Efficient Decision Support System Research Articles

A deep learning system for myopia onset prediction and intervention effectiveness evaluation in children

The increasing prevalence of myopia worldwide presents a significant public health challenge. A key strategy to combat myopia is with early detection and prediction in children as such examination allows for effective intervention using readily accessible imaging technique. To this end, we introduced DeepMyopia, an artificial intelligence (AI)-enabled decision support system to detect and predict myopia onset and facilitate targeted interventions for children at risk using routine retinal fundus images. Based on deep learning architecture, DeepMyopia had been trained and internally validated on a large cohort of retinal fundus images (n = 1,638,315) and then externally tested on datasets from seven sites in China (n = 22,060). Our results demonstrated robustness of DeepMyopia, with AUCs of 0.908, 0.813, and 0.810 for 1-, 2-, and 3-year myopia onset prediction with the internal test set, and AUCs of 0.796, 0.808, and 0.767 with the external test set. DeepMyopia also effectively stratified children into low- and high-risk groups (p < 0.001) in both test sets. In an emulated randomized controlled trial (eRCT) on the Shanghai outdoor cohort (n = 3303) where DeepMyopia showed effectiveness in myopia prevention compared to NonCyc-based model, with an adjusted relative reduction (ARR) of −17.8%, 95% CI: −29.4%, −6.4%. DeepMyopia-assisted interventions attained quality-adjusted life years (QALYs) of 0.75 (95% CI: 0.53, 1.04) per person and avoided blindness years of 13.54 (95% CI: 9.57, 18.83) per 1 million persons compared to natural lifestyle with no active intervention. Our findings demonstrated DeepMyopia as a reliable and efficient AI-based decision support system for intervention guidance for children.

Employing a Convolutional Neural Network to Classify Sleep Stages from EEG Signals Using Feature Reduction Techniques

One of the most essential components of human life is sleep. One of the first steps in spotting abnormalities connected to sleep is classifying sleep stages. Based on the kind and frequency of signals obtained during a polysomnography test, sleep phases can be separated into groups. Accurate classification of sleep stages from electroencephalogram (EEG) signals plays a crucial role in sleep disorder diagnosis and treatment. This study proposes a novel approach that combines feature selection techniques with convolutional neural networks (CNNs) to enhance the classification performance of sleep stages using EEG signals. Firstly, a comprehensive feature selection process was employed to extract discriminative features from raw EEG data, aiming to reduce dimensionality and enhance the efficiency of subsequent classification using mutual information (MI) and analysis of variance (ANOVA) after splitting the dataset into two sets—the training set (70%) and testing set (30%)—then processing it using the standard scalar method. Subsequently, a 1D-CNN architecture was designed to automatically learn hierarchical representations of the selected features, capturing complex patterns indicative of different sleep stages. The proposed method was evaluated on a publicly available EDF-Sleep dataset, demonstrating superior performance compared to traditional approaches. The results highlight the effectiveness of integrating feature selection with CNNs in improving the accuracy and reliability of sleep stage classification from EEG signals, which reached 99.84% with MI-50. This approach not only contributes to advancing the field of sleep disorder diagnosis, but also holds promise for developing more efficient and robust clinical decision support systems.

Textual similarity for legal precedents discovery: Assessing the performance of machine learning techniques in an administrative court

The importance of legal precedents in ensuring consistent jurisprudence is undisputed. Particularly in jurisdictions following the Common law, but even in Civil law systems, uniformity in case law requires adherence to precedents. However, with the growing volume of cases, manual identification becomes a bottleneck, prompting the need for automation. Leveraging the capabilities of natural language processing (NLP) and machine learning (ML), our study delves into the potential of automation in identifying similar cases indicative of precedents. Drawing from a unique, substantial dataset of legal cases from an administrative court in Brazil, we extensively evaluated over one hundred combinations of document representations and text vectorizations. Contrary to earlier studies that relied on minimal validation samples, ours employed a statistically significant sample vetted by legal experts. Our findings reveal that models focusing on granular text representations perform optimally, especially when extracting concepts and relations. Notably, while intricate models may not always guarantee superior outcomes, the importance of refining textual features cannot be understated. These findings pave the way for creating efficient decision support systems in judicial contexts and set a direction for future research aiming to integrate technology in legal decision-making.

