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6,811 result(s) for "predictive modelling"
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Development of a Social Risk Score in the Electronic Health Record to Identify Social Needs Among Underserved Populations: Retrospective Study
Patients with unmet social needs and social determinants of health (SDOH) challenges continue to face a disproportionate risk of increased prevalence of disease, health care use, higher health care costs, and worse outcomes. Some existing predictive models have used the available data on social needs and SDOH challenges to predict health-related social needs or the need for various social service referrals. Despite these one-off efforts, the work to date suggests that many technical and organizational challenges must be surmounted before SDOH-integrated solutions can be implemented on an ongoing, wide-scale basis within most US-based health care organizations. We aimed to retrieve available information in the electronic health record (EHR) relevant to the identification of persons with social needs and to develop a social risk score for use within clinical practice to better identify patients at risk of having future social needs. We conducted a retrospective study using EHR data (2016-2021) and data from the US Census American Community Survey. We developed a prospective model using current year-1 risk factors to predict future year-2 outcomes within four 2-year cohorts. Predictors of interest included demographics, previous health care use, comorbidity, previously identified social needs, and neighborhood characteristics as reflected by the area deprivation index. The outcome variable was a binary indicator reflecting the likelihood of the presence of a patient with social needs. We applied a generalized estimating equation approach, adjusting for patient-level risk factors, the possible effect of geographically clustered data, and the effect of multiple visits for each patient. The study population of 1,852,228 patients included middle-aged (mean age range 53.76-55.95 years), White (range 324,279/510,770, 63.49% to 290,688/488,666, 64.79%), and female (range 314,741/510,770, 61.62% to 278,488/448,666, 62.07%) patients from neighborhoods with high socioeconomic status (mean area deprivation index percentile range 28.76-30.31). Between 8.28% (37,137/448,666) and 11.55% (52,037/450,426) of patients across the study cohorts had at least 1 social need documented in their EHR, with safety issues and economic challenges (ie, financial resource strain, employment, and food insecurity) being the most common documented social needs (87,152/1,852,228, 4.71% and 58,242/1,852,228, 3.14% of overall patients, respectively). The model had an area under the curve of 0.702 (95% CI 0.699-0.705) in predicting prospective social needs in the overall study population. Previous social needs (odds ratio 3.285, 95% CI 3.237-3.335) and emergency department visits (odds ratio 1.659, 95% CI 1.634-1.684) were the strongest predictors of future social needs. Our model provides an opportunity to make use of available EHR data to help identify patients with high social needs. Our proposed social risk score could help identify the subset of patients who would most benefit from further social needs screening and data collection to avoid potentially more burdensome primary data collection on all patients in a target population of interest.
Predicting Off-Target Binding Profiles With Confidence Using Conformal Prediction
Ligand-based models can be used in drug discovery to obtain an early indication of potential off-target interactions that could be linked to adverse effects. Another application is to combine such models into a panel, allowing to compare and search for compounds with similar profiles. Most contemporary methods and implementations however lack valid measures of confidence in their predictions, and only provide point predictions. We here describe a methodology that uses Conformal Prediction for predicting off-target interactions, with models trained on data from 31 targets in the ExCAPE-DB dataset selected for their utility in broad early hazard assessment. Chemicals were represented by the signature molecular descriptor and support vector machines were used as the underlying machine learning method. By using conformal prediction, the results from predictions come in the form of confidence -values for each class. The full pre-processing and model training process is openly available as scientific workflows on GitHub, rendering it fully reproducible. We illustrate the usefulness of the developed methodology on a set of compounds extracted from DrugBank. The resulting models are published online and are available via a graphical web interface and an OpenAPI interface for programmatic access.
