Yanqing Zhang

Thosini Bamunu Mudiyanselage, Nipuna Senanayake, Chunyan Ji et al.

The novel corona virus (Covid-19) has introduced significant challenges due to its rapid spreading nature through respiratory transmission. As a result, there is a huge demand for Artificial Intelligence (AI) based quick disease diagnosis methods as an alternative to high demand tests such as Polymerase Chain Reaction (PCR). Chest X-ray (CXR) Image analysis is such cost-effective radiography technique due to resource availability and quick screening. But, a sufficient and systematic data collection that is required by complex deep leaning (DL) models is more difficult and hence there are recent efforts that utilize transfer learning to address this issue. Still these transfer learnt models suffer from lack of generalization and increased bias to the training dataset resulting poor performance for unseen data. Limited correlation of the transferred features from the pre-trained model to a specific medical imaging domain like X-ray and overfitting on fewer data can be reasons for this circumstance. In this work, we propose a novel Graph Convolution Neural Network (GCN) that is capable of identifying bio-markers of Covid-19 pneumonia from CXR images and meta information about patients. The proposed method exploits important relational knowledge between data instances and their features using graph representation and applies convolution to learn the graph data which is not possible with conventional convolution on Euclidean domain. The results of extensive experiments of proposed model on binary (Covid vs normal) and three class (Covid, normal, other pneumonia) classification problems outperform different benchmark transfer learnt models, hence overcoming the aforementioned drawbacks.

Ramesh B. Manyam, Yanqing Zhang, William B. Keeling et al.

Hospital Readmissions within 30 days after discharge following Coronary Artery Bypass Graft (CABG) Surgery are substantial contributors to healthcare costs. Many predictive models were developed to identify risk factors for readmissions. However, majority of the existing models use statistical analysis techniques with data available at discharge. We propose an ensembled model to predict CABG readmissions using pre-discharge perioperative data and machine learning survival analysis techniques. Firstly, we applied fifty one potential readmission risk variables to Cox Proportional Hazard (CPH) survival regression univariate analysis. Fourteen of them turned out to be significant (with p value < 0.05), contributing to readmissions. Subsequently, we applied these 14 predictors to multivariate CPH model and Deep Learning Neural Network (NN) representation of the CPH model, DeepSurv. We validated this new ensembled model with 453 isolated adult CABG cases. Nine of the fourteen perioperative risk variables were identified as the most significant with Hazard Ratios (HR) of greater than 1.0. The concordance index metrics for CPH, DeepSurv, and ensembled models were then evaluated with training and validation datasets. Our ensembled model yielded promising results in terms of c-statistics, as we raised the the number of iterations and data set sizes. 30 day all-cause readmissions among isolated CABG patients can be predicted more effectively with perioperative pre-discharge data, using machine learning survival analysis techniques. Prediction accuracy levels could be improved further with deep learning algorithms.