单位:[1]Department of Radiology, Tongji Hospital, Huazhong University of Science and Technology, Wuhan 430030, China放射科华中科技大学同济医学院附属同济医院[2]Department of Pharmacology and Pharmacy, LKS Faculty of Medicine, and the Musketeers Foundation Institute of Data Science, University of Hong Kong, Hong Kong SAR, China[3]School of Data Science, City University of Hong Kong, Hong Kong SAR, China[4]Department of Nephrology, Tongji Hospital, Huazhong University of Science and Technology, Wuhan 430030, China内科学系肾病内科华中科技大学同济医学院附属同济医院
Early diagnosis and prediction of chronic kidney disease (CKD) progress within a given duration are critical to ensure personalized treatment, which could improve patients' quality of life and prolong survival time. In this study, we explore the intelligibility of machine-learning and deep-learning models on end-stage renal disease (ESRD) prediction, based on readily-accessible clinical and laboratory features of patients suffering from CKD. Eight machine learning models were used to predict whether a patient suffering from CKD would progress to ESRD within three years based on demographics, clinical,and comorbidity information. LASSO, random forest, and XGBoost were used to identify the most significant markers. In addition, we introduced four advanced attribution methods to the deep learning model to enhance model intelligibility. The deep learning model achieved an AUC-ROC of 0.8991, which was significantly higher than that of baseline models. The interpretation generated by deep learning with attribution methods, random forest, and XGBoost was consistent with clinical knowledge, whereas LASSO-based interpretation was inconsistent. Hematuria, proteinuria, potassium, urine albumin to creatinine ratio were positively associated with the progression of CKD, while eGFR and urine creatinine were negatively associated. In conclusion, deep learning with attribution algorithms could identify intelligible features of CKD progression. Our model identified a number of critical, but under-reported features, which may be novel markers for CKD progression. This study provides physicians with solid data-driven evidence for using machine learning for CKD clinical management and treatment.
基金:
National Natural Science Foundation of China [81771801, 82071889, 81970591, 82270725]; Innovation and Technology Fund of Innovation and Technology Commission of Hong Kong [MHP/081/19]; National Key Research and Development Program of China, Ministry of Science and Technology of China [2019YFE0198600]
第一作者单位:[1]Department of Radiology, Tongji Hospital, Huazhong University of Science and Technology, Wuhan 430030, China
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推荐引用方式(GB/T 7714):
Liang Ping,Yang Jiannan,Wang Weilan,et al.Deep Learning Identifies Intelligible Predictors of Poor Prognosis in Chronic Kidney Disease[J].IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS.2023,27(7):3677-3685.doi:10.1109/JBHI.2023.3266587.
APA:
Liang, Ping,Yang, Jiannan,Wang, Weilan,Yuan, Guanjie,Han, Min...&Li, Zhen.(2023).Deep Learning Identifies Intelligible Predictors of Poor Prognosis in Chronic Kidney Disease.IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS,27,(7)
MLA:
Liang, Ping,et al."Deep Learning Identifies Intelligible Predictors of Poor Prognosis in Chronic Kidney Disease".IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS 27..7(2023):3677-3685