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This study aims to build a warfarin dosage prediction model using various supervised learning techniques to assist in dose adjustment for better patient outcomes. Methods include KNN, SVR, M5, MLP, and classifier ensemble. Experiments with 587 clinical cases showed the models can aid clinicians in dosage decisions and reduce patient risks from adverse drug events. Advantages include accuracy and wide applications in warfarin dosage prediction.
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Predicting warfarin dosage from clinical data: A supervised learning approach Presenter : CHANG, SHIH-JIE Authors : Ya-Han Hu, Fan Wu a, Chia-Lun Lo, Chun-Tien Tai b2012.AIM.
Outlines • Motivation • Objectives • Methodology • Experiments • Conclusions • Comments
Motivation • Physicians use computerized dosing nomogramsof warfarinas reference .It merely consider age and INR values not enough for dose adjustment.
Objectives • Build a warfarin dosagepredictionmodel utilizing a number of supervised learning techniques to help dose adjustment.
Prediction model for warfarin dosing- Single classifiers (1) KNN Given a set of training instances xi : input vector yi : actual output of xi (2) SVR a regression function regression hyperplane ε-SVR can be formulated
Methodology - Single classifiers (3) M5(model-tree-based regression algorithm) Tree-building : use standard deviation reduction standard deviation of the class values of all instances in a child-node Nt,i, specific node
Methodology - M5 tree-pruning error term
Methodology – MLP (4) MLP
Methodology – Classifier ensemble • Voting (weight) Decide the estimated output by combining the results of different classifiers. Bagged Voting method
Experiments – Data preparation Collected 587 clinical cases (INR value 1~3) Drug-to-drug interaction (DDI) Use Bagging 424 163 496
Conclusions • The investigated models can not only facilitate clinicians in dosage decision-making, but also • help reduce patient risk from adverse drug events.
Comments • Advantages • More accurate. • Applications • Warfarin dosage prediction.