Probabilistic modeling of kidney dynamics for renal failure prediction

Thesis: M. Eng., Massachusetts Institute of Technology, Department of Electrical Engineering and Computer Science, 2013.

Bibliographic Details
Main Author: Ooi, Boon Teik
Other Authors: Peter Szolovits and William J. Long.
Format: Thesis
Language:eng
Published: Massachusetts Institute of Technology 2014
Subjects:
Online Access:http://hdl.handle.net/1721.1/85462
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author Ooi, Boon Teik
author2 Peter Szolovits and William J. Long.
author_facet Peter Szolovits and William J. Long.
Ooi, Boon Teik
author_sort Ooi, Boon Teik
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description Thesis: M. Eng., Massachusetts Institute of Technology, Department of Electrical Engineering and Computer Science, 2013.
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spelling mit-1721.1/854622019-04-10T09:04:00Z Probabilistic modeling of kidney dynamics for renal failure prediction Ooi, Boon Teik Peter Szolovits and William J. Long. Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science. Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science. Electrical Engineering and Computer Science. Thesis: M. Eng., Massachusetts Institute of Technology, Department of Electrical Engineering and Computer Science, 2013. Cataloged from PDF version of thesis. Includes bibliographical references (pages 85-90). The large quantity of clinical data collected from the Intensive Care Unit (ICU) has made clinical investigation by a data-driven approach more effective. In this thesis, we developed probabilistic models for modeling variable kinetics and temporal dynamics of states. We applied the models to the prediction of acute kidney injury (AKI), but the models are applicable to other medical conditions as well. It is known that serum creatinine follows first-order clearance kinetics. We developed a stochastic kinetic model for first-order clearance and used it to model creatinine kinetics. Some properties implied by the model that are verifiable with the available data are consistent with the empirical results. Those properties are mean-reversion, variation with linear standard deviation, and convergence of variance to a finite value. Based on the stochastic kinetic model, creatinine can be treated as a lognormal random variable with state-dependent parameters. We model the temporal dynamics of kidney states and creatinine using a Hidden Markov Model. Observations of creatinine are assumed to be random variables, with baseline creatinine as mean. Each individual baseline is itself a random variable sampled from a population distribution. Baseline for each patient can be estimated by combining the population distribution and all creatinine observations of the patient using techniques similar to Bayesian inference. Prediction of acute kidney injury with this generative model gives an AUC of 0.8259 and 0.8497 for female and male population respectively. by Boon Teik Ooi. M. Eng. 2014-03-06T15:43:45Z 2014-03-06T15:43:45Z 2013 2013 Thesis http://hdl.handle.net/1721.1/85462 870969270 eng M.I.T. theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. See provided URL for inquiries about permission. http://dspace.mit.edu/handle/1721.1/7582 90 pages application/pdf Massachusetts Institute of Technology
spellingShingle Electrical Engineering and Computer Science.
Ooi, Boon Teik
Probabilistic modeling of kidney dynamics for renal failure prediction
title Probabilistic modeling of kidney dynamics for renal failure prediction
title_full Probabilistic modeling of kidney dynamics for renal failure prediction
title_fullStr Probabilistic modeling of kidney dynamics for renal failure prediction
title_full_unstemmed Probabilistic modeling of kidney dynamics for renal failure prediction
title_short Probabilistic modeling of kidney dynamics for renal failure prediction
title_sort probabilistic modeling of kidney dynamics for renal failure prediction
topic Electrical Engineering and Computer Science.
url http://hdl.handle.net/1721.1/85462
work_keys_str_mv AT ooiboonteik probabilisticmodelingofkidneydynamicsforrenalfailureprediction