An interpretable DIC risk prediction model based on convolutional neural networks with time series data

Abstract Disseminated intravascular coagulation (DIC) is a complex, life-threatening syndrome associated with the end-stage of different coagulation disorders. Early prediction of the risk of DIC development is an urgent clinical need to reduce adverse outcomes. However, effective approaches and mod...

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Main Authors: Hao Yang, Jiaxi Li, Siru Liu, Mengjiao Zhang, Jialin Liu
Format: Article
Language:English
Published: BMC 2022-11-01
Series:BMC Bioinformatics
Subjects:
Online Access:https://doi.org/10.1186/s12859-022-05004-2
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author Hao Yang
Jiaxi Li
Siru Liu
Mengjiao Zhang
Jialin Liu
author_facet Hao Yang
Jiaxi Li
Siru Liu
Mengjiao Zhang
Jialin Liu
author_sort Hao Yang
collection DOAJ
description Abstract Disseminated intravascular coagulation (DIC) is a complex, life-threatening syndrome associated with the end-stage of different coagulation disorders. Early prediction of the risk of DIC development is an urgent clinical need to reduce adverse outcomes. However, effective approaches and models to identify early DIC are still lacking. In this study, a novel interpretable deep learning based time series is used to predict the risk of DIC. The study cohort included ICU patients from a 4300-bed academic hospital between January 1, 2019, and January 1, 2022. Experimental results show that our model achieves excellent performance (AUC: 0.986, Accuracy: 95.7%, and F1:0.935). Gradient-weighted Class Activation Mapping (Grad-CAM) was used to explain how predictive models identified patients with DIC. The decision basis of the model was displayed in the form of a heat map. The model can be used to identify high-risk patients with DIC early, which will help in the early intervention of DIC patients and improve the treatment effect.
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spelling doaj.art-f33ad416eb13496f98b71bd228cb0c282022-12-22T04:39:17ZengBMCBMC Bioinformatics1471-21052022-11-0123111410.1186/s12859-022-05004-2An interpretable DIC risk prediction model based on convolutional neural networks with time series dataHao Yang0Jiaxi Li1Siru Liu2Mengjiao Zhang3Jialin Liu4Information Center, West China Hospital, Sichuan UniversityDepartment of Clinical Laboratory Medicine, Jinniu Maternity and Child Health Hospital of ChengduDepartment of Biomedical Informatics, Vanderbilt University Medical CenterInformation Center, West China Hospital, Sichuan UniversityInformation Center, West China Hospital, Sichuan UniversityAbstract Disseminated intravascular coagulation (DIC) is a complex, life-threatening syndrome associated with the end-stage of different coagulation disorders. Early prediction of the risk of DIC development is an urgent clinical need to reduce adverse outcomes. However, effective approaches and models to identify early DIC are still lacking. In this study, a novel interpretable deep learning based time series is used to predict the risk of DIC. The study cohort included ICU patients from a 4300-bed academic hospital between January 1, 2019, and January 1, 2022. Experimental results show that our model achieves excellent performance (AUC: 0.986, Accuracy: 95.7%, and F1:0.935). Gradient-weighted Class Activation Mapping (Grad-CAM) was used to explain how predictive models identified patients with DIC. The decision basis of the model was displayed in the form of a heat map. The model can be used to identify high-risk patients with DIC early, which will help in the early intervention of DIC patients and improve the treatment effect.https://doi.org/10.1186/s12859-022-05004-2Disseminated intravascular coagulationPredictionMachine learning
spellingShingle Hao Yang
Jiaxi Li
Siru Liu
Mengjiao Zhang
Jialin Liu
An interpretable DIC risk prediction model based on convolutional neural networks with time series data
BMC Bioinformatics
Disseminated intravascular coagulation
Prediction
Machine learning
title An interpretable DIC risk prediction model based on convolutional neural networks with time series data
title_full An interpretable DIC risk prediction model based on convolutional neural networks with time series data
title_fullStr An interpretable DIC risk prediction model based on convolutional neural networks with time series data
title_full_unstemmed An interpretable DIC risk prediction model based on convolutional neural networks with time series data
title_short An interpretable DIC risk prediction model based on convolutional neural networks with time series data
title_sort interpretable dic risk prediction model based on convolutional neural networks with time series data
topic Disseminated intravascular coagulation
Prediction
Machine learning
url https://doi.org/10.1186/s12859-022-05004-2
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