Ghattas
Badih Ghattas
Publications
The aim of this study (EPIDIAB) was to assess the relationship between epicardial adipose tissue (EAT) and the micro and macrovascular complications (MVC) of type 2 diabetes (T2D).
Traditional mid-term electricity forecasting models rely on calendar and meteorological information such as temperature and wind speed to achieve high performance. However depending on such variables has drawbacks, as they may not be informative enough during extreme weather. While ubiquitous, textual sources of information are hardly included in prediction algorithms for time series, despite the relevant information they may contain. In this work, we propose to leverage openly accessible weather reports for electricity demand and meteorological time series prediction problems. Our experiments on French and British load data show that the considered textual sources allow to improve overall accuracy of the reference model, particularly during extreme weather events such as storms or abnormal temperatures. Additionally, we apply our approach to the problem of imputation of missing values in meteorological time series, and we show that our text-based approach beats standard methods. Furthermore, the influence of words on the time series' predictions can be interpreted for the considered encoding schemes of the text, leading to a greater confidence in our results.
BackgroundThe extent of left ventricular (LV) trabeculation and its relationship with cardiovascular (CV) risk factors is unclear.PurposeTo apply automated segmentation to UK Biobank cardiac MRI scans to (a) assess the association between individual characteristics and CV risk factors and trabeculated LV mass (LVM) and (b) establish normal reference ranges in a selected group of healthy UK Biobank participants.Materials and MethodsIn this cross-sectional secondary analysis, prospectively collected data from the UK Biobank (2006 to 2010) were retrospectively analyzed. Automated segmentation of trabeculations was performed using a deep learning algorithm. After excluding individuals with known CV diseases, White adults without CV risk factors (reference group) and those with preexisting CV risk factors (hypertension, hyperlipidemia, diabetes mellitus, or smoking) (exposed group) were compared. Multivariable regression models, adjusted for potential confounders (age, sex, and height), were fitted to evaluate the associations between individual characteristics and CV risk factors and trabeculated LVM.ResultsOf 43 038 participants (mean age, 64 years ± 8 [SD]; 22 360 women), 28 672 individuals (mean age, 66 years ± 7; 14 918 men) were included in the exposed group, and 7384 individuals (mean age, 60 years ± 7; 4729 women) were included in the reference group. Higher body mass index (BMI) (β = 0.66 [95% CI: 0.63, 0.68]; P < .001), hypertension (β = 0.42 [95% CI: 0.36, 0.48]; P < .001), and higher physical activity level (β = 0.15 [95% CI: 0.12, 0.17]; P < .001) were associated with higher trabeculated LVM. In the reference group, the median trabeculated LVM was 6.3 g (IQR, 4.7–8.5 g) for men and 4.6 g (IQR, 3.4–6.0 g) for women. Median trabeculated LVM decreased with age for men from 6.5 g (IQR, 4.8–8.7 g) at age 45–50 years to 5.9 g (IQR, 4.3–7.8 g) at age 71–80 years (P = .03).ConclusionHigher trabeculated LVM was observed with hypertension, higher BMI, and higher physical activity level. Age- and sex-specific reference ranges of trabeculated LVM in a healthy middle-aged White population were established.© RSNA, 2024Supplemental material is available for this article.See also the editorial by Kawel-Boehm in this issue.
Some complex models are frequently employed to describe physical and mechanical phenomena. In this setting, we have an input X\ X \ in a general space, and an output Y=f(X)\ Y=f(X) \ where f\ f \ is a very complicated function, whose computational cost for every new input is very high, and may be also very expensive. We are given two sets of observations of X\ X \, S1\ S_1 \ and S2\ S_2 \ of different sizes such that only fS1\ f\left(S_1\right) \ is available. We tackle the problem of selecting a subset S3⊂S2\ S_3\subset S_2 \ of smaller size on which to run the complex model f\ f \, and such that the empirical distribution of fS3\ f\left(S_3\right) \ is close to that of fS1\ f\left(S_1\right) \. We suggest three algorithms to solve this problem and show their efficiency using simulated datasets and the Airfoil self-noise data set.
Objective This study aims to develop high-performing Machine Learning and Deep Learning models in predicting hospital length of stay (LOS) while enhancing interpretability. We compare performance and interpretability of models trained only on structured tabular data with models trained only on unstructured clinical text data, and on mixed data. Methods The structured data was used to train fourteen classical Machine Learning models including advanced ensemble trees, neural networks and k-nearest neighbors. The unstructured data was used to fine-tune a pre-trained Bio Clinical BERT Transformer Deep Learning model. The structured and unstructured data were then merged into a tabular dataset after vectorization of the clinical text and a dimensional reduction through Latent Dirichlet Allocation. The study used the free and publicly available Medical Information Mart for Intensive Care (MIMIC) III database, on the open AutoML Library AutoGluon. Performance is evaluated with respect to two types of random classifiers, used as baselines. Results The best model from structured data demonstrates high performance (ROC AUC = 0.944, PRC AUC = 0.655) with limited interpretability, where the most important predictors of prolonged LOS are the level of blood urea nitrogen and of platelets. The Transformer model displays a good but lower performance (ROC AUC = 0.842, PRC AUC = 0.375) with a richer array of interpretability by providing more specific in-hospital factors including procedures, conditions, and medical history. The best model trained on mixed data satisfies both a high level of performance (ROC AUC = 0.963, PRC AUC = 0.746) and a much larger scope in interpretability including pathologies of the intestine, the colon, and the blood; infectious diseases, respiratory problems, procedures involving sedation and intubation, and vascular surgery. Conclusions Our results outperform most of the state-of-the-art models in LOS prediction both in terms of performance and of interpretability. Data fusion between structured and unstructured text data may significantly improve performance and interpretability.
