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Objectives: 1) To use data-driven method to examine clinical codes (risk factors) of a medical condition in primary care electronic health records (EHRs) that can accurately predict a diagnosis of the condition in secondary care EHRs. 2) To develop and validate a disease phenotyping algorithm for rheumatoid arthritis using primary care EHRs. Methods: This study linked routine primary and secondary care EHRs in Wales, UK. A machine learning based scheme was used to identify patients with rheumatoid arthritis from primary care EHRs via the following steps: i) selection of variables by comparing relative frequencies of Read codes in the primary care dataset associated with disease case compared to non-disease control (disease/non-disease based on the secondary care diagnosis); ii) reduction of predictors/associated variables using a Random Forest method, iii) induction of decision rules from decision tree model. The proposed method was then extensively validated on an independent dataset, and compared for performance with two existing deterministic algorithms for RA which had been developed using expert clinical knowledge. Results: Primary care EHRs were available for 2,238,360 patients over the age of 16 and of these 20,667 were also linked in the secondary care rheumatology clinical system. In the linked dataset, 900 predictors (out of a total of 43,100 variables) in the primary care record were discovered more frequently in those with versus those without RA. These variables were reduced to 37 groups of related clinical codes, which were used to develop a decision tree model. The final algorithm identified 8 predictors related to diagnostic codes for RA, medication codes, such as those for disease modifying anti-rheumatic drugs, and absence of alternative diagnoses such as psoriatic arthritis. The proposed data-driven method performed as well as the expert clinical knowledge based methods. Conclusion: Data-driven scheme, such as ensemble machine learning methods, has the potential of identifying the most informative predictors in a cost-effective and rapid way to accurately and reliably classify rheumatoid arthritis or other complex medical conditions in primary care EHRs. [ABSTRACT FROM AUTHOR]

(1) Background: We aimed to develop a transparent machine-learning (ML) framework to automatically identify patients with a condition from electronic health records (EHRs) via a parsimonious set of features. (2) Methods: We linked multiple sources of EHRs, including 917,496,869 primary care records and 40,656,805 secondary care records and 694,954 records from specialist surgeries between 2002 and 2012, to generate a unique dataset. Then, we treated patient identification as a problem of text classification and proposed a transparent disease-phenotyping framework. This framework comprises a generation of patient representation, feature selection, and optimal phenotyping algorithm development to tackle the imbalanced nature of the data. This framework was extensively evaluated by identifying rheumatoid arthritis (RA) and ankylosing spondylitis (AS). (3) Results: Being applied to the linked dataset of 9657 patients with 1484 cases of rheumatoid arthritis (RA) and 204 cases of ankylosing spondylitis (AS), this framework achieved accuracy and positive predictive values of 86.19% and 88.46%, respectively, for RA and 99.23% and 97.75% for AS, comparable with expert knowledge-driven methods. (4) Conclusions: This framework could potentially be used as an efficient tool for identifying patients with a condition of interest from EHRs, helping clinicians in clinical decision-support process. [ABSTRACT FROM AUTHOR]

In this paper, a novel procedure for normalising Mercer kernel is suggested firstly. Then, the normalised Mercer kernel techniques are applied to the fuzzy c-means (FCM) algorithm, which leads to a normalised kernel based FCM (NKFCM) clustering algorithm. In the NKFCM algorithm, implicit assumptions about the shapes of clusters in the FCM algorithm is removed so that the new algorithm possesses strong adaptability to cluster structures within data samples. Moreover, a new method for calculating the prototypes of clusters in input space is also proposed, which is essential for data clustering applications. Experimental results on several benchmark datasets have demonstrated the promising performance of the NKFCM algorithm in different scenarios. [ABSTRACT FROM AUTHOR]

In remote sensing image processing, image approximation, or obtaining a high-resolution image from a corresponding low-resolution image, is an ill-posed inverse problem. In this paper, the regularization method is used to convert the image approximation problem into a solvable variational problem. In regularization, the constraints on smoothness and discontinuity are considered, and the original ill-posed problem is thereby converted to a well-posed optimization problem. In order to solve the variational problem, a Hopfield-type dynamic neural network is developed. This neural network possesses two states that describe the discrepancy between a pixel and adjacent pixels, the intensity evolution of a pixel and two kinds of corresponding weights. Based on the experiment in this study with a Landsat TM image free of added noise and a noisy image, the proposed approach provides better results than other methods. The comparison shows the feasibility of the proposed approach. [ABSTRACT FROM AUTHOR]