OBJECTIVE: The aim of this study is to assess the use of machine learning methodologies in the diagnosis of endometriosis (EM).
METHODS: This study included a total of 106 patients with EM and 203 patients with non-EM conditions (like simple cysts and simple uterine fibroids), all admitted to the Shunyi Women\'s and Children\'s Hospital of Beijing Children\'s Hospital between January 2017 and September 2022. All participants were free of comorbidities and their diagnoses were confirmed via postoperative pathology. Comparative analysis was conducted between the EM and non-EM groups. Baseline data were assessed, including white blood cell count, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio, lymphocyte-to-monocyte ratio, mean platelet volume, hemoglobin, carbohydrate antigen 125 (CA125), carbohydrate antigen 199, coagulation parameters, and other serologic indicators. An optimal predictive model was developed using an artificial intelligence algorithm to determine the presence of EM. The objective is to provide new insights for the clinical diagnosis and treatment of EM.
RESULTS: The random forest algorithm demonstrated superior performance when compared to decision trees, LogitBoost, artificial neural networks, naïve Bayes, support vector machines, and linear regression in machine learning methods. Combining CA125 with the NLR yielded a better prediction of EM than using CA125 alone when applying the random forest algorithm. The accuracy of predicting EM with CA125 combined with NLR was 78.16%, with a sensitivity of 86.21% and an area under the curve (AUC) of 0.85 (P < 0.05). In contrast, using CA125 alone resulted in an EM prediction accuracy of 75.8%, with a sensitivity of 79.3% and an AUC of 0.82 (P < 0.05).
CONCLUSIONS: The diagnostic value of serum CA125 combined with the NLR for EM is higher than that of serum CA125 alone. This finding indicates that NLR could serve as a new supplementary biomarker along with serum CA125 in the diagnosis of EM.

This study elucidates the formulation and validation of a dynamic hybrid model for wind energy forecasting, with a particular emphasis on its capability for both short-term and long-term predictive accuracy. The model is predicated on the assimilation of time-series data from past wind energy generation and employs a triad of machine learning algorithms: Artificial Neural Network (ANN), Support Vector Machine (SVM), and K-Nearest Neighbors (K-NN). Empirical data, harvested from a 2 MW grid-connected wind turbine, served as the basis for the training and validation phases. A comparative evaluation methodology was devised to scrutinize the performance of each constituent algorithm across a diverse array of metrics. This evaluation framework facilitated the identification of individual algorithmic limitations, which were subsequently mitigated through the implementation of a dynamic switching mechanism within the hybrid model. This innovative feature enables the model to adaptively select the most efficacious forecasting technique based on historical performance data. The hybrid model demonstrated superior forecasting accuracy in both, short-term energy forecasts at 15-min intervals over a day, and in broad, long-term. It recorded a Normalized Mean Absolute Error (NMAE) of 5.54 %, which is notably lower than the NMAE range of 5.65 %-9.22 % observed in other tested models, and significantly better than the average NMAE found in the literature, which spans from 6.73 % to 10.07 %. Such versatility renders it invaluable for grid operators and wind farm management, aiding in both operational and strategic planning. The study\'s findings not only contribute to the existing body of knowledge in renewable energy forecasting but also suggest the hybrid model\'s broader applicability in various other predictive analytics domains.

OBJECTIVE: Accurate prediction of survival prognosis is helpful to guide clinical decision-making. The aim of this study was to develop a model using machine learning techniques to predict the occurrence of composite thromboembolic events (CTEs) in elderly patients with atrial fibrillation(AF). These events encompass newly diagnosed cerebral ischemia events, cardiovascular events, pulmonary embolism, and lower extremity arterial embolism.
METHODS: This retrospective study included 6,079 elderly hospitalized patients (≥ 75 years old) with AF admitted to the People\'s Liberation Army General Hospital in China from January 2010 to June 2022. Random forest imputation was used for handling missing data. In the descriptive statistics section, patients were divided into two groups based on the occurrence of CTEs, and differences between the two groups were analyzed using chi-square tests for categorical variables and rank-sum tests for continuous variables. In the machine learning section, the patients were randomly divided into a training dataset (n = 4,225) and a validation dataset (n = 1,824) in a 7:3 ratio. Four machine learning models (logistic regression, decision tree, random forest, XGBoost) were trained on the training dataset and validated on the validation dataset.
RESULTS: The incidence of composite thromboembolic events was 19.53%. The Least Absolute Shrinkage and Selection Operator (LASSO) method, using 5-fold cross-validation, was applied to the training dataset and identified a total of 18 features that exhibited a significant association with the occurrence of CTEs. The random forest model outperformed other models in terms of area under the curve (ACC: 0.9144, SEN: 0.7725, SPE: 0.9489, AUC: 0.927, 95% CI: 0.9105-0.9443). The random forest model also showed good clinical validity based on the clinical decision curve. The Shapley Additive exPlanations (SHAP) showed that the top five features associated with the model were history of ischemic stroke, high triglyceride (TG), high total cholesterol (TC), high plasma D-dimer, age.
CONCLUSIONS: This study proposes an accurate model to stratify patients with a high risk of CTEs. The random forest model has good performance. History of ischemic stroke, age, high TG, high TC and high plasma D-Dimer may be correlated with CTEs.

