Güvenir H Altay, Misirli Gizem, Dilbaz Serdar, Ozdegirmenci Ozlem, Demir Berfu, Dilbaz Berna
Computer Engineering Department, Bilkent University, 06800, Ankara, Turkey.
Department of Obstetrics and Gynecology, Duzce University School of Medicine, 81260, Duzce, Turkey.
Med Biol Eng Comput. 2015 Sep;53(9):911-20. doi: 10.1007/s11517-015-1299-2. Epub 2015 Apr 17.
In medicine, estimating the chance of success for treatment is important in deciding whether to begin the treatment or not. This paper focuses on the domain of in vitro fertilization (IVF), where estimating the outcome of a treatment is very crucial in the decision to proceed with treatment for both the clinicians and the infertile couples. IVF treatment is a stressful and costly process. It is very stressful for couples who want to have a baby. If an initial evaluation indicates a low pregnancy rate, decision of the couple may change not to start the IVF treatment. The aim of this study is twofold, firstly, to develop a technique that can be used to estimate the chance of success for a couple who wants to have a baby and secondly, to determine the attributes and their particular values affecting the outcome in IVF treatment. We propose a new technique, called success estimation using a ranking algorithm (SERA), for estimating the success of a treatment using a ranking-based algorithm. The particular ranking algorithm used here is RIMARC. The performance of the new algorithm is compared with two well-known algorithms that assign class probabilities to query instances. The algorithms used in the comparison are Naïve Bayes Classifier and Random Forest. The comparison is done in terms of area under the ROC curve, accuracy and execution time, using tenfold stratified cross-validation. The results indicate that the proposed SERA algorithm has a potential to be used successfully to estimate the probability of success in medical treatment.
在医学领域,评估治疗成功的可能性对于决定是否开始治疗至关重要。本文聚焦于体外受精(IVF)领域,在该领域中,对于临床医生和不孕夫妇而言,评估治疗结果对于决定是否继续治疗非常关键。IVF治疗是一个压力大且成本高的过程。对于想要孩子的夫妇来说压力极大。如果初步评估显示怀孕率较低,夫妇的决定可能会改变,不再开始IVF治疗。本研究的目的有两个,首先,开发一种可用于评估想要孩子的夫妇治疗成功可能性的技术;其次,确定影响IVF治疗结果的属性及其特定值。我们提出一种名为使用排序算法进行成功评估(SERA)的新技术,用于使用基于排序的算法评估治疗的成功率。这里使用的特定排序算法是RIMARC。将新算法的性能与两种为查询实例分配类概率的知名算法进行比较。比较中使用的算法是朴素贝叶斯分类器和随机森林。使用十折分层交叉验证,在ROC曲线下面积、准确率和执行时间方面进行比较。结果表明,所提出的SERA算法有潜力成功用于估计医疗治疗成功的概率。