Elizabeth Chen

Elizabeth Chen, Andrew Lee, Tanbir Sarowar et al.

Deterministic Lateral Displacement (DLD) devices are widely used in microfluidics for label-free, size-based separation of particles and cells, with particular promise in isolating circulating tumor cells (CTCs) for early cancer diagnostics. This study focuses on the optimization of DLD design parameters, such as row shift fraction, post size, and gap distance, to enhance the selective isolation of lung cancer cells based on their physical properties. To overcome the challenges of rare CTC detection and reduce reliance on computationally intensive simulations, machine learning models including gradient boosting, k-nearest neighbors, random forest, and multilayer perceptron (MLP) regressors are employed. Trained on a large, numerically validated dataset, these models predict particle trajectories and identify optimal device configurations, enabling high-throughput and cost-effective DLD design. Beyond trajectory prediction, the models aid in isolating critical design variables, offering a systematic, data-driven framework for automated DLD optimization. This integrative approach advances the development of scalable and precise microfluidic systems for cancer diagnostics, contributing to the broader goals of early detection and personalized medicine.

Gil Alon, Elizabeth Chen, Guergana Savova et al.

Many recent studies use machine learning to predict a small number of ICD-9-CM codes. In practice, on the other hand, physicians have to consider a broader range of diagnoses. This study aims to put these previously incongruent evaluation settings on a more equal footing by predicting ICD-9-CM codes based on electronic health record properties and demonstrating the relationship between diagnosis prevalence and system performance. We extracted patient features from the MIMIC-III dataset for each admission. We trained and evaluated 43 different machine learning classifiers. Among this pool, the most successful classifier was a Multi-Layer Perceptron. In accordance with general machine learning expectation, we observed all classifiers' F1 scores to drop as disease prevalence decreased. Scores fell from 0.28 for the 50 most prevalent ICD-9-CM codes to 0.03 for the 1000 most prevalent ICD-9-CM codes. Statistical analyses showed a moderate positive correlation between disease prevalence and efficacy (0.5866).

Cindy Li, Elizabeth Chen, Guergana Savova et al.

Diagnostic errors can pose a serious threat to patient safety, leading to serious harm and even death. Efforts are being made to develop interventions that allow physicians to reassess for errors and improve diagnostic accuracy. Our study presents an exploration of misdiagnosis patterns mined from PubMed abstracts. Article titles containing certain phrases indicating misdiagnosis were selected and frequencies of these misdiagnoses calculated. We present the resulting patterns in the form of a directed graph with frequency-weighted misdiagnosis edges connecting diagnosis vertices. We find that the most commonly misdiagnosed diseases were often misdiagnosed as many different diseases, with each misdiagnosis having a relatively low frequency, rather than as a single disease with greater probability. Additionally, while a misdiagnosis relationship may generally exist, the relationship was often found to be one-sided.