Diabetes is one of the most rapidly spreading diseases in the world, resulting in an array of significant complications, including cardiovascular disease, kidney failure, diabetic retinopathy, and neuropathy, among others, which contribute to an increase in morbidity and mortality rate. If diabetes is diagnosed at an early stage, its severity and underlying risk factors can be significantly reduced. However, there is a shortage of labeled data and the occurrence of outliers or data missingness in clinical datasets that are reliable and effective for diabetes prediction, making it a challenging endeavor. Therefore, we introduce a newly labeled diabetes dataset from a South Asian nation (Bangladesh). In addition, we suggest an automated classification pipeline that includes a weighted ensemble of machine learning (ML) classifiers: Naive Bayes (NB), Random Forest (RF), Decision Tree (DT), XGBoost (XGB), and LightGBM (LGB). Grid search hyperparameter optimization is employed to tune the critical hyperparameters of these ML models. Furthermore, missing value imputation, feature selection, and K-fold cross-validation are included in the framework design. A statistical analysis of variance (ANOVA) test reveals that the performance of diabetes prediction significantly improves when the proposed weighted ensemble (DT + RF + XGB + LGB) is executed with the introduced preprocessing, with the highest accuracy of and an area under the ROC curve (AUC) of . In conjunction with the suggested ensemble model, our statistical imputation and RF-based feature selection techniques produced the best results for early diabetes prediction. Moreover, the presented new dataset will contribute to developing and implementing robust ML models for diabetes prediction utilizing population-level data.
1 January 2021 in Informatics in Medicine Unlocked
Although automated Acute Lymphoblastic Leukemia (ALL) detection is essential, it is challenging due to the morphological correlation between malignant and normal cells. The traditional ALL classification strategy is arduous, time-consuming, often suffers inter-observer variations, and necessitates experienced pathologists. This article has automated the ALL detection task, employing deep Convolutional Neural Networks (CNNs). We explore the weighted ensemble of deep CNNs to recommend a better ALL cell classifier. The weights are estimated from ensemble candidates' corresponding metrics, such as accuracy, F1-score, AUC, and kappa values. Various data augmentations and pre-processing are incorporated for achieving a better generalization of the network. We train and evaluate the proposed model utilizing the publicly available C-NMC-2019 ALL dataset. Our proposed weighted ensemble model has outputted a weighted F1-score of 88.6%, a balanced accuracy of 86.2%, and an AUC of 0.941 in the preliminary test set. The qualitative results displaying the gradient class activation maps confirm that the introduced model has a concentrated learned region. In contrast, the ensemble candidate models, such as Xception, VGG-16, DenseNet-121, MobileNet, and InceptionResNet-V2, separately produce coarse and scatter learned areas for most example cases. Since the proposed ensemble yields a better result for the aimed task, it can experiment in other domains of medical diagnostic applications.
Measles is one of the significant public health issues responsible for the high mortality rate around the globe, especially for developing countries. Using nationally representative demographic and health survey data, measles vaccine utilization has been classified, and its underlying factors are identified through an ensemble Machine Learning (ML) approach. Firstly, missing values are imputed employing various approaches, and then several feature selection techniques have been applied to identify the crucial attributes for predicting measles vaccination. A grid search hyperparameter optimization technique has been applied for tuning the critical hyperparameters of different ML models, such as Naive Bayes, random forest, decision tree, XGboost, and lightgbm. The individual optimized ML model’s categorization performance as all their ensembles have been reported utilizing our proposed BDHS dataset. Individually, the optimized lightgbm provides the highest precision and AUC of 79.90% and 77.80%, respectively. This result improved when the optimized lightgbm is ensembled with XGboost, providing the precision and AUC of 84.60% and 80.0%, respectively. Our result reveals that the statistical median imputation technique with the XGboost-based attribute selection method and the lightgbm classifier provides the best individual result. The performance improved when the proposed weighted ensemble of the XGboost and lightgbm approach was adapted with the same preprocessing and recommended for measles vaccine utilization. The significance of our proposed approach is that it utilizes minimum attributes collected from the child and their family members and yielded 80.0% accuracy, making it easily explainable by caregivers and healthcare personnel. Finally, our predictive model provides an early detection procedure to help national policymakers enforce new policies with specific rules and regulations. The data and source codes that support the findings of this study are available at https://github.com/kamruleee51/measles_vaccine_uptake .
Automated skin lesion analysis for simultaneous detection and recognition is still challenging for inter-class homogeneity and intra-class heterogeneity, leading to low generic capability of a Single Convolutional Neural Network (CNN) with limited datasets. This article proposes an end-to-end deep CNN-based framework for simultaneous detection and recognition of the skin lesions, named Dermo-DOCTOR, consisting of two encoders. The feature maps from two encoders are fused channel-wise, called Fused Feature Map (FFM). The FFM is utilized for decoding in the detection sub-network, concatenating each stage of two encoders' outputs with corresponding decoder layers to retrieve the lost spatial information due to pooling in the encoders. For the recognition sub-network, the outputs of three fully connected layers, utilizing feature maps of two encoders and FFM, are aggregated to obtain a final lesion class. We train and evaluate the proposed Dermo-Doctor utilizing two publicly available benchmark datasets, such as ISIC-2016 and ISIC-2017. The achieved segmentation results exhibit mean intersection over unions of 85.0 % and 80.0 % respectively for ISIC-2016 and ISIC-2017 test datasets. The proposed Dermo-DOCTOR also demonstrates praiseworthy success in lesion recognition, providing the areas under the receiver operating characteristic curves of 0.98 and 0.91 respectively for those two datasets. The experimental results show that the proposed Dermo-DOCTOR outperforms the alternative methods mentioned in the literature, designed for skin lesion detection and recognition. As the Dermo-DOCTOR provides better-results on two different test datasets, even with limited training data, it can be an auspicious computer-aided assistive tool for dermatologists.