An efficient decision support system for leukemia identification utilizing nature-inspired deep feature optimization.

In the field of medicine, decision support systems play a crucial role by harnessing cutting-edge technology and data analysis to assist doctors in disease diagnosis and treatment. Leukemia is a malignancy that emerges from the uncontrolled growth of immature white blood cells within the human body. An accurate and prompt diagnosis of leukemia is desired due to its swift progression to distant parts of the body. Acute lymphoblastic leukemia (ALL) is an aggressive type of leukemia that affects both children and adults. Computer vision-based identification of leukemia is challenging due to structural irregularities and morphological similarities of blood entities. Deep neural networks have shown promise in extracting valuable information from image datasets, but they have high computational costs due to their extensive feature sets. This work presents an efficient pipeline for binary and subtype classification of acute lymphoblastic leukemia. The proposed method first unveils a novel neighborhood pixel transformation method using differential evolution to improve the clarity and discriminability of blood cell images for better analysis. Next, a hybrid feature extraction approach is presented leveraging transfer learning from selected deep neural network models, InceptionV3 and DenseNet201, to extract comprehensive feature sets. To optimize feature selection, a customized binary Grey Wolf Algorithm is utilized, achieving an impressive 80% reduction in feature size while preserving key discriminative information. These optimized features subsequently empower multiple classifiers, potentially capturing diverse perspectives and amplifying classification accuracy. The proposed pipeline is validated on publicly available standard datasets of ALL images. For binary classification, the best average accuracy of 98.1% is achieved with 98.1% sensitivity and 98% precision. For ALL subtype classifications, the best accuracy of 98.14% was attained with 78.5% sensitivity and 98% precision. The proposed feature selection method shows a better convergence behavior as compared to classical population-based meta-heuristics. The suggested solution also demonstrates comparable or better performance in comparison to several existing techniques.

A CRITIC-TOPSIS MCDM Technique under the Neutrosophic Environment with Application on Aircraft Selection

This paper develops a CRITIC-TOPSIS ''multi-criteria decision-making'' method under a neutrosophic environment. The neutrosophic set is a generalized version of the fuzzy and ''intuitionistic fuzzy set''. The purpose of this paper is the extension of the CRITIC-TOPSIS method using neutrosophic sets to create a more accurate and efficient decision support system for selecting a very light business jet (Bizjet). It provides the ranking to the selected number of Bizjets based on some pre-defined criteria under the neutrosophic CRITIC-TOPSIS method. The results of this study are obtained from the extended version of the previous study on decision-making for the selection of Bizjets. This study obtains results under the neutrosophic environment with a more realistic scenario.

Construction of a knowledge graph for breast cancer diagnosis based on Chinese electronic medical records: development and usability study

BackgroundElectronic medical records (EMRs) contain a wealth of information related to breast cancer diagnosis and treatment. Extracting relevant features from these medical records and constructing a knowledge graph can significantly contribute to an efficient data analysis and decision support system for breast cancer diagnosis.MethodsAn approach was proposed to develop a workflow for effectively extracting breast cancer-related features from Chinese breast cancer mammography reports and constructing a knowledge graph for breast cancer diagnosis. Firstly, the concept layer of the knowledge graph for breast cancer diagnosis was constructed based on breast cancer diagnosis and treatment guidelines, along with insights from clinical experts. .Next, a BiLSTM-Highway-CRF model was designed to extract the mammography features, which formed the data layer of the knowledge graph. Finally, the knowledge graph was constructed by combining the concept layer and the data layer in a Neo4j graph data platform, and then applied in visualization analysis, semantic query and computer assisted diagnosis.ResultsMammographic features were extracted from a total of 1171 mammography examination reports. The overall extraction performance of the model achieved an accuracy rate of 97.16%, a recall rate of 98.06%, and a F1 score of 97.61%. Additionally, 47,660 relationships between entities were identified based on the four different types of relationships defined in the concept layer. The knowledge graph for breast cancer diagnosis was constructed after inputting mammographic features and relationships into the Neo4j graph data platform. The model was assessed from the concept layer, data layer, and application layer perspectives, and showed promising results.ConclusionsThe proposed workflow is applicable for constructing knowledge graphs for breast cancer diagnosis based on Chinese EMRs. This study serves as a reference for the rapid design, construction, and application of knowledge graphs for diagnosis and treatment of other diseases. Furthermore, it offers a potential solution to address the issues of limited data sharing and format inconsistencies present in Chinese EMR data.