Artificial intelligence (AI) has rapidly advanced in the past years, particularly in medicine for improved diagnostics. In clinical cytogenetics, AI is becoming crucial for analyzing chromosomal abnormalities and improving precision. However, existing software lack learning capabilities from experienced users. AI integration extends to genomic data analysis, personalized medicine and research, but ethical concerns arise. In this article, we discuss the challenges of the full automation in cytogenetic test interpretation and focus on its importance and benefits.

Predicting and improving the response of rectal cancer to second primary cancers (SPCs) remains an active and challenging field of clinical research. Identifying predictive risk factors for SPCs will help guide more personalized treatment strategies. In this study, we propose that experience data be used as evidence to support patient-oriented decision-making. The proposed model consists of two main components: a pipeline for extraction and classification and a clinical risk assessment. The study includes 4402 patient datasets, including 395 SPC patients, collected from three cancer registry databases at three medical centers; based on literature reviews and discussion with clinical experts, 10 predictive variables were considered risk factors for SPCs. The proposed extraction and classification pipelines that classified patients according to importance were age at diagnosis, chemotherapy, smoking behavior, combined stage group, and sex, as has been proven in previous studies. The C5 method had the highest predicted AUC (84.88%). In addition, the proposed model was associated with a classification pipeline that showed an acceptable testing accuracy of 80.85%, a recall of 79.97%, a specificity of 88.12%, a precision of 85.79%, and an F1 score of 79.88%. Our results indicate that chemotherapy is the most important prognostic risk factor for SPCs in rectal cancer survivors. Furthermore, our decision tree for clinical risk assessment illuminates the possibility of assessing the effectiveness of a combination of these risk factors. This proposed model may provide an essential evaluation and longitudinal change for personalized treatment of rectal cancer survivors in the future.

Non-Alcoholic Fatty Liver Disease (NAFLD) is characterized by the accumulation of excess fat in the liver. If left undiagnosed and untreated during the early stages, NAFLD can progress to more severe conditions such as inflammation, liver fibrosis, cirrhosis, and even liver failure. In this study, machine learning techniques were employed to predict NAFLD using affordable and accessible laboratory test data, while the conventional technique hepatic steatosis index (HSI)was calculated for comparison. Six algorithms (random forest, K-nearest Neighbors, Logistic Regression, Support Vector Machine, extreme gradient boosting, decision tree), along with an ensemble model, were utilized for dataset analysis. The objective was to develop a cost-effective tool for enabling early diagnosis, leading to better management of the condition. The issue of imbalanced data was addressed using the Synthetic Minority Oversampling Technique Edited Nearest Neighbors (SMOTEENN). Various evaluation metrics including the F1 score, precision, accuracy, recall, confusion matrix, the mean absolute error (MAE), receiver operating characteristics (ROC), and area under the curve (AUC) were employed to assess the suitability of each technique for disease prediction. Experimental results using the National Health and Nutrition Examination Survey (NHANES) dataset demonstrated that the ensemble model achieved the highest accuracy (0.99) and AUC (1.00) compared to the machine learning techniques that we used and HSI. These findings indicate that the ensemble model holds potential as a beneficial tool for healthcare professionals to predict NAFLD, leveraging accessible and cost-effective laboratory test data.

BACKGROUND: The incidence rate of Posttraumatic stress disorder (PTSD) is currently increasing due to wars, terrorism, and pandemic disease situations. Therefore, accurate detection of PTSD is crucial for the treatment of the patients, for this purpose, the present study aims to classify individuals with PTSD versus healthy control.
METHODS: The resting-state functional MRI (rs-fMRI) scans of 19 PTSD and 24 healthy control male subjects have been used to identify the activation pattern in most affected brain regions using group-level independent component analysis (ICA) and t-test. To classify PTSD-affected subjects from healthy control six machine learning techniques including random forest, Naive Bayes, support vector machine, decision tree, K-nearest neighbor, linear discriminant analysis, and deep learning three-dimensional 3D-CNN have been performed on the data and compared.
RESULTS: The rs-fMRI scans of the most commonly investigated 11 regions of trauma-exposed and healthy brains are analyzed to observe their level of activation. Amygdala and insula regions are determined as the most activated regions from the regions-of-interest in the brain of PTSD subjects. In addition, machine learning techniques have been applied to the components extracted from ICA but the models provided low classification accuracy. The ICA components are also fed into the 3D-CNN model, which is trained with a 5-fold cross-validation method. The 3D-CNN model demonstrated high accuracies, such as 98.12%, 98.25 %, and 98.00 % on average with training, validation, and testing datasets, respectively.
CONCLUSIONS: The findings indicate that 3D-CNN is a surpassing method than the other six considered techniques and it helps to recognize PTSD patients accurately.

