Differential diagnosis between bacterial and viral meningitis is crucial. In our study, to differentiate bacterial vs. viral meningitis, three machine learning (ML) algorithms (multiple logistic regression (MLR), random forest (RF), and naïve-Bayes (NB)) were applied for the two age groups (0–14 and >14 years) of patients with meningitis by both conventional (culture) and molecular (PCR) methods. Cerebrospinal fluid (CSF) neutrophils, CSF lymphocytes, neutrophil-to-lymphocyte ratio (NLR), blood albumin, blood C-reactive protein (CRP), glucose, blood soluble urokinase-type plasminogen activator receptor (suPAR), and CSF lymphocytes-to-blood CRP ratio (LCR) were used as predictors for the ML algorithms. The performance of the ML algorithms was evaluated through a cross-validation procedure, and optimal predictions of the type of meningitis were above 95% for viral and 78% for bacterial meningitis. Overall, MLR and RF yielded the best performance when using CSF neutrophils, CSF lymphocytes, NLR, albumin, glucose, gender, and CRP. Also, our results reconfirm the high diagnostic accuracy of NLR in the differential diagnosis between bacterial and viral meningitis.
Although the association between risk factors and non-surgical root canal treatment (NSRCT) failure has been extensively studied, methods to predict the outcomes of NSRCT are in an early stage, and dentists currently make the treatment prognosis based mainly on their clinical experience. Since this involves different sources of error, we investigated the use of machine learning (ML) models as a second opinion to support the clinical decision on whether to perform NSRCT. We undertook a retrospective study of 119 confirmed and not previously treated Apical Periodontitis cases that received the same treatment by the same specialist. For each patient, we recorded the variables from a newly proposed data collection template and defined a binary outcome: Success if the lesion clears and failure otherwise. We conducted tests for detecting the association between the variables and the outcome and selected a set of variables as the initial inputs into four ML algorithms: Logistic Regression (LR), Random Forest (RF), Naive-Bayes (NB), and K Nearest Neighbors (KNN). According to our results, RF and KNN significantly improve (p-values < 0.05) the sensitivity and accuracy of the dentist’s treatment prognosis. Taking our results as a proof of concept, we conclude that future randomized clinical trials are worth designing to test the clinical utility of ML models as a second opinion for NSRCT prognosis.
Metabolism is characterised by chemical reactions linked to each other, creating a complex network structure. The whole metabolic network is divided into pathways of chemical reactions, such that every pathway is a metabolic function. A simplified representation of metabolism, which we call an abstract metabolic network, is a graph in which metabolic pathways are nodes and there is an edge between two nodes if their corresponding pathways share one or more compounds. The abstract metabolic network of a given organism results in a small network that requires low computational power to be analysed and makes it a suitable model to perform a large-scale comparison of organisms’ metabolism. To explore the potentials and limits of such a basic representation, we considered a comprehensive set of KEGG organisms, represented through their abstract metabolic network. We performed pairwise comparisons using graph kernel methods and analyse the results through exploratory data analysis and machine learning techniques. The results show that abstract metabolic networks discriminate macro evolutionary events, indicating that they are expressive enough to capture key steps in metabolism evolution.
The Wavelet Transform allows one to analyze the properties of a variety of signals: one being able to emphasize changes in either the time or the frequency domain once the appropriate scale is chosen. Since a signal can be expressed in terms of coefficients from wavelet functions, the behavior of this signal could be sparsely represented in these functions, expressing possible properties behind nonstationary signals. Recently, methods based on hierarchical Bayes analysis have been found to be a feasible tool in the approach of physical science and engineering applications. In order to participate in the apnea screening event at the Computers in Cardiology Challenge 2000 and estimate a model that could bring one to an adequate classification between groups the authors developed the present methodology.
1 September 2021 in Clinical Neurology and Neurosurgery