Dynamic small-series fashion order allocation and supplier selection: a ga-topsis-based model

The fashion industry is currently confronted with significant economic and environmental challenges, necessitating the exploration of novel business models. Among the promising approaches is small series production on demand, though this poses considerable complexities in the highly competitive sector. Traditional supplier selection and production planning processes, known for their lengthy and intricate nature, must be replaced with more dynamic and effective decision-making procedures. To tackle this problem, GA-TOPSIS hybrid model is proposed as the methodology. The model integrates Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) evaluation into the fitness function of Genetic Algorithm (GA) to comprehensively consider both qualitative and quantitative criteria for supplier selection. Simultaneously, GA efficiently optimizes the order sequence for production planning. The model's efficacy is demonstrated through implementation on real orders, showcasing its ability to handle diverse evaluation criteria and support supplier selection in different scenarios. Moreover, the proposed model is employed to compute the Pareto front, which provides optimal sets of solutions for the given objective criteria. This allows for an effective demand-driven strategy, particularly relevant for fashion retailers to select supplier and order planning optimization decisions in dynamic and multi-criteria context. Overall, GA-TOPSIS hybrid model offers an innovative and efficient decision support system for fashion retailers to adapt to changing demands and achieve effective supplier selection and production planning optimization. The model's incorporation of both qualitative and quantitative criteria in a dynamic environment contributes to its originality and potential for addressing the complexities of the fashion industry's supply chain challenges

Hybrid learning-oriented approaches for predicting Covid-19 time series data: A comparative analytical study

Using medical science alongside time series data analysis can be given a strong tool to develop efficient decision support systems in Corona pandemic. In this regard, many hybrid learning-oriented (HL) approaches have been presented, which rely on modeling the linear and non-linear components of the time series. However, there is a lack of comprehensive study of such approaches to achieve a macro vision of Covid-19 data prediction models in an unified reference. We conducted a comparative analytical study on (HL) approaches for predicting Covid-19 data. The main scope of current study is the investigate of such approaches. The original contribution of the paper is to present a reference-point and roadmap for future studies, which is provided in three forms. First, we experimentally evaluated the efficiency of all learning-based combinations on types of Covid-19 data in a similar context. Second, we tried to provide a guidance for choosing a more proper hybrid through valid empirical and statistical evaluations. Third, we presented an efficient and generalizable approach called HL-ALL (Hybrid Learning ARIMA LSTM LSTM). Evaluation results show high potential of HL-ALL in dealing Covid-19 data when prediction.

Bayesian non-parametric method for decision support: Forecasting online product sales

Forecasting online product sales is essential for retailers and e-commerce platforms, but it can be challenging owing to the complex dynamics and mixed trends in sales data. Popular end-to-end approaches tend to capture spurious correlations in historical data, whereas two-stage approaches that decompose time series and make separate predictions often result in error accumulation. To address these issues, we propose PoissonGP, a novel Bayesian model that employs a non-homogeneous Poisson process with a Gaussian process prior for sales prediction. PoissonGP can capture complex patterns in data with multiple trends and manage distribution shifts caused by changes in long-run sales. Additionally, it incorporates forecast uncertainty and provides interpretability for building efficient and visual decision support systems. Experimental results on several synthetic and empirical datasets suggest that PoissonGP outperforms existing approaches, making it a promising tool for e-commerce platforms.

