Lopinavir Resistance Classification with Imbalanced Data Using Probabilistic Neural Networks.

Resistance to antiretroviral drugs has been a major obstacle for long-lasting treatment of HIV-infected patients. The development of models to predict drug resistance is recognized as useful for helping the decision of the best therapy for each HIV+ individual. The aim of this study was to develop c...

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Publicado en:Journal of Medical Systems Vol. 40; no. 3; pp. 1 - 8
Autores principales: Raposo, Letícia, Arruda, Mônica, Brindeiro, Rodrigo, Nobre, Flavio
Formato: equations & formulas pictorial research Journal Article
Publicado: Springer Nature Mar2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2016
      vid: 40
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10916-015-0428-7
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        atl: Lopinavir Resistance Classification with Imbalanced Data Using Probabilistic Neural Networks.
      aug:
        au:
          Raposo, Letícia
          Arruda, Mônica
          Brindeiro, Rodrigo
          Nobre, Flavio
        affil: Biomedical Engineering Program, Federal University of Rio de Janeiro - UFRJ, Ilha do Fundão, Rio de Janeiro Brazil
      sug:
        subj:
          HIV Infections Drug Therapy
          Anti-Retroviral Agents Therapeutic Use
          Lopinavir Ritonavir
          Drug Resistance Evaluation
          Neural Networks (Computer) Utilization
          Probability
          Logistic Regression
          ROC Curve
          Sensitivity and Specificity
          Genotype
          Human
          Confidence Intervals
          Data Analysis Software
          Algorithms
          Funding Source
      ab: Resistance to antiretroviral drugs has been a major obstacle for long-lasting treatment of HIV-infected patients. The development of models to predict drug resistance is recognized as useful for helping the decision of the best therapy for each HIV+ individual. The aim of this study was to develop classifiers for predicting resistance to the HIV protease inhibitor lopinavir using a probabilistic neural network (PNN). The data were provided by the Molecular Virology Laboratory of the Health Sciences Center, Federal University of Rio de Janeiro (CCS-UFRJ/Brazil). Using bootstrap and stepwise techniques, ten features were selected by logistic regression (LR) to be used as inputs to the network. Bootstrap and cross-validation were used to define the smoothing parameter of the PNN networks. Four balanced models were designed and evaluated using a separate test set. The accuracies of the classifiers with the test set ranged from 0.89 to 0.94, and the area under the receiver operating characteristic (ROC) curve (AUC) ranged from 0.96 to 0.97. The sensitivity ranged from 0.94 to 1.00, and the specificity was between 0.88 and 0.92. Four classifiers showed performances very close to three existing expert-based interpretation systems, the HIVdb, the Rega and the ANRS algorithms, and to a k-Nearest Neighbor.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        pictorial
        research
        Journal Article
      ougenre: Article
    language: English
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