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Published in: Journal of Public Health 5/2016

01-10-2016 | Original Article

Predicting the survival of graft following liver transplantation using a nonlinear model

Authors: C. G. Raji, S. S. Vinod Chandra

Published in: Journal of Public Health | Issue 5/2016

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Abstract

Aim

The main purpose of this study is to introduce a high-accuracy model for predicting the best outcome of patients following liver transplantation.

Subject and methods

Computer-based medical prognosis is becoming increasingly significant as the volume of medical records increases every day, making manual processing harder. In addition, the inability of people to understand patterns from these huge volumes of data demands the use of machine learning tools. We propose an artificial neural network model to address the problem of organ allocation as well as survival prediction. This model extracts the relevant features and classifies the data set into training and test sets. Appropriate donor-recipient pairs were selected using ten-fold cross validation when training the medical data.

Results

An accuracy of 99.74 % was represented by a multilayer perceptron artificial neural network model. We could observe that the graft survival rate with our data set using the MELD score was 79.17 %. We also tested our model with three existing works containing different data sets and proved that the highest accuracy was obtained in the model with our data set.

Conclusion

To ensure accuracy, we made a comparison with existing models using various performance features. For training the model, we used a rich data set from the United Network for Organ Sharing transplant registry. We also carried out a survival analysis over 12 years, predicting survival probabilities using this rich data set and comparing it with existing approaches.
Literature
go back to reference Calle EE, Thun MJ, Petrelli JM, Rodriguez C, Heath CW (1999) Body-mass index and mortality in a prospective cohort of US adults. N Engl J Med 341(15):1097–1105CrossRefPubMed Calle EE, Thun MJ, Petrelli JM, Rodriguez C, Heath CW (1999) Body-mass index and mortality in a prospective cohort of US adults. N Engl J Med 341(15):1097–1105CrossRefPubMed
go back to reference Chandra V, Reshmi G (2009) A pre-microRNA classifier by structural and thermodynamic motifs. In: Nature & biologically inspired computing. NaBIC 2009. World Congress on 2009 Dec 9. IEEE, p 78–83 Chandra V, Reshmi G (2009) A pre-microRNA classifier by structural and thermodynamic motifs. In: Nature & biologically inspired computing. NaBIC 2009. World Congress on 2009 Dec 9. IEEE, p 78–83
go back to reference Chandra SSV, Hareendran A (2014) Artificial intelligence and machine learning. PHI Learning Pvt. Ltd., New Delhi Chandra SSV, Hareendran A (2014) Artificial intelligence and machine learning. PHI Learning Pvt. Ltd., New Delhi
go back to reference Cruz M, Hervás C, Fernandez JC, Briceno J, De M (2013) Predicting patient survival after liver transplantation using evolutionary multi-objective artificial neural networks. Artif Intell Med 58(1):37–49CrossRef Cruz M, Hervás C, Fernandez JC, Briceno J, De M (2013) Predicting patient survival after liver transplantation using evolutionary multi-objective artificial neural networks. Artif Intell Med 58(1):37–49CrossRef
go back to reference Cucchetti A, Vivarelli M, Heaton ND, Phillips S, Piscaglia F, Bolondi--------- L, La G, Foxton MR, Rela M, O’Grady J, Pinna AD (2007) Artificial neural network is superior to MELD in predicting mortality of patients with end-stage liver disease. Gut 56(2):253–8 Cucchetti A, Vivarelli M, Heaton ND, Phillips S, Piscaglia F, Bolondi--------- L, La G, Foxton MR, Rela M, O’Grady J, Pinna AD (2007) Artificial neural network is superior to MELD in predicting mortality of patients with end-stage liver disease. Gut 56(2):253–8
go back to reference Doyle HR, Dvorchik I, Mitchell S, Marino IR, Ebert FH, McMichael J, Fung JJ (1994a) Predicting outcomes after liver transplantation. A connectionist approach. Ann Surg 219(4):408CrossRefPubMedPubMedCentral Doyle HR, Dvorchik I, Mitchell S, Marino IR, Ebert FH, McMichael J, Fung JJ (1994a) Predicting outcomes after liver transplantation. A connectionist approach. Ann Surg 219(4):408CrossRefPubMedPubMedCentral
go back to reference Doyle HR, Marino IR, Jabbour N, Zetti G, McMichael J, Mitchell S, Fung J, Starzl TE (1994b) Early death or retransplantation in adults after orthotopic liver transplantation: can outcome be predicted? 1. Transplantation 57(7):1028CrossRefPubMedPubMedCentral Doyle HR, Marino IR, Jabbour N, Zetti G, McMichael J, Mitchell S, Fung J, Starzl TE (1994b) Early death or retransplantation in adults after orthotopic liver transplantation: can outcome be predicted? 1. Transplantation 57(7):1028CrossRefPubMedPubMedCentral
go back to reference Dreiseitl S, Ohno L (2002) Logistic regression and artificial neural network classification models: a methodology review. J Biomed Inform 35(5):352–359CrossRefPubMed Dreiseitl S, Ohno L (2002) Logistic regression and artificial neural network classification models: a methodology review. J Biomed Inform 35(5):352–359CrossRefPubMed
