems biology tools to model complex sets of regulatory, metabolic and signaling pathways in the initiation and progression of a disease. As an example, the case of chronic fatigue syndrome (CFS) is considered, which has so far remained intractable and unpredictable in its etiology and nosology. The redescription mining approaches can be applied to the Centers for Disease Control and Prevention's Wichita (KS, USA) dataset, integrating transcriptomic, epidemiological and clinical data, and can also be used to study how pathways in the hypothalamic-pituitary-adrenal axis affect CFS patients.

Algorithms↗