Design of an efficient decision support system using evolutionary deep forward network model

With the vast advancements in the medical domain, earlier prediction of disease plays a substantial role in enhancing healthcare quality and making better decisions during tough times. This research concentrates on modelling and automated disease prediction model to offer an earlier prediction model for heart disease and the risk factors. This work considers a standard UCI machine learning-based benchmark dataset for model validation and extracts the risk factors related to the disease. The outliers and imbalanced datasets are pre-processed using data normalization to enhance the classification performance. Here, feature selection is performed using non-linear Particle Swarm Optimization (NL - PSO). Finally, classification is done with the Improved Deep Evolutionary model with Feed Forward Neural Networks (IDEBDFN). The algorithm’s learning nature is used to evaluate the nature of the hidden layers to produce the optimal results. The outcomes demonstrate that the anticipated model provides superior prediction accuracy. The simulation is carried out in a MATLAB environment, and metrics like accuracy, F-measure, precision, recall, and so on are evaluated. The accuracy (without features) of the evolutionary model in the UCI ML dataset is 97.65%, accuracy (with features) is 98.56%, specificity is 95%, specificity is 2% higher than both the datasets, F1-score is 40%, execution time (min) is 0.04 min, and the AUROC is 96.85% which is substantially higher than other datasets. The proposed model works efficiently compared to various prevailing standards and individual approaches.

Classifying the heart sound signals using textural‐based features for an efficient decision support system

AbstractCardiovascular diseases have surpassed cancer as the leading cause of death on the planet today. Numerous decision‐making systems with computer‐assisted support have been developed to assist cardiologists to detect heart disease, and thus, lowering the mortality rate. The purpose of this research is to classify audio signals received from the heart as normal or abnormal. The PhysioNet Computing in Cardiology (CinC) 2016 benchmark dataset, popularly known as PhysioNet 2016, has been used to validate the proposed methodology presented here. PhysioNet 2016 contains a total of 3200 phonocardiogram (PCG) recordings divided into sub‐datasets A‐F. The state‐of‐the‐art studies conducted till date have not considered the harmonic details of the beat that can be extracted from its equivalent chromagram image. In this work, textural features such as linear binary pattern (LBP), adaptive‐LBP, and ring‐LBP have been extracted from the existing spectrogram and combined with the features extracted from the chromagram. It has been observed that the combination of features extracted from both the image variants has resulted in a greater accuracy as compared to the scenario where researchers were using only the spectrogram. The experiment yielded the mean accuracy, precision, and F1‐score as 94.87, 93.11, and 95.273, respectively. The heart sound classification models employ spectrogram, scalogram, and mel‐spectrogram images to view and analyse the acoustic properties of a PCG signal. Although these visual tools provide useful information about the signal, yet they are unable to distinguish between pitch and resonance in heart sound generation. However, this paper proposes an alternative approach of heart sound signal representation that allows for a more precise measure of pitch‐related changes in the heart sound. Its results highlight the significance of extracting textural features from time‐chroma representation (i.e., chromagram) of PCG signals that have not been explored yet in the domain related to classification of heart sound signals as normal and abnormal.

An Interactive Decision Support System for College Degree Planning

Many students in the Unites States enter college without having decided on a focus for their studies, and thus are faced with choosing from a large number of potential majors and associated very complex sets of degree requirements which can include many courses in other areas of study. Academic advisors use academic planning tools to help students make decisions about class schedules, selecting an academic major or minor, planning for graduation, and many other academic related activities. There is a dearth of decision support systems for degree planning, mainly due to the complexity of degree requirements, and thus many existing academic planning tools utilize static documents or PDF files for displaying information pertaining to degree requirements and course prerequisites. This work considers the complexity of degree requirements and presents the design and implementation of an efficient interactive decision support system that helps students explore degree completion paths. Keywords: degree planning, academic advising, academic decision making, decision support system, college degree planning

High-frequency forecasting of the crude oil futures price with multiple timeframe predictions fusion

In the abundant literature about crude oil futures price forecasting, researchers generally predicted the crude oil price movements from the perspective of only a single timeframe. In addition, the trading strategies of their trading models were generally designed to be less sophisticated, and their prediction models lacked interpretability. To fill these gaps, a price direction fused prediction and trading approach has been proposed for high-frequency prediction of the Chinese crude oil futures. In the proposed approach, the MTXGBoost (Multiple Timeframes eXtreme Gradient Boosting) is developed and utilized for predictions fusion under multiple timeframes, and the NSGA-II (Non-dominated Sorting Genetic Algorithm-II) is integrated for trading strategy optimization. Moreover, the SHAP (Shapley Additive exPlanation) approach is also employed to interpret how the proposed approach made predictions. Experimental results show that the approach proposed in this research averagely produced a direction prediction accuracy of 78.69%, an accumulated return of 23.17%, and a maximum drawdown of 1.00%, demonstrating that it can produce an excellent profit with small trading risks. Therefore, the proposed approach can be employed as an intelligent, efficient, and reliable decision support system for market investors, energy-related companies, and government departments to make crude oil related decisions.