Limitations of Correlation Coefficients in Research on Functional Connectomes and Psychological Processes
In neuroscience and psychology research, the Pearson correlation coefficient is widely used for feature selection and model performance evaluation, particularly in studies examining relationships between brain activity and psychological behavior indices. However, when predicting psychological processes using connectome models, the Pearson correlation has three main limitations: (1) it struggles to capture the complexity of brain network connections; (2) it inadequately reflects model errors, especially in the presence of systematic biases or nonlinear error; and (3) it lacks comparability across datasets, with high sensitivity to data variability and outliers, potentially distorting model evaluation results. To better assess model performance, it is crucial to combine multiple evaluation metrics, such as mean absolute error (MAE) and root mean square error (MSE), which capture different aspects of model quality. Additionally, baseline comparisons, such as using the mean value or a simple linear regression (LR) model, provide an essential reference for evaluating the added value of more complex models. This approach offers a more robust and comprehensive analysis of functional connectomes and psychological processes. This study highlights the limitations of the correlation coefficient in functional connectome and psychological process modeling, emphasizing its inability to capture nonlinear relationships, address systematic biases, and ensure comparability. By proposing comprehensive evaluation metrics and baseline comparisons, it offers practical guidance for enhancing the reliability of future model assessments.
influence of spatial errors in species occurrence data used in distribution models
1. Species distribution modelling is used increasingly in both applied and theoretical research to predict how species are distributed and to understand attributes of species' environmental requirements. In species distribution modelling, various statistical methods are used that combine species occurrence data with environmental spatial data layers to predict the suitability of any site for that species. While the number of data sharing initiatives involving species' occurrences in the scientific community has increased dramatically over the past few years, various data quality and methodological concerns related to using these data for species distribution modelling have not been addressed adequately. 2. We evaluated how uncertainty in georeferences and associated locational error in occurrences influence species distribution modelling using two treatments: (1) a control treatment where models were calibrated with original, accurate data and (2) an error treatment where data were first degraded spatially to simulate locational error. To incorporate error into the coordinates, we moved each coordinate with a random number drawn from the normal distribution with a mean of zero and a standard deviation of 5 km. We evaluated the influence of error on the performance of 10 commonly used distributional modelling techniques applied to 40 species in four distinct geographical regions. 3. Locational error in occurrences reduced model performance in three of these regions; relatively accurate predictions of species distributions were possible for most species, even with degraded occurrences. Two species distribution modelling techniques, boosted regression trees and maximum entropy, were the best performing models in the face of locational errors. The results obtained with boosted regression trees were only slightly degraded by errors in location, and the results obtained with the maximum entropy approach were not affected by such errors. 4. Synthesis and applications. To use the vast array of occurrence data that exists currently for research and management relating to the geographical ranges of species, modellers need to know the influence of locational error on model quality and whether some modelling techniques are particularly robust to error. We show that certain modelling techniques are particularly robust to a moderate level of locational error and that useful predictions of species distributions can be made even when occurrence data include some error.
Functional brain connectivity predicts sleep duration in youth and adults
Sleep is critical to a variety of cognitive functions and insufficient sleep can have negative consequences for mood and behavior across the lifespan. An important open question is how sleep duration is related to functional brain organization which may in turn impact cognition. To characterize the functional brain networks related to sleep across youth and young adulthood, we analyzed data from the publicly available Human Connectome Project (HCP) dataset, which includes n‐back task‐based and resting‐state fMRI data from adults aged 22–35 years (task n = 896; rest n = 898). We applied connectome‐based predictive modeling (CPM) to predict participants' mean sleep duration from their functional connectivity patterns. Models trained and tested using 10‐fold cross‐validation predicted self‐reported average sleep duration for the past month from n‐back task and resting‐state connectivity patterns. We replicated this finding in data from the 2‐year follow‐up study session of the Adolescent Brain Cognitive Development (ABCD) Study, which also includes n‐back task and resting‐state fMRI for adolescents aged 11–12 years (task n = 786; rest n = 1274) as well as Fitbit data reflecting average sleep duration per night over an average duration of 23.97 days. CPMs trained and tested with 10‐fold cross‐validation again predicted sleep duration from n‐back task and resting‐state functional connectivity patterns. Furthermore, demonstrating that predictive models are robust across independent datasets, CPMs trained on rest data from the HCP sample successfully generalized to predict sleep duration in the ABCD Study sample and vice versa. Thus, common resting‐state functional brain connectivity patterns reflect sleep duration in youth and young adults. Resting‐state functional connections that predict more sleep (left) and less sleep (right) in the Human Connectome Project and Adolescent Brain Cognitive Development Study datasets.
