Skip to main content

Advertisement

Log in

Postpartum pelvic organ prolapse assessment via adversarial feature complementation in heterogeneous data

  • S.I.: IoT-based Health Monitoring System
  • Published:
Neural Computing and Applications Aims and scope Submit manuscript

Abstract

Medical data processing and analysis using machine learning algorithms are a prominent research topic these days. To obtain high performances, most state-of-the-art models must be trained on a large number of labeled datasets. However, manually collecting a large-scale real-world medical data is expensive due to the issues like privacy, security, and reliability. Moreover, the collected samples may be incomplete, i.e., some important data items are missing, which has a significant impact on the performance of the machine learning algorithms, especially deep learning models. In this paper, we present a strategy that uses the idea of adversarial learning to augment the real-world medical samples with the incomplete issue to obtain better performance in predicting patient states. Rather than supplying the incomplete data sample with extra instance-level information as in existing data-complementation methods, our method aims to achieve the complementary effect in the feature level without consuming human effort. The method receives both high-quality data and low-quality data (with serious incomplete issue) to learn a comprehensive feature space where the incomplete samples can be complemented with the knowledge transferred from the high-quality samples by the adversarial learning scheme. From the perspective of feature representations, our method can alleviate the incomplete issue of the low-quality data, which enhances the model performance in the end task. Experiments show that our method works well on a real-world medical dataset, which collected for assessment of pelvic organ prolapse. When compared to machine learning approaches frequently employed in medical data analysis, our approach shows a significant improvement of up to 10%.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Rajkomar A, Dean J, Kohane I (2019) Machine learning in medicine. N Engl J Med 380(14):1347–1358

    Article  Google Scholar 

  2. Kwak GH, Hui P (2019) Deephealth: review and challenges of artificial intelligence in health informatics. arXiv preprint https://arxiv.org/abs/1909.00384

  3. Richesson RL, Sun J, Pathak J, Kho AN, Denny JC (2016) Clinical phenotyping in selected national networks: demonstrating the need for high-throughput, portable, and computational methods. Artif Intell Med 71:57–61

    Article  Google Scholar 

  4. Pathak J, Kho AN, Denny JC (2013) Electronic health records-driven phenotyping: challenges, recent advances, and perspectives. BMJ Publishing Group BMA House, London

    Google Scholar 

  5. Xu Y, Hong K, Tsujii J, Chang EI-C (2012) Feature engineering combined with machine learning and rule-based methods for structured information extraction from narrative clinical discharge summaries. J Am Med Inform Assoc 19(5):824–832

    Article  Google Scholar 

  6. Beaulieu-Jones, BK, Moore JH, Pooled Resource Open-Access ALS Clinical Trials Consortium (2017) Missing data imputation in the electronic health record using deeply learned autoencoders. In: Pacific symposium on biocomputing 2017. World Scientific, pp 207–218

  7. Kim Y-J, Chi M (2018) Temporal belief memory: imputing missing data during RNN training. In: Proceedings of the 27th international joint conference on artificial intelligence (IJCAI-2018)

  8. Zhang Y (2019) Attain: attention-based time-aware LSTM networks for disease progression modeling. In: Proceedings of the 28th international joint conference on artificial intelligence (IJCAI-2019). Macao, China, pp 4369–4375

  9. Gong JJ, Naumann T, Szolovits P, Guttag JV (2017) Predicting clinical outcomes across changing electronic health record systems. In: Proceedings of the 23rd ACM SIGKDD international conference on knowledge discovery and data mining. pp 1497–1505

  10. Friedman T, Eslick GD, Dietz HP (2018) Risk factors for prolapse recurrence: systematic review and meta-analysis. Int Urogynecol J 29(1):13–21

    Article  Google Scholar 

  11. Alhassan Z, Budgen D, Alshammari R, Al Moubayed N (2020) Predicting current glycated hemoglobin levels in adults from electronic health records: validation of multiple logistic regression algorithm. JMIR Med Inform 8(7):18963

    Article  Google Scholar 

  12. Gu Y, Huang Y, Ly VK, Yaseen A, Miao H (2020) Ehr data analytics and predictions: machine learning methods. In: Yamal J-M, Yaseen A, Maroufy V, Hulin W (eds) Statistics and machine learning methods for EHR data. Chapman and Hall/CRC, London, pp 273–293

    Chapter  Google Scholar 

  13. Giacomelli I, Jha S, Kleiman R, Page D, Yoon K (2019) Privacy preserving collaborative prediction using random forests. AMIA Summits Transl Sci Proc 2019:248

    Google Scholar 

  14. Negro-Calduch E, Azzopardi-Muscat N, Krishnamurthy RS, Novillo-Ortiz D (2021) Technological progress in electronic health record system optimization: systematic review of systematic literature reviews. Int J Med Inform 152:104507

    Article  Google Scholar 

  15. Wanyan T, Honarvar H, Azad A, Ding Y, Glicksberg BS (2021) Deep learning with heterogeneous graph embeddings for mortality prediction from electronic health records. Data Intell 3(3):329–339

    Article  Google Scholar 

  16. Meng Y, Speier WF, Ong MK, Arnold C (2021) Bidirectional representation learning from transformers using multimodal electronic health record data to predict depression. IEEE J Biomed Health Inform 25:3121–3129

    Article  Google Scholar 

  17. Yi X, Walia E, Babyn P (2019) Generative adversarial network in medical imaging: a review. Med Image Anal 58:101552

    Article  Google Scholar 

  18. Chu J, Dong W, Wang J, He K, Huang Z (2020) Treatment effect prediction with adversarial deep learning using electronic health records. BMC Med Inform Decis Mak 20(4):1–14

    Google Scholar 

  19. Baowaly MK, Lin C-C, Liu C-L, Chen K-T (2019) Synthesizing electronic health records using improved generative adversarial networks. J Am Med Inform Assoc 26(3):228–241

    Article  Google Scholar 

  20. Yang Y, Wu Z, Tresp V, Fasching PA (2019) Categorical Ehr imputation with generative adversarial nets. In: 2019 IEEE international conference on healthcare informatics (ICHI). IEEE, pp 1–10

  21. Weber A, Abrams P, Brubaker L, Cundiff G, Davis G, Dmochowski R, Fischer J, Hull T, Nygaard I, Weidner A (2001) The standardization of terminology for researchers in female pelvic floor disorders. Int Urogynecol J 12(3):178–186

    Article  Google Scholar 

  22. Ganin Y, Lempitsky V (2015) Unsupervised domain adaptation by backpropagation. In: International conference on machine learning. PMLR, pp 1180–1189

  23. Wang L, Tong L, Davis D, Arnold T, Esposito T (2020) The application of unsupervised deep learning in predictive models using electronic health records. BMC Med Res Methodol 20(1):1–9

    Article  Google Scholar 

  24. Chui KT, Tsang KF, Chi HR, Ling BWK, Wu CK (2016) An accurate ECG-based transportation safety drowsiness detection scheme. IEEE Trans Ind Inform 12(4):1438–1452

    Article  Google Scholar 

Download references

Acknowledgements

We gratefully acknowledge the help of the Third Affiliated Hospital of Zhengzhou University, which is the data provider in this work.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Xiaoshan Yang.

Ethics declarations

Conflict of interest

On behalf of all authors, I declare there exist no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Luo, M., Yang, X. Postpartum pelvic organ prolapse assessment via adversarial feature complementation in heterogeneous data. Neural Comput & Applic 35, 13851–13860 (2023). https://doi.org/10.1007/s00521-021-06869-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00521-021-06869-9

Keywords

Navigation