Prediction and visualization of acute kidney injury in intensive care unit using one-dimensional convolutional neural networks based on routinely collected data

Noriaki Sato, Eiichiro Uchino, Ryosuke Kojima, Shusuke Hiragi, Motoko Yanagita, Yasushi Okuno

研究成果: ジャーナルへの寄稿学術論文査読

19 被引用数 (Scopus)

抄録

Background: Acute kidney injury (AKI) occurs frequently in in-hospital patients, especially in the intensive care unit (ICU), due to various etiologies including septic shock. It is clinically important to identify high-risk patients at an early stage and perform the appropriate intervention. Methods: We proposed a system to predict AKI using one-dimensional convolutional neural networks (1D-CNN) with the real-time calculation of the probability of developing AKI, along with the visualization of the rationale behind prediction using score-weighted class activation mapping and guided backpropagation. The system was applied to predicting developing AKI based on the KDIGO guideline in time windows of 24 to 48 h using data of 0 to 24 h after admission to ICU. Results: The comparison result of multiple algorithms modeling time series data indicated that the proposed 1D-CNN model achieved higher performance compared to the other models, with the mean area under the receiver operating characteristic curve of 0.742 ± 0.010 for predicting stage 1, and 0.844 ± 0.029 for stage 2 AKI using the input of the vital signs, the demographic information, and serum creatinine values. The visualization results suggested the reasonable interpretation that time points with higher respiratory rate, lower blood pressure, as well as lower SpO2, had higher attention in terms of predicting AKI, and thus important for prediction. Conclusions: We presumed the proposed system's potential usefulness as it could be applied and transferred to almost any ICU setting that stored the time series data corresponding to vital signs.

本文言語英語
論文番号106129
ジャーナルComputer Methods and Programs in Biomedicine
206
DOI
出版ステータス出版済み - 07-2021
外部発表はい

All Science Journal Classification (ASJC) codes

  • ソフトウェア
  • コンピュータ サイエンスの応用
  • 健康情報学

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