Transdiagnostic Connectome‐Based Prediction of Response Inhibition
Response inhibition (RI) deficits are a core feature across diagnostic categories of mental disorders. However, it remains unclear whether the brain networks underlying different forms of RI deficits are disorder‐shared or disorder‐specific, and how they interact with aberrant brain connectivity across disorders. Connectome‐based predictive modeling (CPM) provides a novel approach for exploring the brain networks associated with RI abnormalities across diagnostic categories of mental disorders. Publicly available resting‐state functional magnetic resonance imaging data from individuals with schizophrenia (n = 47), bipolar disorder (n = 47), and attention‐deficit/hyperactivity disorder (n = 40), as well as healthy controls (n = 121), were utilized to construct whole‐brain network predictive models for different forms of RI (action cancellation and action restraint). The brain networks of different forms of RI were further compared with abnormal brain networks in the diagnostic groups. Action restraint and action cancellation exhibited both shared and distinct brain networks. There was a dissociation in the relationship between the brain networks underlying different forms of RI and the aberrant connectivity patterns observed across diagnostic categories. Our models successfully predicted action restraint performance across diagnostic categories, whereas the model failed to effectively predict action cancellation due to the influence of disease‐related aberrant connectivity on the brain networks underlying action cancellation. Nevertheless, the action cancellation model demonstrated generalizability to novel, healthy participants (n = 220) from an independent dataset. Our study clarifies the complex relationship between deficits in RI and the neuropathology of mental disorders and provides a foundation for more accurate cognitive assessment and targeted interventions. Our findings highlight the importance of refining RI constructs and emphasize the value of applying connectome methods to reveal cross‐diagnostic neural mechanisms. Our study reveals distinct brain networks for action restraint and action cancellation, highlighting the preserved neural substrates of action restraint across psychiatric disorders and the influence of disease‐specific networks on action cancellation.
Modelling invasion for a habitat generalist and a specialist plant species
Predicting suitable habitat and the potential distribution of invasive species is a high priority for resource managers and systems ecologists. Most models are designed to identify habitat characteristics that define the ecological niche of a species with little consideration to individual species' traits. We tested five commonly used modelling methods on two invasive plant species, the habitat generalist Bromus tectorum and habitat specialist Tamarix chinensis, to compare model performances, evaluate predictability, and relate results to distribution traits associated with each species. Most of the tested models performed similarly for each species; however, the generalist species proved to be more difficult to predict than the specialist species. The highest area under the receiver-operating characteristic curve values with independent validation data sets of B. tectorum and T. chinensis was 0.503 and 0.885, respectively. Similarly, a confusion matrix for B. tectorum had the highest overall accuracy of 55%, while the overall accuracy for T. chinensis was 85%. Models for the generalist species had varying performances, poor evaluations, and inconsistent results. This may be a result of a generalist's capability to persist in a wide range of environmental conditions that are not easily defined by the data, independent variables or model design. Models for the specialist species had consistently strong performances, high evaluations, and similar results among different model applications. This is likely a consequence of the specialist's requirement for explicit environmental resources and ecological barriers that are easily defined by predictive models. Although defining new invaders as generalist or specialist species can be challenging, model performances and evaluations may provide valuable information on a species' potential invasiveness.
