Abstract

Machine learning-aided medical decision making presents three major challenges: achieving model parsimony, ensuring credible predictions, and providing real-time recommendations with high computational efficiency. In this paper, we formulate medical decision making as a classification problem and develop a moment kernel machine (MKM) to tackle these challenges. The main idea of our approach is to treat the clinical data of each patient as a probability distribution and leverage moment representations of these distributions to build the MKM, which transforms the high-dimensional clinical data to low-dimensional representations while retaining essential information. We then apply this machine to various pre-surgical clinical datasets to predict surgical outcomes and inform medical decision making, which requires significantly less computational power and time for classification while yielding favorable performance compared to existing methods. Moreover, we utilize synthetic datasets to demonstrate that the developed moment-based data mining framework is robust to noise and missing data, and achieves model parsimony giving an efficient way to generate satisfactory predictions to aid personalized medical decision making.

Details

Title
A moment kernel machine for clinical data mining to inform medical decision making
Author
Yu, Yao-Chi 1 ; Zhang, Wei 1 ; O’Gara, David 2 ; Li, Jr-Shin 3 ; Chang, Su-Hsin 4 

 Washington University in St. Louis, Department of Electrical and Systems Engineering, St. Louis, USA (GRID:grid.4367.6) (ISNI:0000 0001 2355 7002) 
 Washington University in St. Louis, Division of Computational and Data Sciences, St. Louis, USA (GRID:grid.4367.6) (ISNI:0000 0001 2355 7002) 
 Washington University in St. Louis, Department of Electrical and Systems Engineering, St. Louis, USA (GRID:grid.4367.6) (ISNI:0000 0001 2355 7002); Washington University in St. Louis, Division of Computational and Data Sciences, St. Louis, USA (GRID:grid.4367.6) (ISNI:0000 0001 2355 7002); Washington University in St. Louis, Division of Biology and Biomedical Sciences, St. Louis, USA (GRID:grid.4367.6) (ISNI:0000 0001 2355 7002) 
 Washington University School of Medicine, Division of Public Health Sciences, Department of Surgery, St. Louis, USA (GRID:grid.4367.6) (ISNI:0000 0001 2355 7002) 
Pages
10459
Publication year
2023
Publication date
2023
Publisher
Nature Publishing Group
e-ISSN
20452322
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2830501318
Copyright
© The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.