Prediction Method of Gestational Diabetes Based on Electronic Medical Record Data

Prediction of gestational diabetes using deep learning and Bayesian optimization and traditional machine learning techniques

The study aimed to develop a clinical diagnosis system to identify patients in the GD risk group and reduce unnecessary oral glucose tolerance test (OGTT) applications for pregnant women who are not in the GD risk group using deep learning algorithms. With this aim, a prospective study was designed and the data was taken from 489 patients between the years 2019 and 2021, and informed consent was obtained. The clinical decision support system for the diagnosis of GD was developed using the generated dataset with deep learning algorithms and Bayesian optimization. As a result, a novel successful decision support model was developed using RNN-LSTM with Bayesian optimization that gave 95% sensitivity and 99% specificity on the dataset for the diagnosis of patients in the GD risk group by obtaining 98% AUC (95% CI (0.95-1.00) and p < 0.001). Thus, with the clinical diagnosis system developed to assist physicians, it is planned to save both cost and time, and reduce possible adverse effects by preventing unnecessary OGTT for patients who are not in the GD risk group.

Handling Class Imbalance in Machine Learning-based Prediction Models: A Case Study in Asthma Management

A data-driven prediction tool has the potential to provide early warning of an asthma attack and improve asthma management and outcomes. Most previous machine learning (ML)-based studies for asthma attack prediction have reported a severe class imbalance, with major implications for model performance. We aimed to undertake a systematic comparison of several class imbalance handling techniques in the context of risk prediction models for asthma prognosis. We used data from 9,835 asthma patients extracted from the Medical Information Mart for Intensive Care (MIMIC) IV database and deployed five class imbalance handling methods based on synthetic minority oversampling technique (SMOTE) and cost function customisation. We then compared their performances in improving two-class classifier models developed using logistic regression (LR) and extreme gradient boosting (XGBoost) for three different prediction tasks with varying severity of class imbalance (proportion of majority class ranging from 90.86% to 98.98%). The cost function customisation technique substantially outperformed the SMOTE-based methods in all tasks. XGBoost combined with cost function customisation achieved the highest prediction performance for the outcome with the most extreme class imbalance ratio (AUC = 0.72). Our findings suggest that the cost function customisation-based approach to tackle class imbalance provides substantially better performance compared to oversampling in the context of asthma management.Clinical Relevance- This study underscores the challenge of class imbalance in the context of prediction tools to improve asthma management and outcomes and provides a methodological solution that addresses the challenge. Accurate asthma prediction tools can provide early warning and potentially prevent deterioration thereby improving the quality of life of patients with asthma.

Retracted: Prediction Method of Gestational Diabetes Based on Electronic Medical Record Data

[This retracts the article DOI: 10.1155/2021/6672072.].

Utilizing fog computing and explainable deep learning techniques for gestational diabetes prediction

Gestational diabetes mellitus (GDM) is one of the pregnancy complications that poses a significant risk on mothers and babies as well. GDM usually diagnosed at 22–26 of gestation. However, the early prediction is desirable as it may contribute to decrease the risk. The continuous monitoring for mother’s vital signs helps in predicting any deterioration during pregnancy. The originality of this paper is to provide comprehensive framework for pregnancy women monitoring. The proposed Data Replacement and Prediction Framework consists of three layers which are: (i) IoT Layer, (ii) Fog Layer, and (iii) Cloud Layer. The first layer used IOT sensors to aggregate vital sings from pregnancies using invasive and noninvasive sensors. Then the vital signs transmitted to fog nodes to processed and finally stored in the cloud layer. The main contribution in this paper is located in the fog layer producing GDM module to implement two influential tasks which are: (i) Data Finding Methodology (DFM), and (ii) Explainable Prediction Algorithm (EPM) using DNN. First, the DFM is used to replace the unused data to free the cache space for the new incoming data items. The cache replacement is very important in the case of healthcare system as the incoming vital signs are frequent and must be replaced continuously. Second, the EPM is used to predict the incidence of GDM that may occur in the second trimester of the pregnancy. To evaluate our model, we extract data of 16,354 pregnancy women from medical information mart for intensive care (MIMIC III) benchmark dataset. For each woman, vital signs, demographic data and laboratory tests was aggregated. The results of the prediction model superior the state of the art (ACC = 0.957, AUC = 0.942). Regarding to explainability, we utilized Shapley additive explanation framework to provide local and global explanation for the developed models. Overall, the proposed framework is medically intuitive, allow the early prediction of GDM with cost effective solution.

A Novel Extra Tree Ensemble Optimized DL Framework (ETEODL) for Early Detection of Diabetes

Diabetes has been recognized as a global medical problem for more than half a century. Patients with diabetes can benefit from the Internet of Things (IoT) devices such as continuous glucose monitoring (CGM), intelligent pens, and similar devices. Smart devices generate continuous data streams that must be processed in real-time to benefit the users. The amount of medical data collected is vast and heterogeneous since it is gathered from various sources. An accurate diagnosis can be achieved through a variety of scientific and medical techniques. It is necessary to process this streaming data faster to obtain relevant and significant knowledge. Recently, the research has concentrated on improving the prediction model's performance by using ensemble-based and Deep Learning (DL) approaches. However, the performance of the DL model can degrade due to overfitting. This paper proposes the Extra-Tree Ensemble feature selection technique to reduce the input feature space with DL (ETEODL), a predictive framework to predict the likelihood of diabetes. In the proposed work, dropout layers follow the hidden layers of the DL model to prevent overfitting. This research utilized a dataset from the UCI Machine learning (ML) repository for an Early-stage prediction of diabetes. The proposed scheme results have been compared with state-of-the-art ML algorithms, and the comparison validates the effectiveness of the predictive framework. This proposed work, which outperforms the other selected classifiers, achieves a 97.38 per cent accuracy rate. F1-Score, precision, and recall percent are 96, 97.7, and 97.7, respectively. The comparison unveils the superiority of the suggested approach. Thus, the proposed method effectively improves the performance against the earlier ML techniques and recent DL approaches and avoids overfitting.