Multi‐networks connectivity at baseline predicts the clinical efficacy of left angular gyrus‐navigated rTMS in the spectrum of Alzheimer's disease: A sham‐controlled study
Introduction Neuro‐navigated repetitive transcranial magnetic stimulation (rTMS) is effective in alleviating cognitive deficits in Alzheimer's disease (AD). However, the strategy for target determination and the mechanisms for cognitive improvement remain unclear. Methods One hundred and thirteen elderly subjects were recruited in this study, including both cross‐sectional (n = 79) and longitudinal experiments (the rTMS group: n = 24; the sham group: n = 10). The cross‐sectional experiment explored the precise intervention target based on the cortical–hippocampal network. The longitudinal experiment investigated the clinical efficacy of neuro‐navigated rTMS treatment over a four‐week period and explored its underlying neural mechanism using seed‐based and network‐based analysis. Finally, we applied connectome‐based predictive modeling to predict the rTMS response using these functional features at baseline. Results RTMS at a targeted site of the left angular gyrus (MNI: −45, −67, 38) significantly induced cognitive improvement in memory and language function (p < 0.001). The improved cognition correlated with the default mode network (DMN) subsystems. Furthermore, the connectivity patterns of DMN subsystems (r = 0.52, p = 0.01) or large‐scale networks (r = 0.85, p = 0.001) at baseline significantly predicted the Δ language cognition after the rTMS treatment. The connectivity patterns of DMN subsystems (r = 0.47, p = 0.019) or large‐scale networks (r = 0.80, p = 0.001) at baseline could predict the Δ memory cognition after the rTMS treatment. Conclusion These findings suggest that neuro‐navigated rTMS targeting the left angular gyrus could improve cognitive function in AD patients. Importantly, dynamic regulation of the intra‐ and inter‐DMN at baseline may represent a potential predictor for favorable rTMS treatment response in patients with cognitive impairment. A summary of the study design and participant flow through the study. (A) Flow chat of enrollment and treatment in the longitudinal experiment; (B) and (C) seed‐based analysis and network‐based analysis; (D) predicting the therapeutic effect of rTMS; Abbreviations: LOO, leave‐one‐out; CPM, connectome‐based predictive modeling; rTMS, repetitive transcranial magnetic stimulation.
A whole‐brain functional connectivity model of Alzheimer's disease pathology
INTRODUCTION Alzheimer's disease (AD) is characterized by the presence of two proteinopathies, amyloid and tau, which have a cascading effect on the functional and structural organization of the brain. METHODS In this study, we used a supervised machine learning technique to build a model of functional connections that predicts cerebrospinal fluid (CSF) p‐tau/Aβ42 (the PATH‐fc model). Resting‐state functional magnetic resonance imaging (fMRI) data from 289 older adults in the Alzheimer's Disease Neuroimaging Initiative (ADNI) were utilized for this model. RESULTS We successfully derived the PATH‐fc model to predict the ratio of p‐tau/Aβ42 as well as cognitive functioning in older adults across the spectrum of healthy and pathological aging. However, the in‐sample fit magnitude was low, indicating a need for further model development. DISCUSSION Our pathology‐based model of functional connectivity included representation from multiple canonical networks of the brain with intra‐network connectivity associated with low pathology and inter‐network connectivity associated with higher levels of pathology. Highlights Whole‐brain functional connectivity model (PATH‐fc) is linked to AD pathophysiology. The PATH‐fc model predicts performance in multiple domains of cognitive functioning. The PATH‐fc model is a distributed model including representation from all canonical networks.
Demonstrative Application to an OECD/NEA Reactor Physics Benchmark of the 2nd-BERRU-PM Method—II: Nominal Computations Apparently Inconsistent with Measurements
This work presents illustrative applications of the 2nd-BERRU-PM (second-order best-estimate results with reduced uncertainties predictive modeling) methodology to the leakage response of a polyethylene-reflected plutonium OECD/NEA reactor physics benchmark, which is modeled using the neutron transport Boltzmann equation. The 2nd-BERRU-PM methodology simultaneously calibrates responses and parameters while simultaneously reducing the predicted standard deviation values of these quantities. The situations analyzed in this work pertain to the values of measured responses that appear to be inconsistent with the computed response values, in that the standard deviation values of the measured responses do not initially overlap with the standard deviation values of the computed responses. It is shown that the inconsistency diminishes as higher-order sensitivities are progressively included, thus illustrating their significant impact. In all cases, the 2nd-BERRU-PM methodology yields predicted best-estimate standard deviation values that are smaller than both the computed and the experimentally measured values of the standard deviation for the model response under consideration.