Alireza Rafiei

Alireza Rafiei, Ronald Moore, Sina Jahromi et al.

As a subset of machine learning, meta-learning, or learning to learn, aims at improving the model's capabilities by employing prior knowledge and experience. A meta-learning paradigm can appropriately tackle the conventional challenges of traditional learning approaches, such as insufficient number of samples, domain shifts, and generalization. These unique characteristics position meta-learning as a suitable choice for developing influential solutions in various healthcare contexts, where the available data is often insufficient, and the data collection methodologies are different. This survey discusses meta-learning broad applications in the healthcare domain to provide insight into how and where it can address critical healthcare challenges. We first describe the theoretical foundations and pivotal methods of meta-learning. We then divide the employed meta-learning approaches in the healthcare domain into two main categories of multi/single-task learning and many/few-shot learning and survey the studies. Finally, we highlight the current challenges in meta-learning research, discuss the potential solutions, and provide future perspectives on meta-learning in healthcare.

Alireza Rafiei, Farshid Hajati, Alireza Rezaee et al.

Sepsis, characterized by a dysregulated immune response to infection, results in significant mortality, morbidity, and healthcare costs. The timely prediction of sepsis progression is crucial for reducing adverse outcomes through early intervention. Despite the development of numerous models for Intensive Care Unit (ICU) patients, there remains a notable gap in approaches for the early detection of sepsis in non-ward settings. This research introduces and evaluates four novel machine learning algorithms designed for predicting the onset of sepsis on wearable devices by analyzing heart rate data. The architecture of these models was refined through a genetic algorithm, optimizing for performance, computational complexity, and memory requirements. Performance metrics were subsequently extracted for each model to evaluate their feasibility for implementation on wearable devices capable of accurate heart rate monitoring. The models were initially tailored for a prediction window of one hour, later extended to four hours through transfer learning. The encouraging outcomes of this study suggest the potential for wearable technology to facilitate early sepsis detection outside ICU and ward environments.

Alireza Rafiei, Ronald Moore, Tilendra Choudhary et al.

Objective: Blood transfusions, crucial in managing anemia and coagulopathy in ICU settings, require accurate prediction for effective resource allocation and patient risk assessment. However, existing clinical decision support systems have primarily targeted a particular patient demographic with unique medical conditions and focused on a single type of blood transfusion. This study aims to develop an advanced machine learning-based model to predict the probability of transfusion necessity over the next 24 hours for a diverse range of non-traumatic ICU patients. Methods: We conducted a retrospective cohort study on 72,072 adult non-traumatic ICU patients admitted to a high-volume US metropolitan academic hospital between 2016 and 2020. We developed a meta-learner and various machine learning models to serve as predictors, training them annually with four-year data and evaluating on the fifth, unseen year, iteratively over five years. Results: The experimental results revealed that the meta-model surpasses the other models in different development scenarios. It achieved notable performance metrics, including an Area Under the Receiver Operating Characteristic (AUROC) curve of 0.97, an accuracy rate of 0.93, and an F1-score of 0.89 in the best scenario. Conclusion: This study pioneers the use of machine learning models for predicting blood transfusion needs in a diverse cohort of critically ill patients. The findings of this evaluation confirm that our model not only predicts transfusion requirements effectively but also identifies key biomarkers for making transfusion decisions.