Abstract
Aim
The main purpose of this study is to introduce a high-accuracy model for predicting the best outcome of patients following liver transplantation.
Subject and methods
Computer-based medical prognosis is becoming increasingly significant as the volume of medical records increases every day, making manual processing harder. In addition, the inability of people to understand patterns from these huge volumes of data demands the use of machine learning tools. We propose an artificial neural network model to address the problem of organ allocation as well as survival prediction. This model extracts the relevant features and classifies the data set into training and test sets. Appropriate donor-recipient pairs were selected using ten-fold cross validation when training the medical data.
Results
An accuracy of 99.74 % was represented by a multilayer perceptron artificial neural network model. We could observe that the graft survival rate with our data set using the MELD score was 79.17 %. We also tested our model with three existing works containing different data sets and proved that the highest accuracy was obtained in the model with our data set.
Conclusion
To ensure accuracy, we made a comparison with existing models using various performance features. For training the model, we used a rich data set from the United Network for Organ Sharing transplant registry. We also carried out a survival analysis over 12 years, predicting survival probabilities using this rich data set and comparing it with existing approaches.
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References
Calle EE, Thun MJ, Petrelli JM, Rodriguez C, Heath CW (1999) Body-mass index and mortality in a prospective cohort of US adults. N Engl J Med 341(15):1097–1105
Chandra V, Reshmi G (2009) A pre-microRNA classifier by structural and thermodynamic motifs. In: Nature & biologically inspired computing. NaBIC 2009. World Congress on 2009 Dec 9. IEEE, p 78–83
Chandra SSV, Hareendran A (2014) Artificial intelligence and machine learning. PHI Learning Pvt. Ltd., New Delhi
Cruz M, Hervás C, Fernandez JC, Briceno J, De M (2013) Predicting patient survival after liver transplantation using evolutionary multi-objective artificial neural networks. Artif Intell Med 58(1):37–49
Cucchetti A, Vivarelli M, Heaton ND, Phillips S, Piscaglia F, Bolondi--------- L, La G, Foxton MR, Rela M, O’Grady J, Pinna AD (2007) Artificial neural network is superior to MELD in predicting mortality of patients with end-stage liver disease. Gut 56(2):253–8
Doyle HR, Dvorchik I, Mitchell S, Marino IR, Ebert FH, McMichael J, Fung JJ (1994a) Predicting outcomes after liver transplantation. A connectionist approach. Ann Surg 219(4):408
Doyle HR, Marino IR, Jabbour N, Zetti G, McMichael J, Mitchell S, Fung J, Starzl TE (1994b) Early death or retransplantation in adults after orthotopic liver transplantation: can outcome be predicted? 1. Transplantation 57(7):1028
Dreiseitl S, Ohno L (2002) Logistic regression and artificial neural network classification models: a methodology review. J Biomed Inform 35(5):352–359
Ibáñez V, Pareja E, Serrano AJ, Vila JJ, Pérez S, Martín JD, Sanjuán F, López R, Mir J (2009) Predicting early transplant failure: neural network versus logistic regression models. Open Transplant J 3:14–21
Kamath PS, Wiesner RH, Malinchoc M, Kremers W, Therneau TM, Kosberg CL, D’Amico G, Dickson ER, Kim W (2001) A model to predict survival in patients with end‐stage liver disease. Hepatology 33(2):464–470
Khosravi B, Pourahmad S, Bahreini A, Nikeghbalian S, Mehrdad G (2015) Five years survival of patients after liver transplantation and its effective factors by neural network and cox poroportional hazard regression models. Hepatitis Monthly 15 (9)
Lai JC, Feng S, Roberts JP, Terrault NA (2011) Gender differences in liver donor quality are predictive of graft loss. Am J Transplant 11(2):296–302
Marsh JW, Dvorchik I, Subotin M, Balan V, Rakela J, Popechitelev EP, Subbotin V, Casavilla A, Carr BI, Fung JJ, Iwatsuki S (1997) The prediction of risk of recurrence and time to recurrence of hepatocellular carcinoma after orthotopic liver transplantation: a pilot study. Hepatology 26(2):444–450
Oztekin A, Delen D, Kong ZJ (2009) Predicting the graft survival for heart–lung transplantation patients: An integrated data mining methodology. Int J Med Inform 78(12):e84–e96
Parmanto B, Doyle HR (2001) Recurrent neural networks for predicting outcomes after liver transplantation: representing temporal sequence of clinical observations. Methods Archive 40(5):386–391
Poller L (2004) International Normalized Ratios (INR): the first 20 years. J Thromb Haemost 2(6):849–860
Raji CG, Chandra SSV (2016a) Artificial neural networks in prediction of patient survival after liver transplantation. J Health Med Inform 7:215. doi:10.4172/2157-7420.1000215
Raji CG, Chandra SV (2016b) Graft survival prediction in liver transplantation using artificial neural network models. Journal of Computational Science 30:16:72–78
Saduf MA (2013) Comparative study of back propagation learning algorithms for neural networks. Int J Adv Res Comput Sci Soft Eng 3(2):1151–1156
Sharma V, Rai S, Dev A (2012) A comprehensive study of artificial neural networks. India International Journal of Advanced Research in Computer Science and Software Engineering 2(10)
Song AT, Avelino VI, Pecora RA, Pugliese V, D’Albuquerque LA, Abdala E (2014) Liver transplantation: fifty years of experience. World J Gastroenterol 20(18):5363
Zhang M, Yin F, Chen B, Li YP, Yan LN, Wen TF, Li B (2012) Pretransplant prediction of posttransplant survival for liver recipients with benign end-stage liver diseases: a nonlinear model. PLoS One 7(3), e31256
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The data collected were based on OPTN data as of 5th June 2015. This work was supported in part by the Health Resources and Services Administration contract 234-2005-370011C. The content is the responsibility of the authors alone and does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products or organizations imply endorsement by the US Government.
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The authors declare that they have no conflict of interest.
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Raji, C.G., Chandra, S.S.V. Predicting the survival of graft following liver transplantation using a nonlinear model. J Public Health 24, 443–452 (2016). https://doi.org/10.1007/s10389-016-0742-7
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DOI: https://doi.org/10.1007/s10389-016-0742-7