A new functional data-based biomarker for monitoring cardiovascular behavior

Diagnostic evaluation of pharmacokinetic features of functional markers

The dynamicity of functional (curve) markers from modern clinical studies offers deeper insights into complex disease physiology. A frequent clinical practice is to examine various 'pharmacokinetic features' of functional markers (definite integral, maximum value, time to maximum, etc.) that reflect important physiological underpinnings. For instance, the current diagnostic procedure for kidney obstruction is to examine several pharmacokinetic features of renogram curves characterizing renal function. Motivated by such clinical practices, we develop a statistical framework for evaluating diagnostic accuracy of pharmacokinetic features using area under the receiver operating characteristic curve (AUC). The major challenge is that functional markers are observed at discrete time points with measurement error. To address this challenge, we develop a two-stage non-parametric AUC estimator based on summary functionals providing unified representation of various pharmacokinetic features and study its asymptotic properties. We also propose a sensible adaptation of a semiparametric regression model that can describe heterogeneity of AUC across different subpopulations, while appropriately handling discreteness and noise in observed functional markers. Here, a novel data-driven approach that balances between bias and efficiency of the regression coefficient estimates is introduced. Finally, the framework is applied to rigorously evaluate pharmacokinetic features of renogram curves potentially useful for detecting kidney obstruction.

Pooling random forest and functional data analysis for biomedical signals supervised classification: Theory and application to electrocardiogram data

Scientific progress has contributed to creating many devices to gather vast amounts of biomedical data over time. The goal of these devices is generally to monitor people's health conditions, diagnose, and prevent patients' diseases, for example, to discover cardiovascular disorders or predict epileptic seizures. A common way of investigating these data is classification, but these instruments generate signals often characterized by high dimensionality. Learning from these data is definitely a challenging task due to many issues, for example, the trade‐off between complexity and accuracy and the course of dimensionality. This study proposes a supervised classification method based on the joint use of functional data analysis, classification trees, and random forest to deal with massive biomedical data recorded over time. For this purpose, this research suggests different original tools to extract features and train functional classifiers, interpret the classification rules, assess leaves' quality and composition, avoid the classical drawbacks due to the COD, and improve the accuracy of the functional classifiers. Focusing on ECG data as a possible example, the final purpose of this study is to offer an original approach to identify and classify patients at risk using different types of biomedical signals. The results confirm that this line of research is exciting; indeed, the interpretative tools show evidence to be very useful for understanding classification rules. Furthermore, the performance of the proposed functional classifier, in terms of accuracy, is excellent because the latter breaks the previous classification record regarding a well‐known ECG dataset.

Hippocampal shape analysis in Alzheimer's disease using functional data analysis

The hippocampus is one of the first affected regions in Alzheimer's disease. The left hippocampi of control subjects, patients with mild cognitive impairment and patients with Alzheimer's disease are represented by spherical harmonics. Functional data analysis is used in the hippocampal shape analysis. Functional principal component analysis and functional independent component analysis are defined for multivariate functions with two arguments. A functional linear discriminant function is also defined. Comparisons with other approaches are carried out. Our functional approach gives promising results, especially in shape classification.