Prediction and Feature Analysis of Intracranial Aneurysms in Community Residents: A Study Based on Machine Learning

IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Xinwei Wang, Sutong Wang, Dujuan Wang, Xiutian Sima
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引用次数: 0

Abstract

The global incidence of intracranial aneurysms is increasing annually, and their rupture is associated with a high mortality rate. Many community residents often unknowingly develop intracranial aneurysms and are at risk of rupturing. To solve this problem, we conduct an innovative approach using machine learning to predict both the occurrence and rupture of intracranial aneurysms in patients with brain diseases and analyze the essential features derived from residents’ health data at various stages of clinical admission. Specifically, we design an ensemble classifier candidate pool model for the initial two stages of admission diagnosis and a deep fusion network model that integrates textual and structured data for the detailed screening stage. Also, the feature importance is explored by the Shapley value and word frequency. The proposed deep fusion neural network achieves the highest predictive performance, with a precision of 0.787, sensitivity of 0.785, specificity of 0.870, F1 score of 0.785, and AUC of 0.871. In addition, text features contribute most significantly to model output, and word frequency varies across different disease types in patient medical records.

Abstract Image

基于机器学习的社区居民颅内动脉瘤预测与特征分析
颅内动脉瘤的全球发病率每年都在增加,其破裂与高死亡率有关。许多社区居民经常在不知情的情况下发展颅内动脉瘤,并有破裂的危险。为了解决这一问题,我们采用了一种创新的方法,利用机器学习来预测脑疾病患者颅内动脉瘤的发生和破裂,并分析从住院患者临床各阶段的健康数据中得出的基本特征。具体来说,我们为入院诊断的前两个阶段设计了一个集成分类器候选池模型,为详细筛选阶段设计了一个集成文本和结构化数据的深度融合网络模型。并通过Shapley值和词频来探讨特征的重要性。所提出的深度融合神经网络的预测性能最高,精度为0.787,灵敏度为0.785,特异性为0.870,F1评分为0.785,AUC为0.871。此外,文本特征对模型输出的贡献最为显著,并且患者医疗记录中不同疾病类型的词频各不相同。
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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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