用于识别疾病共病模式的多标签转导
Multi-Label Transduction for Identifying Disease Comorbidity Patterns.
作者信息
Adeli Ehsan, Kwon Dongjin, Pohl Kilian M
机构信息
Stanford University.
SRI International.
出版信息
Med Image Comput Comput Assist Interv. 2018 Sep;11072:575-583. doi: 10.1007/978-3-030-00931-1_66. Epub 2018 Sep 13.
Study of the untoward effects associated with the comorbidity of multiple diseases on brain morphology requires identifying differences across multiple diagnostic groupings. To identify such effects and differentiate between groups of patients and normal subjects, conventional methods often compare each patient group with healthy subjects using binary or multi-class classifiers. However, testing inferences across multiple diagnostic groupings of complex disorders commonly yield inconclusive or conflicting findings when the classifier is confined to modeling two cohorts at a time or considers class labels mutually-exclusive (as in multi-class classifiers). These shortcomings are potentially caused by the difficulties associated with modeling compounding factors of diseases with these approaches. Multi-label classifiers, on the other hand, can appropriately model disease comorbidity, as each subject can be assigned to two or more labels. In this paper, we propose a multi-label transductive (MLT) method based on low-rank matrix completion that is able not only to classify the data into multiple labels but also to identify patterns from MRI data unique to each cohort. To evaluate the method, we use a dataset containing individuals with Alcohol Use Disorder (AUD) and human immunodeficiency virus (HIV) infection (specifically 244 healthy controls, 227 AUD, 70 HIV, and 61 AUD+HIV). On this dataset, our proposed method is more accurate in correctly labeling subjects than common approaches. Furthermore, our method identifies patterns specific to each disease and AUD+HIV comorbidity that shows that the comorbidity is characterized by a compounding effect of AUD and HIV infection.
研究多种疾病合并症对脑形态的不良影响需要识别多个诊断分组之间的差异。为了识别这些影响并区分患者组和正常受试者组,传统方法通常使用二元或多类分类器将每个患者组与健康受试者进行比较。然而,当分类器仅限于一次对两个队列进行建模或考虑类标签相互排斥时(如在多类分类器中),对复杂疾病的多个诊断分组进行测试推断通常会得出不确定或相互矛盾的结果。这些缺点可能是由用这些方法对疾病的复合因素进行建模的困难所导致的。另一方面,多标签分类器可以适当地对疾病合并症进行建模,因为每个受试者可以被分配两个或更多标签。在本文中,我们提出了一种基于低秩矩阵补全的多标签转导(MLT)方法,该方法不仅能够将数据分类为多个标签,还能够从每个队列特有的MRI数据中识别模式。为了评估该方法,我们使用了一个包含酒精使用障碍(AUD)和人类免疫缺陷病毒(HIV)感染个体的数据集(具体为244名健康对照、227名AUD患者、70名HIV患者和61名AUD+HIV患者)。在这个数据集上,我们提出的方法在正确标记受试者方面比常用方法更准确。此外,我们的方法识别出了每种疾病以及AUD+HIV合并症特有的模式,这表明合并症的特征是AUD和HIV感染的复合效应。