A novel approach for accurate prediction of spontaneous passage of ureteral stones: support vector machines.

The objective of this study was to optimally predict the spontaneous passage of ureteral stones in patients with renal colic by applying for the first time support vector machines (SVM), an instance of kernel methods, for classification. After reviewing the results found in the literature, we compar...

Descripción completa

Detalles Bibliográficos
Publicado en:Kidney International Vol. 69; no. 1; pp. 157 - 161
Autores principales: Dal Moro F, Abate A, Lanckriet GRG, Arandjelovic G, Gasparella P, Bassi P, Mancini M, Pagano F
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. Jan2006
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106259262&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 106259262
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        00852538
        4CU
      jtl: Kidney International
      issn: 00852538
      maglogo: N
    pubinfo:
      dt: Jan2006
      vid: 69
      iid: 1
      pid: 82545
      pub: Elsevier B.V.
      place: Philadelphia, Pennsylvania
    artinfo:
      ui:
        106259262
        2009299347
        10.1038/sj.ki.5000010
        NLM16374437
        106259262
      ppf: 157
      ppct: 4
      formats:
      tig:
        atl: A novel approach for accurate prediction of spontaneous passage of ureteral stones: support vector machines.
      aug:
        au:
          Dal Moro F
          Abate A
          Lanckriet GRG
          Arandjelovic G
          Gasparella P
          Bassi P
          Mancini M
          Pagano F
        affil: Department of Urology, University of Padova, Padova, Italy. fabrizio.dalmoro@unipd.it
      sug:
        subj:
          Ureteral Calculi
          Algorithms
          Fisher's Exact Test
          Italy
          Logistic Regression
          Models, Statistical
          Patient Selection
          Sensitivity and Specificity
          Human
      ab: The objective of this study was to optimally predict the spontaneous passage of ureteral stones in patients with renal colic by applying for the first time support vector machines (SVM), an instance of kernel methods, for classification. After reviewing the results found in the literature, we compared the performances obtained with logistic regression (LR) and accurately trained artificial neural networks (ANN) to those obtained with SVM, that is, the standard SVM, and the linear programming SVM (LP-SVM); the latter techniques show an improved performance. Moreover, we rank the prediction factors according to their importance using Fisher scores and the LP-SVM feature weights. A data set of 1163 patients affected by renal colic has been analyzed and restricted to single out a statistically coherent subset of 402 patients. Nine clinical factors are used as inputs for the classification algorithms, to predict one binary output. The algorithms are cross-validated by training and testing on randomly selected train- and test-set partitions of the data and reporting the average performance on the test sets. The SVM-based approaches obtained a sensitivity of 84.5% and a specificity of 86.9%. The feature ranking based on LP-SVM gives the highest importance to stone size, stone position and symptom duration before check-up. We propose a statistically correct way of employing LR, ANN and SVM for the prediction of spontaneous passage of ureteral stones in patients with renal colic. SVM outperformed ANN, as well as LR. This study will soon be translated into a practical software toolbox for actual clinical usage.Kidney International (2006) 69, 157–160. doi:10.1038/sj.ki.5000010
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N