Computational method of the cardiovascular diseases classification based on a generalized nonlinear canonical decomposition of random sequences

Decision support systems can seriously help medical doctors in the diagnosis of different diseases, especially in complicated cases. This article is devoted to recognizing and diagnosing heart disease based on automatic computer processing of the electrocardiograms (ECG) of patients. In the general case, the change of the ECG parameters can be presented as a random sequence of the signals under processing. Developing new computational methods for such signal processing is an important research problem in creating efficient medical decision support systems. Authors consider the possibility of increasing the diagnostic accuracy of cardiovascular diseases by implementing of the new proposed computational method of information processing. This method is based on the generalized nonlinear canonical decomposition of a random sequence of the change of cardiogram parameters. The use of a nonlinear canonical model makes it possible to significantly simplify the maximum likelihood criterion for classifying diseases. This simplification is provided by the transition from a multi-dimensional distribution density of cardiogram parameters to a product of one-dimensional distribution densities of independent random coefficients of a nonlinear canonical decomposition. The absence of any restrictions on the class of random sequences under study makes it possible to achieve maximum accuracy in diagnosing cardiovascular diseases. Functional diagrams for implementing the proposed method reflecting the features of its application are presented. The quantitative parameters of the core of the computational diagnostic procedure can be determined in advance based on the preliminary statistical data of the ECGs for different heart diseases. That is why the developed method is quite simple in terms of computation (computing complexity, accuracy, computing time, etc.) and can be implemented in medical computer decision systems for monitoring cardiovascular diseases and for their diagnosis in real time. The results of the numerical experiment confirm the high accuracy of the developed method for classifying cardiovascular diseases.

Employing CNN ensemble models in classifying dental caries using oral photographs

Dental caries is arguably the most persistent dental condition that affects most people over their lives. Carious lesions are commonly diagnosed by dentists using clinical and visual examination along with oral radiographs. In many circumstances, dental caries is challenging to detect with photography and might be mistaken as shadows for various reasons, including poor photo quality. However, with the introduction of Artificial Intelligence and robotic systems in dentistry, photographs can be a helpful tool in oral epidemiological research for the assessment of dental caries prevalence among the population. It can be used particularly to create a new automated approach to calculate DMF (Decay, Missing, Filled) index score. In this paper, an autonomous diagnostic approach for detecting dental cavities in photos is developed using deep learning algorithms and ensemble methods. The proposed technique employs a set of pretrained models including Xception, VGG16, VGG19, and DenseNet121 to extract essential characteristics from photographs and to classify images as either normal or caries. Then, two ensemble learning methods, E- majority and E-sum, are employed based on majority voting and sum rule to boost the performances of the individual pretrained model. Experiments are conducted on 50 images with data augmentation for normal and caries images, the employed E-majority and E-sum achieved an accuracy score of 96% and 97%, respectively. The obtained results demonstrate the superiority of the proposed ensemble framework in the detection of caries. Furthermore, this framework is a step toward constructing a fully automated, efficient decision support system to be used in the dentistry area.

Efficient and Intelligent Decision Support System for Smart Irrigation

The main aim of present analysis is to develop a novel efficient and intelligent irrigation system (EIIS). The proposed irrigation system configured using five components arranged in a series configuration along with the internal cold standby redundancy on sensor unit. The failure and repair rates are exponentially distributed. By using the Markovian birth-death process differential difference equations of the model are developed to derive the availability expressions and estimation of parameters. The availability of the system is optimized by employing Grey-Wolf optimization (GWO) and Dragon Fly algorithm (DA) for efficiency and performance evaluation. The derived results are helpful for the system designers.

