An Explainable Artificial Intelligence Framework for the Deterioration Risk Prediction of Hepatitis Patients.

In recent years, artificial intelligence-based computer aided diagnosis (CAD) system for the hepatitis has made great progress. Especially, the complex models such as deep learning achieve better performance than the simple ones due to the nonlinear hypotheses of the real world clinical data. Howeve...

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Publicado en:Journal of Medical Systems Vol. 45; no. 5; pp. 1 - 10
Autores principales: Peng, Junfeng, Zou, Kaiqiang, Zhou, Mi, Teng, Yi, Zhu, Xiongyong, Zhang, Feifei, Xu, Jun
Formato: equations & formulas pictorial research tables/charts Journal Article
Publicado: Springer Nature May2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2021
      vid: 45
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10916-021-01736-5
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        atl: An Explainable Artificial Intelligence Framework for the Deterioration Risk Prediction of Hepatitis Patients.
      aug:
        au:
          Peng, Junfeng
          Zou, Kaiqiang
          Zhou, Mi
          Teng, Yi
          Zhu, Xiongyong
          Zhang, Feifei
          Xu, Jun
        affil: Department of Computer Science, Guangdong University of Education, 510303, Guangzhou, China
      sug:
        subj:
          Hepatitis Diagnosis
          Diagnosis, Computer Assisted
          Clinical Deterioration Risk Factors
          Risk Assessment
          Artificial Intelligence
          Human
          Descriptive Statistics
          Funding Source
          Decision Making, Clinical
          Deep Learning
          Hepatitis Physiopathology
          Logistic Regression
          Decision Trees
          Support Vector Machine
          Random Forest
          Models, Statistical
      ab: In recent years, artificial intelligence-based computer aided diagnosis (CAD) system for the hepatitis has made great progress. Especially, the complex models such as deep learning achieve better performance than the simple ones due to the nonlinear hypotheses of the real world clinical data. However,complex model as a black box, which ignores why it make a certain decision, causes the model distrust from clinicians. To solve these issues, an explainable artificial intelligence (XAI) framework is proposed in this paper to give the global and local interpretation of auxiliary diagnosis of hepatitis while retaining the good prediction performance. First, a public hepatitis classification benchmark from UCI is used to test the feasibility of the framework. Then, the transparent and black-box machine learning models are both employed to forecast the hepatitis deterioration. The transparent models such as logistic regression (LR), decision tree (DT)and k-nearest neighbor (KNN) are picked. While the black-box model such as the eXtreme Gradient Boosting (XGBoost), support vector machine (SVM), random forests (RF) are selected. Finally, the SHapley Additive exPlanations (SHAP), Local Interpretable Model-agnostic Explanations (LIME) and Partial Dependence Plots (PDP) are utilized to improve the model interpretation of liver disease. The experimental results show that the complex models outperform the simple ones. The developed RF achieves the highest accuracy (91.9%) among all the models. The proposed framework combining the global and local interpretable methods improves the transparency of complex models, and gets insight into the judgments from the complex models, thereby guiding the treatment strategy and improving the prognosis of hepatitis patients. In addition, the proposed framework could also assist the clinical data scientists to design a more appropriate structure of CAD.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        pictorial
        research
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        Journal Article
      ougenre: Article
    language: English
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