一种基于多个产科临床数据融合的智能不良分娩结局预测模型。

IF 1.7 4区 医学 Q3 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Computer Methods in Biomechanics and Biomedical Engineering Pub Date : 2024-10-01 Epub Date: 2023-09-28 DOI:10.1080/10255842.2023.2262663
Chen Zou, Yichao Zhang, Zhenming Yuan
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引用次数: 0

摘要

不良分娩结果是影响孕妇身心健康的一个主要的生殖健康问题。显然,产科临床数据具有周期性的时间序列特征。本文通过融合多个时间序列的临床数据,提出了一个三阶段不良分娩结局预测模型。第一阶段是数据聚合,从产科临床数据中收集数据集,并根据时间序列特征进行划分。在第二阶段,使用多通道门控循环单元来解决时间序列数据的不规则采样引起的计算误差。隐藏层特征向量与完全连接层连接,重塑为新的一维特征,并与非时间序列数据融合为新的数据集。第三阶段是不良分娩结果的预测阶段。通过将多通道门控循环单元与极端梯度提升相连接,在特征提取阶段使用在相应通道中传输的数据,其中采用基于加权熵的特征提取。在提取特征的帮助下,开发了一种混合人工神经网络架构(MGRU-XGB)来预测不良分娩结果。实验结果表明,在敏感性、特异性、AUC等评价指标方面,与其他单一模型相比,混合模型对不良给药结果的预测性能最好。
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An intelligent adverse delivery outcomes prediction model based on the fusion of multiple obstetric clinical data.

Adverse delivery outcomes is a major re-productive health problem that affects the physical and mental health of pregnant women. Obviously, obstetric clinical data has periodically time series characteristics. This paper proposed a three stage adverse delivery outcomes prediction model via the fusion of multiple time series clinical data. The first stage is data aggregation, in which the data set is collected from the obstetric clinical data and divided based on time series features. In the second stage, a multi-channel gated cycle unit is used to solve the calculation error caused by irregular sampling of time series data. The hidden layer feature vector is connected with the fully connected layer, reshaped into a new one-dimensional feature, and fused with the non-time series data into a new data set. The third stage is the prediction stage of adverse delivery outcomes. By connecting the multi-channel gated cycle unit with the extreme gradient lift, the data transmitted in the corresponding channel is used in the feature extraction stage, in which the weighted entropy-based feature extraction is adopted. With the help of the extracted features, a hybrid artificial neural network architecture (MGRU-XGB) was developed to predict adverse delivery outcomes. The experimental results showed that the hybrid model had the best prediction performance for adverse delivery outcomes compared with other single models in terms of sensitivity, specificity, AUC and other evaluation indexes.

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来源期刊
CiteScore
4.10
自引率
6.20%
发文量
179
审稿时长
4-8 weeks
期刊介绍: The primary aims of Computer Methods in Biomechanics and Biomedical Engineering are to provide a means of communicating the advances being made in the areas of biomechanics and biomedical engineering and to stimulate interest in the continually emerging computer based technologies which are being applied in these multidisciplinary subjects. Computer Methods in Biomechanics and Biomedical Engineering will also provide a focus for the importance of integrating the disciplines of engineering with medical technology and clinical expertise. Such integration will have a major impact on health care in the future.
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