A Soft Computing Approach to Kidney Diseases Evaluation

Prediction of chronic kidney disease and its progression by artificial intelligence algorithms

BACKGROUND AND OBJECTIVE

Aim of nephrologists is to delay the outcome and reduce the number of patients undergoing renal failure (RF) by applying prevention protocols and accurately monitoring chronic kidney disease (CKD) patients. General practitioners and nephrologists are involved in the first and in the late stages of the disease, respectively. Early diagnosis of CKD is an important step in preventing the progression of kidney damage. Our aim was to review publications on machine learning algorithms (MLAs) that can predict early CKD and its progression.

METHODS

We conducted a systematic review and selected 55 articles on the application of MLAs in CKD. PubMed, Medline, Scopus, Web of Science and IEEE Xplore Digital Library of the Institute of Electrical and Electronics Engineers were searched. The search terms were chronic kidney disease, artificial intelligence, data mining and machine learning algorithms.

RESULTS

MLAs use enormous numbers of predictors combining them in non-linear and highly interactive ways. This ability increases when new data is added. We observed some limitations in the publications: (i) databases were not accurately reviewed by physicians; (ii) databases did not report the ethnicity of the patients; (iii) some databases collected variables that were not important for the diagnosis and progression of CKD; (iv) no information was presented on the native kidney disease causing CKD; (v) no validation of the results in external independent cohorts was provided; and (vi) no insights were given on the MLAs that were used. Overall, there was limited collaboration among experts in electronics, computer science and physicians.

CONCLUSIONS

The application of MLAs in kidney diseases may enhance the ability of clinicians to predict CKD and RF, thus improving diagnostic assistance and providing suitable therapeutic decisions. However, it is necessary to improve the development process of MLA tools.

A Deep Neural Network for Early Detection and Prediction of Chronic Kidney Disease

Diabetes and high blood pressure are the primary causes of Chronic Kidney Disease (CKD). Glomerular Filtration Rate (GFR) and kidney damage markers are used by researchers around the world to identify CKD as a condition that leads to reduced renal function over time. A person with CKD has a higher chance of dying young. Doctors face a difficult task in diagnosing the different diseases linked to CKD at an early stage in order to prevent the disease. This research presents a novel deep learning model for the early detection and prediction of CKD. This research objectives to create a deep neural network and compare its performance to that of other contemporary machine learning techniques. In tests, the average of the associated features was used to replace all missing values in the database. After that, the neural network's optimum parameters were fixed by establishing the parameters and running multiple trials. The foremost important features were selected by Recursive Feature Elimination (RFE). Hemoglobin, Specific Gravity, Serum Creatinine, Red Blood Cell Count, Albumin, Packed Cell Volume, and Hypertension were found as key features in the RFE. Selected features were passed to machine learning models for classification purposes. The proposed Deep neural model outperformed the other four classifiers (Support Vector Machine (SVM), K-Nearest Neighbor (KNN), Logistic regression, Random Forest, and Naive Bayes classifier) by achieving 100% accuracy. The proposed approach could be a useful tool for nephrologists in detecting CKD.

A comprehensive review and analysis of supervised-learning and soft computing techniques for stress diagnosis in humans

Stress is the most prevailing and global psychological condition that inevitably disrupts the mood and behavior of individuals. Chronic stress may gravely affect the physical, mental, and social behavior of victims and consequently induce myriad critical human disorders. Herein, a review has been presented where supervised learning (SL) and soft computing (SC) techniques used in stress diagnosis have been meticulously investigated to highlight the contributions, strengths, and challenges faced in the implementation of these methods in stress diagnostic models. A three-tier review strategy comprising of manuscript selection, data synthesis, and data analysis was adopted. The issues in SL strategies and the potential possibility of using hybrid techniques in stress diagnosis have been intensively investigated. The strengths and weaknesses of different SL (Bayesian classifier, random forest, support vector machine, and nearest neighbours) and SC (fuzzy logic, nature-inspired, and deep learning) techniques have been presented to obtain clear insights into these optimization strategies. The effects of social, behavioral, and biological stresses have been highlighted. The psychological, biological, and behavioral responses to stress have also been briefly elucidated. The findings of the study confirmed that different types of data/signals (related to skin temperature, electro-dermal activity, blood circulation, heart rate, facial expressions, etc.) have been used in stress diagnosis. Moreover, there is a potential scope for using distinct nature-inspired computing techniques (Genetic Algorithm, Particle Swarm Optimization, Ant Colony Optimization, Whale Optimization Algorithm, Butterfly Optimization, Harris Hawks Optimizer, and Crow Search Algorithm) and deep learning techniques (Deep-Belief Network, Convolutional-Neural Network, and Recurrent-Neural Network) on multimodal data compiled using behavioral testing, electroencephalogram signals, finger temperature, respiration rate, pupil diameter, galvanic-skin-response, and blood pressure. Likewise, there is a wider scope to investigate the use of SL and SC techniques in stress diagnosis using distinct dimensions such as sentiment analysis, speech recognition, handwriting recognition, and facial expressions. Finally, a hybrid model based on distinct computational methods influenced by both SL and SC techniques, adaption, parameter tuning, and the use of chaos, levy, and Gaussian distribution may address exploration and exploitation issues. However, factors such as real-time data collection, bias, integrity, multi-dimensional data, and data privacy make it challenging to design precise and innovative stress diagnostic systems based on artificial intelligence.