Developing an AI-assisted clinical decision support system to enhance in-patient holistic health care.

Holistic health care (HHC) is a synonym for complete patient care, and as such an efficient clinical decision support system (CDSS) for HHC is critical to support the judgement of physician's decision in response of patient's physical, emotional, social, economic, and spiritual needs. The field of artificial intelligence (AI) has evolved considerably in the past decades and many AI applications have been deployed in various contexts. Therefore, this study aims to propose an AI-assisted CDSS model that predicts patients in need of HHC and applies an improved recurrent neural network (RNN) model, long short-term memory (LSTM) for the prediction. The data sources include in-patient's comorbidity status and daily vital sign attributes such as blood pressure, heart rate, oxygen prescription, etc. A two-year dataset consisting of 121 thousand anonymized patient cases with 890 thousand physiological medical records was obtained from a medical center in Taiwan for system evaluation. Comparing with the rule-based expert system, the proposed AI-assisted CDSS improves sensitivity from 26.44% to 80.84% and specificity from 99.23% to 99.95%. The experimental results demonstrate that an AI-assisted CDSS could efficiently predict HHC patients.

An Efficient and Uncertainty-Aware Decision Support System for Disaster Response Using Aerial Imagery

Efficient and robust search and rescue actions are always required when natural or technical disasters occur. Empowered by remote sensing techniques, building damage assessment can be achieved by fusing aerial images of pre- and post-disaster environments through computational models. Existing methods pay over-attention to assessment accuracy without considering model efficiency and uncertainty quantification in such a life-critical application. Thus, this article proposes an efficient and uncertain-aware decision support system (EUDSS) that evolves the recent computational models into an efficient decision support system, realizing the uncertainty during building damage assessment (BDA). Specifically, a new efficient and uncertain-aware BDA integrates the recent advances in computational models such as Fourier attention and Monte Carlo Dropout for uncertainty quantification efficiently. Meanwhile, a robust operation (RO) procedure is designed to invite experts for manual reviews if the uncertainty is high due to external factors such as cloud clutter and poor illumination. This procedure can prevent rescue teams from missing damaged houses during operations. The effectiveness of the proposed system is demonstrated on a public dataset from both quantitative and qualitative perspectives. The solution won the first place award in International Overhead Imagery Hackathon.

False data injection attack detection in dynamic power grid: A recurrent neural network-based method

The smart grid greatly facilitates the transmission of power and information by integrating precise measurement technology and efficient decision support systems. However, deep integration of cyber and physical information entails multiple challenges to grid operation. False data injection attacks can directly interfere with the results of state estimation, which can cause the grid regulator to make wrong decisions and thus poses a huge threat to the stability and security of grid operation. To address this issue, we propose a detection approach against false data injection attacks for dynamic state estimation. The Kalman filter is used to dynamically estimate the state values from IEEE standard bus systems. A long short-term memory (LSTM) network is utilized to extract the sequential observations from states at multiple time steps. In addition, we transform the attack detection problem into supervised learning problem and propose a deep neural network-based detection approach to identify attacks. We evaluate the effectiveness of the proposed detection approach in multiple IEEE standard bus systems. The simulation results demonstrate that the proposed detection approach outperforms benchmarks in improving the detection accuracy of malicious attacks.

Overcoming Major Barriers to Build Efficient Decision Support Systems in Pharmacovigilance.

Many decision support methods and systems in pharmacovigilance are built without explicitly addressing specific challenges that jeopardize their eventual success. We describe two sets of challenges and appropriate strategies to address them. The first are data-related challenges, which include using extensive multi-source data of poor quality, incomplete information integration, and inefficient data visualization. The second are user-related challenges, which encompass users' overall expectations and their engagement in developing automated solutions. Pharmacovigilance decision support systems will need to rely on advanced methods, such as natural language processing and validated mathematical models, to resolve data-related issues and provide properly contextualized data. However, sophisticated approaches will not provide a complete solution if end-users do not actively participate in their development, which will ensure tools that efficiently complement existing processes without creating unnecessary resistance. Our group has already tackled these issues and applied the proposed strategies in multiple projects.