Learning from imbalanced fetal outcomes of systemic lupus erythematosus in artificial neural networks.

Objective: To explore an effective algorithm based on artificial neural network to pick correctly the minority of pregnant women with SLE suffering fetal loss outcomes from the majority with live birth and train a well behaved model as a clinical decision assistant.Methods: We integrated the thought...

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Publicado en:BMC Medical Informatics & Decision Making Vol. 21; no. 1; pp. 1 - 12
Autores principales: Ma, Jing-Hang, Feng, Zhen, Wu, Jia-Yue, Zhang, Yu, Di, Wen
Formato: research Journal Article
Publicado: BioMed Central 4/13/2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 4/13/2021
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        atl: Learning from imbalanced fetal outcomes of systemic lupus erythematosus in artificial neural networks.
      aug:
        au:
          Ma, Jing-Hang
          Feng, Zhen
          Wu, Jia-Yue
          Zhang, Yu
          Di, Wen
        affil: Department of Obstetrics and Gynecology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
      sug:
        subj:
          Lupus Erythematosus, Systemic
          Pregnancy Complications
          Pregnancy
          Human
          Reproducibility of Results
          Female
          Prenatal Care
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Scales
          Female
      ab: Objective: To explore an effective algorithm based on artificial neural network to pick correctly the minority of pregnant women with SLE suffering fetal loss outcomes from the majority with live birth and train a well behaved model as a clinical decision assistant.Methods: We integrated the thoughts of comparative and focused study into the artificial neural network and presented an effective algorithm aiming at imbalanced learning in small dataset.Results: We collected 469 non-trivial pregnant patients with SLE, where 420 had live-birth outcomes and the other 49 patients ended in fetal loss. A well trained imbalanced-learning model had a high sensitivity of 19/21 ([Formula: see text]) for the identification of patients with fetal loss outcomes.Discussion: The misprediction of the two patients was explainable. Algorithm improvements in artificial neural network framework enhanced the identification in imbalanced learning problems and the external validation increased the reliability of algorithm.Conclusion: The well-trained model was fully qualified to assist healthcare providers to make timely and accurate decisions.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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