BMC Medical Informatics and Decision Making

Predicting child and adolescent mental health emergency department revisits: a machine-learning approach compared to a clinician-derived baseline
Bians NK, Lyeo JS, Gilchrist J, Honeywell C, Cloutier P, Kennedy A and Pajer K
Simultaneous prediction of early and delayed mortality in burn patients: a comparative machine learning analysis of feature importance in a single-center retrospective study
Motamedi M, Moallemkolaei NM, Hesamirostami M, Ghorbani M and Arani LS
Development and validation of interpretable machine learning models to predict intensive care unit outcomes in patients on hemodialysis: a multicenter study
Chen M, Li P, Xu Y, Li Z, Xiong Y, Wu J, Pandya C, Wang Y and Huang G
Hemodialysis patients are at high risk for ICU admission due to elevated mortality, cardiovascular disease, and infection rates. Traditional ICU scoring systems (e.g., APACHE-II, SOFA) demonstrate limited accuracy in this population. This study aimed to identify key risk factors and develop interpretable machine learning (ML) models for predicting ICU outcomes to enable early intervention.
Design and evaluation patient portal for patients with HTLV-1
Norouzi Aval R, Rafatpanah H, Sarbaz M, Kimiafar K and Baigi SFM
Patient portals are now considered an integral part of medical care. The aim of this study was to design and evaluate a patient portal for individuals with human T-lymphotropic virus type 1 (HTLV-1) to provide information about their health status.
Quantifying coding integrity and reliability of ICD-11 MMS for rare disease registration: a case study of the Chinese rare disease catalogue
Bai X, Guo J, Zhang M, Wang Y and Li N
Epidemiological data on rare diseases (RDs) affect the accurate scientific assessment of these diseases and lead to many issues in policy-making, healthcare systems, and legislation. The coding system is crucial for accurately identifying and calculating the incidence rates of each RD. This study focuses on the effectiveness of collecting RD data via the ICD-11 and examines whether the ICD-11 can fully support RD statistics. The findings of this study should provide a foundation for replacing the ICD-10 with the ICD-11.
ECG-based deep learning for chronic kidney disease detection and cardiovascular risk prediction
Tsai PH, Lee SY, Wei CH, Hsu YJ and Lin C
Chronic kidney disease (CKD) is a global health burden with low awareness among both patients and healthcare providers. Deep learning models (DLMs) have shown promise in interpreting electrocardiograms (ECGs) for various disease and may offer new opportunities for early CKD detection.
Machine learning-driven risk stratification to guide variceal embolization in TIPS-treated cirrhotic patients with acute variceal bleeding
Zhu G, Song Y, Yu B, Chen C, Chen S, Xie Y, Yi Q, Fu H, Wang X and Huang L
MelAnalyze: fact-checking melatonin claims using large language models and natural language inference
Karkera N, Ghosh S, Escames G and Palaniappan SK
Digital health for Tuberculosis control: findings from the piloting of an electronic medical record in Luanda (Angola)
Robbiati C, Tosti ME, Tomas J, Natali G, Simeis L, Silva ND, Joaquim FF, Tulomba D, Lazary N, Adão J, Manenti F and Dente MG
A semi-automated quality assurance tool for cardiovascular magnetic resonance imaging: application to outlier detection, artificial intelligence evaluation and trainee feedback
Hadler T, Grassow L, Kuhnt J, Hickstein R, Saad H, Fenski M, Gröschel J, Trauzeddel RF, Blaszczyk E, Ammann C, Viezzer D, Hennemuth A, Lange S and Schulz-Menger J
Cardiovascular magnetic resonance (CMR) offers state-of-the-art volume, function, fibrosis and oedema imaging. Quality assurance (QA) tasks, such as quantitative parameter reproducibility assessments, the evaluation of AI methods, and the assessment of trainees have become essential to CMR. However, the explainability of how qualitative differences impact quantitative differences remains underexplored. Our aim is to demonstrate a semi-automated QA tool, Lazy Luna's (LL) applicability to typical CMR QA application cases.
