Ohno-Machado L
Section on Medical Informatics, Stanford University School of Medicine, CA 94305.
Proc Annu Symp Comput Appl Med Care. 1994:853-9.
Although neural networks have been widely applied to medical problems in recent years, their applicability has been limited for a variety of reasons. One of these barriers has been the inability to discriminate rare classes of solutions (i.e., the identification of categories that are infrequent). In this article, I demonstrate that a system of hierarchical neural networks (HNN) can overcome the problem of recognizing low frequency patterns, and therefore can improve the prediction power of neural-network systems. HNN are designed according to a divide-and-conquer approach: Triage networks are able to discriminate supersets that contain the infrequent pattern, and these supersets are then used by Specialized networks, which discriminate the infrequent pattern from the other ones in the superset. The supersets that are discriminated by the Triage networks are based on pattern similarity. The application of multilayered neural networks in more than one step allows the prior probability of a given pattern to increase at each step, provided that the predictive power of the network at the previous level is high. The method has been applied to one artificial set and one real set of data. In the artificial set, the distribution of the patterns was known and no noise was present. In this experiment, the HNN provided better discrimination than a standard neural network for all classes. In a real data set of nine thousand patients who were suspected of having thyroid disorders, the HNN also provided higher sensitivity than its corresponding standard neural network (without a corresponding decay in specificity) given the same time constraints.(ABSTRACT TRUNCATED AT 250 WORDS)
尽管近年来神经网络已广泛应用于医学问题,但由于各种原因,其适用性受到限制。其中一个障碍是无法区分罕见的解决方案类别(即识别不常见的类别)。在本文中,我证明了分层神经网络(HNN)系统可以克服识别低频模式的问题,因此可以提高神经网络系统的预测能力。HNN是根据分治法设计的:分类网络能够区分包含罕见模式的超集,然后这些超集由专门网络使用,专门网络将罕见模式与超集中的其他模式区分开来。分类网络区分的超集基于模式相似性。只要前一级网络的预测能力高,多层神经网络在多个步骤中的应用允许给定模式的先验概率在每个步骤中增加。该方法已应用于一组人工数据和一组真实数据。在人工数据集中,模式的分布是已知的且不存在噪声。在这个实验中,对于所有类别,HNN提供了比标准神经网络更好的区分能力。在一个有九千名疑似甲状腺疾病患者的真实数据集中,在相同的时间限制下,HNN也比相应的标准神经网络提供了更高的灵敏度(特异性没有相应下降)。