Dictionary learning LASSO for feature selection with application to hepatocellular carcinoma grading using contrast enhanced magnetic resonance imaging

Machine Learning Model Development for Malignant Prostate Lesion Prediction Using Texture Analysis Features from Ultrasound Shear-Wave Elastography

Introduction: Artificial intelligence (AI) is increasingly utilized for texture analysis and the development of machine learning (ML) techniques to enhance diagnostic accuracy. ML algorithms are trained to differentiate between normal and malignant conditions based on provided data. Texture feature analysis, including first-order and second-order features, is a critical step in ML development. This study aimed to evaluate quantitative texture features of normal and prostate cancer tissues identified through ultrasound B-mode and shear-wave elastography (SWE) imaging and to develop and assess ML models for predicting and classifying normal versus malignant prostate tissues. Methodology: First-order and second-order texture features were extracted from B-mode and SWE imaging, including four reconstructed regions of interest (ROIs) from SWE images for normal and malignant tissues. A total of 94 texture features were derived, including features for intensity, Gray-Level Co-Occurrence Matrix (GLCM), Gray-Level Dependence Length Matrix (GLDLM), Gray-Level Run Length Matrix (GLRLM), and Gray-Level Size Zone Matrix (GLSZM). Five ML models were developed and evaluated using 5-fold cross-validation to predict normal and malignant tissues. Results: Data from 62 patients were analyzed. All ROIs, except those derived from B-mode imaging, exhibited statistically significant differences in features between normal and malignant tissues. Among the developed models, Support Vector Machines (SVM), Random Forest (RF), and Naive Bayes (NB) demonstrated the highest performance across all ROIs. These models consistently achieved strong predictive accuracy for classifying normal versus malignant tissues. Gray Pure SWE and Gray Reconstructed images Provided the highest sensitivity and specificity in PCa prediction by 82%, 90%, and 98%, 96%, respectively. Conclusions: Texture analysis with machine learning on SWE-US and reconstructed images effectively differentiates malignant from benign prostate lesions, with features like contrast, entropy, and correlation playing a key role. Random Forest, SVM, and Naïve Bayes showed the highest classification performance, while grayscale reconstructions (GPSWE and GRRI) enhanced detection accuracy.

Analysis of hematological indicators via explainable artificial intelligence in the diagnosis of acute heart failure: a retrospective study

Introduction

Acute heart failure (AHF) is a serious medical problem that necessitates hospitalization and often results in death. Patients hospitalized in the emergency department (ED) should therefore receive an immediate diagnosis and treatment. Unfortunately, there is not yet a fast and accurate laboratory test for identifying AHF. The purpose of this research is to apply the principles of explainable artificial intelligence (XAI) to the analysis of hematological indicators for the diagnosis of AHF.

Methods

In this retrospective analysis, 425 patients with AHF and 430 healthy individuals served as assessments. Patients' demographic and hematological information was analyzed to diagnose AHF. Important risk variables for AHF diagnosis were identified using the Least Absolute Shrinkage and Selection Operator (LASSO) feature selection. To test the efficacy of the suggested prediction model, Extreme Gradient Boosting (XGBoost), a 10-fold cross-validation procedure was implemented. The area under the receiver operating characteristic curve (AUC), F1 score, Brier score, Positive Predictive Value (PPV), and Negative Predictive Value (NPV) were all computed to evaluate the model's efficacy. Permutation-based analysis and SHAP were used to assess the importance and influence of the model's incorporated risk factors.

Results

White blood cell (WBC), monocytes, neutrophils, neutrophil-lymphocyte ratio (NLR), red cell distribution width-standard deviation (RDW-SD), RDW-coefficient of variation (RDW-CV), and platelet distribution width (PDW) values were significantly higher than the healthy group (p < 0.05). On the other hand, erythrocyte, hemoglobin, basophil, lymphocyte, mean platelet volume (MPV), platelet, hematocrit, mean erythrocyte hemoglobin (MCH), and procalcitonin (PCT) values were found to be significantly lower in AHF patients compared to healthy controls (p < 0.05). When XGBoost was used in conjunction with LASSO to diagnose AHF, the resulting model had an AUC of 87.9%, an F1 score of 87.4%, a Brier score of 0.036, and an F1 score of 87.4%. PDW, age, RDW-SD, and PLT were identified as the most crucial risk factors in differentiating AHF.

Conclusion

The results of this study showed that XAI combined with ML could successfully diagnose AHF. SHAP descriptions show that advanced age, low platelet count, high RDW-SD, and PDW are the primary hematological parameters for the diagnosis of AHF.