Predictive framework for cervical cancer brachytherapy fractionation mode integrating generative model and dynamic feature aggregation GNNs
Liu X, Liu X, Li Y, Bai S, Li N, Gong T and Ding S
Exploring prognostic factors on vascular outcomes among maintenance dialysis patients and establishing a prognosis prediction model using machine learning methods
Wu CK, Kao ZK, Nguyen VK, Yar N, Chuang MT and Chang TH
Through the eye to the heart: a scoping review of artificial intelligence in retinal imaging for cardiovascular disease assessment
Kamalzadeh H, Khorrami F, Ahmadi A, Mirlohi SR, Vatankhah M and Choobin N
A prompt framework for enhancing LLM-based explainability of medical machine learning models: an intensive care unit application
Lee S, Cho WI, Lee Y, Kim DJ, Nam KH, Lee S, Suh J and Ko T
Explainable AI (XAI) techniques like SHAP provide valuable insights into machine learning model predictions by quantifying feature contributions. However, interpreting these quantitative outputs remains unintuitive for many clinicians, hindering their practical adoption in clinical decision-making. This exploratory feasibility study aims to propose and evaluate a prompting framework designed to guide large language models (LLMs) in generating consistent, clinically relevant explanations from SHAP values.
Eye-XAI: an explainable artificial intelligence approach for eye disease detection using symptom analysis
Marouf AA, Mottalib MM, Ridi SS, Jafarullah O, Rokne J and Alhajj R
The early and accurate detection of eye diseases play a pivotal role in preventing vision loss and improving patients’ quality of life. It is therefore important to search for methods for improving this detection. It turns out that Artificial Intelligence (AI) has shown great promise for the detection task. However, AI models are often opaque and complex and as a result there has been a slow adoption for these models in clinical settings. In this paper Eye-XAI is introduced which provides an effective approach to the detection combining Explainable Artificial Intelligence (XAI) techniques with symptom analysis to enhance the transparency and interpretability of eye disease detection models. Our results demonstrate that Eye-XAI not only achieves high accuracy (99.11%) for eye disease detection but also provides transparent and interpretable insights into the diagnostic process. The adoption of Eye-XAI can therefore significantly enhance the early detection and management of eye diseases while empowering clinicians with a deeper understanding of its AI-based diagnostic recommendations. Furthermore, this approach promotes patient engagement by facilitating communication and trust between patients and their healthcare providers. Eye-XAI represents a major step towards the integration of XAI in ophthalmology, unlocking new possibilities for improved eye disease diagnosis and treatment.
Risk assessment and prediction of early blood transfusion after joint replacement surgery: a clinical decision support model based on machine learning
Xing T, Duan J, Xiao T, Wang Z, Zhao H, Qin W, Wu D, Shi C and Du Y
Patients and healthcare professionals' perspectives on the implementation of shared decision making in multiple myeloma: a multinational qualitative study
Schoefs E, Verbeke C, Broekmans J, Seldam ST, Morgan K, Joyner K, Aviv A, Shoham V, Vanhellemont A, Delforge M, Van Audenhove C, Janssens R and Huys I
Shared decision making (SDM) is highly relevant in oncology and cancer care, yet its application within multiple myeloma (MM) remains underexplored. This study aims to (1) investigate SDM implementation in MM clinical practice, (2) assess the role of various stakeholders next to haematologists in the SDM process, and (3) identify barriers and potential solutions to SDM implementation in MM care.
AI-based prediction of SPPB scores using questionnaires of abilities: findings from the national health and aging trends study
Kim HS and Lee JW
The Short Physical Performance Battery (SPPB) is a widely used assessment tool to evaluate lower extremity function in older adults. However, it requires clinical settings which may not be feasible in all circumstances. This study aimed to develop alternative methods for indirectly estimating SPPB scores using questionnaire responses related to functional abilities.
Interpretable machine learning approach for optimizing hospice care predictions using health assessment data
Cho SY, Lai WS, Tsai JH, Lin PC and Chou HH
Determining the appropriate end-of-life (EOL) care model within a short time frame is challenging and requires extensive experience. To the best of our knowledge, no studies have developed automatic systems for identifying the hospice care models: hospice home (HHC), inpatient (HIC), and shared care (HSC). This study aimed to determine the optimal hospice care model for EOL patients with machine learning (ML) methods based on health assessment data.
Augmenting small tabular health data for training prognostic ensemble machine learning models using generative models
Liu D, Kababji SE, Mitsakakis N, Pilgram L, Walters TD, Clemons M, Pond GR, El-Hussuna A and Emam KE
Small datasets are common in health research. However, the generalization performance of machine learning models is suboptimal when the training datasets are small. To address this, data augmentation is one solution and is often used for imaging and time series data, but there are no evaluations on its potential benefits for tabular health data. Augmentation increases sample size and is seen as a form of regularization that increases the diversity of small datasets, leading them to perform better on unseen data.
Early classification of functional connectomes in Parkinson's disease: a comparison of machine learning classifiers using multi-scale topological features
Donisi L, Micco R, Pirozzi MA, Siciliano M, Franza F, Pisani N, Zamir B, Cirillo M, Tessitore A and Esposito F