Peptide hormones serve as genome-encoded signal transduction molecules that play essential roles in multicellular organisms, and their dysregulation can lead to various health problems. In this study, we propose a method for predicting hormonal peptides with high accuracy. The dataset used for training, testing, and evaluating our models consisted of 1174 hormonal and 1174 non-hormonal peptide sequences. Initially, we developed similarity-based methods utilizing BLAST and MERCI software. Although these similarity-based methods provided a high probability of correct prediction, they had limitations, such as no hits or prediction of limited sequences. To overcome these limitations, we further developed machine and deep learning-based models. Our logistic regression-based model achieved a maximum AUROC of 0.93 with an accuracy of 86% on an independent/validation dataset. To harness the power of similarity-based and machine learning-based models, we developed an ensemble method that achieved an AUROC of 0.96 with an accuracy of 89.79% and a Matthews correlation coefficient (MCC) of 0.8 on the validation set. To facilitate researchers in predicting and designing hormone peptides, we developed a web-based server called HOPPred. This server offers a unique feature that allows the identification of hormone-associated motifs within hormone peptides. The server can be accessed at: https://webs.iiitd.edu.in/raghava/hoppred/.

BACKGROUND: Human Emotion Recognition (HER) has been a popular field of study in the past years. Despite the great progresses made so far, relatively little attention has been paid to the use of HER in autism. People with autism are known to face problems with daily social communication and the prototypical interpretation of emotional responses, which are most frequently exerted via facial expressions. This poses significant practical challenges to the application of regular HER systems, which are normally developed for and by neurotypical people.
OBJECTIVE: This study reviews the literature on the use of HER systems in autism, particularly with respect to sensing technologies and machine learning methods, as to identify existing barriers and possible future directions.
METHODS: We conducted a systematic review of articles published between January 2011 and June 2023 according to the 2020 PRISMA guidelines. Manuscripts were identified through searching Web of Science and Scopus databases. Manuscripts were included when related to emotion recognition, used sensors and machine learning techniques, and involved children with autism, young, or adults.
RESULTS: The search yielded 346 articles. A total of 65 publications met the eligibility criteria and were included in the review.
CONCLUSIONS: Studies predominantly used facial expression techniques as the emotion recognition method. Consequently, video cameras were the most widely used devices across studies, although a growing trend in the use of physiological sensors was observed lately. Happiness, sadness, anger, fear, disgust, and surprise were most frequently addressed. Classical supervised machine learning techniques were primarily used at the expense of unsupervised approaches or more recent deep learning models. Studies focused on autism in a broad sense but limited efforts have been directed towards more specific disorders of the spectrum. Privacy or security issues were seldom addressed, and if so, at a rather insufficient level of detail.

The strength of rock under uniaxial compression, commonly known as Uniaxial Compressive Strength (UCS), plays a crucial role in various geomechanical applications such as designing foundations, mining projects, slopes in rocks, tunnel construction, and rock characterization. However, sampling and preparation can become challenging in some rocks, making it difficult to determine the UCS of the rocks directly. Therefore, indirect approaches are widely used for estimating UCS. This study presents two Machine Learning Models, Simple Linear Regression and Step-wise Regression, implemented in Python to calculate the UCS of Charnockite rocks. The models consider Ultrasonic Pulse Velocity (UPV), Schmidt Hammer Rebound Number (N), Brazilian Tensile Strength (BTS), and Point Load Index (PLI) as factors for forecasting the UCS of Charnockite samples. Three regression metrics, including Coefficient of Regression (R2), Root Mean Square Error (RMSE), and Mean Absolute Error (MAE), were used to evaluate and compare the performance of the models. The results indicate a high predictive capability of both models. Notably, the Step-wise model achieved a testing R2 of 0.99 and a training R2 of 0.988 for predicting Charnockite strength, making it the most accurate model. The analysis of the influential factors indicates that UPV plays a significant role in predicting the UCS of Charnockite.