In the Design of Experiments, we seek to relate response variables to explanatory factors. Response Surface methodology (RSM) approximates the relation between output variables and a polynomial transform of the explanatory variables using a linear model. Some researchers have tried to adjust other types of models, mainly nonlinear and nonparametric. We present a large panel of Machine Learning approaches that may be good alternatives to the classical RSM approximation. The state of the art of such approaches is given, including classification and regression trees, ensemble methods, support vector machines, neural networks and also direct multi-output approaches. We survey the subject and illustrate the use of ten such approaches using simulations and a real use case. In our simulations, the underlying model is linear in the explanatory factors for one response and nonlinear for the others. We focus on the advantages and disadvantages of the different approaches and show how their hyperparameters may be tuned. Our simulations show that even when the underlying relation between the response and the explanatory variables is linear, the RSM approach is outperformed by the direct neural network multivariate model, for any sample size (<50) and much more for very small samples (15 or 20). When the underlying relation is nonlinear, the RSM approach is outperformed by most of the machine learning approaches for small samples (n ≤ 30).
In pharmaceutical studies, the Quality by Design (QbD) approach is increasingly being implemented to improve product development. Product quality is tested at each step of the manufacturing process, allowing a better process understanding and a better risk management, thus avoiding manufacturing defects. A key element of QbD is the construction of a Design Space (DS), i.e., a region in which the specifications on the output parameters should be met. Among the various possible construction methods, Designs of Experiments (DoE), and more precisely Response Surface Methodology, represent a perfectly adapted tool. The DS obtained may have any geometrical shape; consequently, the acceptable variation range of an input may depend on the value of other inputs. However, the experimenters would like to directly know the variation range of each input so that their variation domains are independent. In this context, we developed a method to determine the “Proven Acceptable Independent Range” (PAIR). It consists of looking for all the hyper polyhedra included in the multidimensional DS and selecting a hyper polyhedron according to various strategies. We will illustrate the performance of our method on different DoE cases.
We introduce a new clustering procedure specialized for Big Data. It is inspired by the work of [1], and applies a MapReduce procedure for any base clustering algorithm, split-ting the data set at hand, clustering subsamples, and combining intermediate results. We use thus a high level parallelization running a base clustering approach on small samples. We analyse in detail our approach exploring various alternatives and showing its efficiency by simulations.
OBJECTIVE: Quality of life (QoL) is still assessed using paper-based and fixed-length questionnaires, which is one reason why QoL measurements have not been routinely implemented in clinical practice. Providing new QoL measures that combine computer technology with modern measurement theory may enhance their clinical use. The aim of this study was to develop a QoL multidimensional computerized adaptive test (MCAT), the SQoL-MCAT, from the fixed-length SQoL questionnaire for patients with schizophrenia.
METHODS: In this multicentre cross-sectional study, we collected sociodemographic information, clinical characteristics (i.e., duration of illness, the PANSS, and the Calgary Depression Scale), and quality of life (i.e., SQoL). The development of the SQoL-CAT was divided into three stages: (1) multidimensional item response theory (MIRT) analysis, (2) multidimensional computerized adaptive test (MCAT) simulations with analyses of accuracy and precision, and (3) external validity.
RESULTS: Five hundred and seventeen patients participated in this study. The MIRT analysis found that all items displayed good fit with the multidimensional graded response model, with satisfactory reliability for each dimension. The SQoL-MCAT was 39% shorter than the fixed-length SQoL questionnaire and had satisfactory accuracy (levels of correlation >0.9) and precision (standard error of measurement <0.55 and root mean square error <0.3). External validity was confirmed via correlations between the SQoL-MCAT dimension scores and symptomatology scores.
CONCLUSION: The SQoL-MCAT is the first computerized adaptive QoL questionnaire for patients with schizophrenia. Tailored for patient characteristics and significantly shorter than the paper-based version, the SQoL-MCAT may improve the feasibility of assessing QoL in clinical practice.
BACKGROUND:
Studies have suggested that clinicians do not feel comfortable with the interpretation of symptom severity, functional status, and quality of life (QoL). Implementation strategies of these types of measurements in clinical practice imply that consensual norms and guidelines regarding data interpretation are available. The aim of this study was to define subgroups of patients according to the levels of symptom severity using a method of interpretable clustering that uses unsupervised binary trees.
METHODS:
The patients were classified using a top-down hierarchical method: Clustering using Unsupervised Binary Trees (CUBT). We considered a three-group structure: "high", "moderate", and "low" level of symptom severity. The clustering tree was based on three stages using the 9-symptom scale scores of the EORTC QLQ-C30: a maximal tree was first developed by applying a recursive partitioning algorithm; the tree was then pruned using a criterion of minimal dissimilarity; finally, the most similar clusters were joined together. Inter-cluster comparisons were performed to test the sample partition and QoL data.
RESULTS:
Two hundred thirty-five patients with different types of cancer were included. The three-cluster structure classified 143 patients with "low", 46 with "moderate", and 46 with "high" levels of symptom severity. This partition was explained by cut-off values on Fatigue and Appetite Loss scores. The three clusters consistently differentiated patients based on the clinical characteristics and QoL outcomes.
CONCLUSION:
Our study suggests that CUBT is relevant to define the levels of symptom severity in cancer. This finding may have important implications for helping clinicians to interpret symptom profiles in clinical practice, to identify individuals at risk for poorer outcomes and implement targeted interventions.