Prediction of Hemodialysis Timing Based on LVW Feature Selection and Ensemble Learning

We propose an improved model based on LVW embedded model feature extractor and ensemble learning for improving prediction accuracy of hemodialysis timing in this paper. Due to this drawback caused by feature extraction models, we adopt an enhanced LVW embedded model to search the feature subset by stochastic strategy, which can find the best feature combination that are most beneficial to learner performance. In the model application, we present an improved integrated learners for model fusion to reduce errors caused by overfitting problem of the single classifier. We run several state-of-the-art Q&A methods as contrastive experiments. The experimental results show that the ensemble learning model based on LVW has better generalization ability (97.04%) and lower standard error (± 0.04). We adopt the model to make high-precision predictions of hemodialysis timing, and the experimental results have shown that our framework significantly outperforms several strong baselines. Our model provides strong clinical decision support for physician diagnosis and has important clinical implications.

Transforming Diabetes Care Through Artificial Intelligence: The Future Is Here

An estimated 425 million people globally have diabetes, accounting for 12% of the world's health expenditures, and yet 1 in 2 persons remain undiagnosed and untreated. Applications of artificial intelligence (AI) and cognitive computing offer promise in diabetes care. The purpose of this article is to better understand what AI advances may be relevant today to persons with diabetes (PWDs), their clinicians, family, and caregivers. The authors conducted a predefined, online PubMed search of publicly available sources of information from 2009 onward using the search terms "diabetes" and "artificial intelligence." The study included clinically-relevant, high-impact articles, and excluded articles whose purpose was technical in nature. A total of 450 published diabetes and AI articles met the inclusion criteria. The studies represent a diverse and complex set of innovative approaches that aim to transform diabetes care in 4 main areas: automated retinal screening, clinical decision support, predictive population risk stratification, and patient self-management tools. Many of these new AI-powered retinal imaging systems, predictive modeling programs, glucose sensors, insulin pumps, smartphone applications, and other decision-support aids are on the market today with more on the way. AI applications have the potential to transform diabetes care and help millions of PWDs to achieve better blood glucose control, reduce hypoglycemic episodes, and reduce diabetes comorbidities and complications. AI applications offer greater accuracy, efficiency, ease of use, and satisfaction for PWDs, their clinicians, family, and caregivers.

Establishing the presence or absence of chronic kidney disease: Uses and limitations of formulas estimating the glomerular filtration rate

The development of formulas estimating glomerular filtration rate (eGFR) from serum creatinine and cystatin C and accounting for certain variables affecting the production rate of these biomarkers, including ethnicity, gender and age, has led to the current scheme of diagnosing and staging chronic kidney disease (CKD), which is based on eGFR values and albuminuria. This scheme has been applied extensively in various populations and has led to the current estimates of prevalence of CKD. In addition, this scheme is applied in clinical studies evaluating the risks of CKD and the efficacy of various interventions directed towards improving its course. Disagreements between creatinine-based and cystatin-based eGFR values and between eGFR values and measured GFR have been reported in various cohorts. These disagreements are the consequence of variations in the rate of production and in factors, other than GFR, affecting the rate of removal of creatinine and cystatin C. The disagreements create limitations for all eGFR formulas developed so far. The main limitations are low sensitivity in detecting early CKD in several subjects, e.g., those with hyperfiltration, and poor prediction of the course of CKD. Research efforts in CKD are currently directed towards identification of biomarkers that are better indices of GFR than the current biomarkers and, particularly, biomarkers of early renal tissue injury.