go back to reference Ibáñez V, Pareja E, Serrano AJ, Vila JJ, Pérez S, Martín JD, Sanjuán F, López R, Mir J (2009) Predicting early transplant failure: neural network versus logistic regression models. Open Transplant J 3:14–21CrossRef Ibáñez V, Pareja E, Serrano AJ, Vila JJ, Pérez S, Martín JD, Sanjuán F, López R, Mir J (2009) Predicting early transplant failure: neural network versus logistic regression models. Open Transplant J 3:14–21CrossRef
go back to reference Kamath PS, Wiesner RH, Malinchoc M, Kremers W, Therneau TM, Kosberg CL, D’Amico G, Dickson ER, Kim W (2001) A model to predict survival in patients with end‐stage liver disease. Hepatology 33(2):464–470CrossRefPubMed Kamath PS, Wiesner RH, Malinchoc M, Kremers W, Therneau TM, Kosberg CL, D’Amico G, Dickson ER, Kim W (2001) A model to predict survival in patients with end‐stage liver disease. Hepatology 33(2):464–470CrossRefPubMed
go back to reference Khosravi B, Pourahmad S, Bahreini A, Nikeghbalian S, Mehrdad G (2015) Five years survival of patients after liver transplantation and its effective factors by neural network and cox poroportional hazard regression models. Hepatitis Monthly 15 (9) Khosravi B, Pourahmad S, Bahreini A, Nikeghbalian S, Mehrdad G (2015) Five years survival of patients after liver transplantation and its effective factors by neural network and cox poroportional hazard regression models. Hepatitis Monthly 15 (9)
go back to reference Marsh JW, Dvorchik I, Subotin M, Balan V, Rakela J, Popechitelev EP, Subbotin V, Casavilla A, Carr BI, Fung JJ, Iwatsuki S (1997) The prediction of risk of recurrence and time to recurrence of hepatocellular carcinoma after orthotopic liver transplantation: a pilot study. Hepatology 26(2):444–450CrossRefPubMed Marsh JW, Dvorchik I, Subotin M, Balan V, Rakela J, Popechitelev EP, Subbotin V, Casavilla A, Carr BI, Fung JJ, Iwatsuki S (1997) The prediction of risk of recurrence and time to recurrence of hepatocellular carcinoma after orthotopic liver transplantation: a pilot study. Hepatology 26(2):444–450CrossRefPubMed
go back to reference Oztekin A, Delen D, Kong ZJ (2009) Predicting the graft survival for heart–lung transplantation patients: An integrated data mining methodology. Int J Med Inform 78(12):e84–e96CrossRefPubMed Oztekin A, Delen D, Kong ZJ (2009) Predicting the graft survival for heart–lung transplantation patients: An integrated data mining methodology. Int J Med Inform 78(12):e84–e96CrossRefPubMed
go back to reference Parmanto B, Doyle HR (2001) Recurrent neural networks for predicting outcomes after liver transplantation: representing temporal sequence of clinical observations. Methods Archive 40(5):386–391 Parmanto B, Doyle HR (2001) Recurrent neural networks for predicting outcomes after liver transplantation: representing temporal sequence of clinical observations. Methods Archive 40(5):386–391
go back to reference Poller L (2004) International Normalized Ratios (INR): the first 20 years. J Thromb Haemost 2(6):849–860CrossRefPubMed Poller L (2004) International Normalized Ratios (INR): the first 20 years. J Thromb Haemost 2(6):849–860CrossRefPubMed
go back to reference Raji CG, Chandra SV (2016b) Graft survival prediction in liver transplantation using artificial neural network models. Journal of Computational Science 30:16:72–78 Raji CG, Chandra SV (2016b) Graft survival prediction in liver transplantation using artificial neural network models. Journal of Computational Science 30:16:72–78
go back to reference Saduf MA (2013) Comparative study of back propagation learning algorithms for neural networks. Int J Adv Res Comput Sci Soft Eng 3(2):1151–1156 Saduf MA (2013) Comparative study of back propagation learning algorithms for neural networks. Int J Adv Res Comput Sci Soft Eng 3(2):1151–1156
go back to reference Sharma V, Rai S, Dev A (2012) A comprehensive study of artificial neural networks. India International Journal of Advanced Research in Computer Science and Software Engineering 2(10) Sharma V, Rai S, Dev A (2012) A comprehensive study of artificial neural networks. India International Journal of Advanced Research in Computer Science and Software Engineering 2(10)
go back to reference Song AT, Avelino VI, Pecora RA, Pugliese V, D’Albuquerque LA, Abdala E (2014) Liver transplantation: fifty years of experience. World J Gastroenterol 20(18):5363CrossRefPubMedPubMedCentral Song AT, Avelino VI, Pecora RA, Pugliese V, D’Albuquerque LA, Abdala E (2014) Liver transplantation: fifty years of experience. World J Gastroenterol 20(18):5363CrossRefPubMedPubMedCentral
go back to reference Zhang M, Yin F, Chen B, Li YP, Yan LN, Wen TF, Li B (2012) Pretransplant prediction of posttransplant survival for liver recipients with benign end-stage liver diseases: a nonlinear model. PLoS One 7(3), e31256CrossRefPubMedPubMedCentral Zhang M, Yin F, Chen B, Li YP, Yan LN, Wen TF, Li B (2012) Pretransplant prediction of posttransplant survival for liver recipients with benign end-stage liver diseases: a nonlinear model. PLoS One 7(3), e31256CrossRefPubMedPubMedCentral
Metadata
Title
Predicting the survival of graft following liver transplantation using a nonlinear model
Authors
C. G. Raji
S. S. Vinod Chandra
Publication date
01-10-2016
Publisher
Springer Berlin Heidelberg
Published in
Journal of Public Health / Issue 5/2016
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-016-0742-7

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