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Background: Feature selection is important in high dimensional data analysis. The wrapper approach is one of the ways to perform feature selection, but it is computationally intensive as it builds and evaluates models of multiple subsets of features. The existing wrapper algorithm primarily focuses on shortening the path to find an optimal feature set. However, it underutilizes the capability of feature subset models, which impacts feature selection and its predictive performance. Method and Results: This study proposes a novel Artificial Intelligence based Wrapper (AIWrap) algorithm that integrates Artificial Intelligence (AI) with the existing wrapper algorithm. The algorithm develops a Performance Prediction Model using AI which predicts the model performance of any feature set and allows the wrapper algorithm to evaluate the feature subset performance in a model without building the model. The algorithm can make the wrapper algorithm more relevant for high-dimensional data. We evaluate the performance of this algorithm using simulated studies and real research studies. AIWrap shows better or at par feature selection and model prediction performance than standard penalized feature selection algorithms and wrapper algorithms. Conclusion: AIWrap approach provides an alternative algorithm to the existing algorithms for feature selection. The current study focuses on AIWrap application in continuous cross-sectional data. However, it could be applied to other datasets like longitudinal, categorical and time-to-event biological data. [ABSTRACT FROM AUTHOR]

• We developed a ML model to recommend first FSH dosage for all types of patients. • The model performance surpassed the clinicians' in both development and validation. • The model can serve as quality check, second opinion or learning tool for trainees. Is it possible to identify accurately the optimal first dose of FSH in ovarian stimulation by means of a machine learning model? Observational study (2011–2021) including first IVF cycles with own oocytes. A total of 2713 patients from five private reproductive centres were included in the development phase (2011–2019) and 774 in the validation phase (2020–2021). Predictor variables included age, BMI, AMH, AFC and previous live births. Performance was measured with a proposed score based on the number of MII oocytes retrieved and dose received, recommended, or both. The included cycles were from women aged 37.7 ± 4.4 years (18–45 years), with a BMI of 23.5 ± 4.2 kg/m2, AMH of 2.4 ± 2.3 ng/ml, AFC of 11.3 ± 7.6, and an average number of MII obtained 6.9 ± 5.4. The model reached a mean performance score of 0.87 (95% CI 0.86 to 0.88) in the development phase, significantly better than for doses prescribed by clinicians for the same patients (0.83, 95% CI 0.82 to 0.84; P = 2.44 e-10). Mean performance score of the model recommendations was 0.89 (95% CI 0.88 to 0.90) in the validation phase, also significantly better than clinicians (0.84, 95% CI 0.82 to 0.86; P = 3.81 e-05). The model was shown to surpass the performance of standard practice. This machine learning model could be used as a training and learning tool for new clinicians, and as quality control for experienced clinicians. [ABSTRACT FROM AUTHOR]

With the development of artificial intelligence, big data classification technology provides the advantageous help for the medicine auxiliary diagnosis research. While due to the different conditions in the different sample collection, the medical big data is often imbalanced. The class-imbalance problem has been reported as a serious obstacle to the classification performance of many standard learning algorithms. SMOTE algorithm could be used to generate sample points randomly to improve imbalance rate, but its application is affected by the marginalization generation and blindness of parameter selection. Focusing on this problem, an improved SMOTE algorithm based on Normal distribution is proposed in this paper, so that the new sample points are distributed closer to the center of the minority sample with a higher probability to avoid the marginalization of the expanded data. Experiments show that the classification effect is better when use proposed algorithm to expand the imbalanced dataset of Pima, WDBC, WPBC, Ionosphere and Breast-cancer-wisconsin than the original SMOTE algorithm. In addition, the parameter selection of the proposed algorithm is analyzed and it is found that the classification effect is the best when the distribution characteristics of the original data was maintained best by selecting appropriate parameters in our designed experiments. [ABSTRACT FROM AUTHOR]