Knowledge-driven feature engineering to detect multiple symptoms using ambulatory blood pressure monitoring data

dc.contributor.authorJanjua, Zaffar Haider
dc.contributor.authorKerins, David
dc.contributor.authorO'Flynn, Brendan
dc.contributor.authorTedesco, Salvatore
dc.contributor.funderEnterprise Irelanden
dc.contributor.funderScience Foundation Irelanden
dc.contributor.funderEuropean Regional Development Funden
dc.date.accessioned2022-03-16T12:50:16Z
dc.date.available2022-03-16T12:50:16Z
dc.date.issued2022-02-09
dc.date.updated2022-03-16T12:42:48Z
dc.description.abstractBackground: Hypertension is a major health concern across the globe and needs to be properly diagnosed to so it can be treated and to mitigate for this critical health condition. In this context, ambulatory blood pressure monitoring is essential to provide for a proper diagnosis of hypertension, which may not be possible otherwise due to the white coat effect or masked hypertension. In this paper, the objective is to develop a model which incorporates expert’s knowledge in the feature engineering process so as to accurately predict multiple medical conditions. As a case study, we have considered multiple symptoms related to hypertension and used an ambulatory blood pressure monitoring method to continuously acquire hypertension relevant data from a patient. The goal is to train a model with a minimum set of the most effective knowledge-driven features which are useful to detect multiple symptoms simultaneously using multi-class classification techniques. Method: Artificial intelligence-based blood pressure monitoring techniques introduce a new dimension in the diagnosis of hypertension by enabling a continuous (24hours) analysis of systolic and diastolic blood pressure levels. In this work, we present a model that entails a knowledge-driven feature engineering method and implemented an ambulatory blood pressure monitoring system to diagnose multiple cardiac parameters and associated conditions simultaneously these include morning surge, circadian rhythm, and pulse pressure. The knowledge-driven features are extracted to improve the interpretability of the classification model and machine learning techniques (Random Forest, Naive Bayes, and KNN) were applied in a multi-label classification setup using RAkEL to classify multiple conditions simultaneously. Results: The results obtained (F 1 = 0.918) show that the Random forest technique has performed well for multilabel classification using knowledge-driven features. Our technique has also reduced the complexity of the model by reducing the number of features required to train a machine learning model. Conclusion: Considering these results, we conclude that knowledge-driven feature engineering enhances the learning process by reducing the number of features given as input to the machine learning algorithm. The proposed feature engineering method considers expert’s knowledge to develop better diagnosis models which are free from misleading data-driven noisy features in some situations. It is a white-box approach in which clinicians can understand the importance of a feature while looking at its value.ue.en
dc.description.sponsorshipEnterprise Ireland (Disruptive Technologies Innovation Fund (DTIF) project HOLISTICS funded by Enterprise Ireland (EI)); Science Foundation Ireland and European Regional Development Fund (Grant number 12/RC/2289-P2 INSIGHT, 13/RC/2077-CONNECT, and 16/RC/3918-CONFIRM)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid106638en
dc.identifier.citationJanjua, Z. H., Kerins, D., O’Flynn, B. and Tedesco, S. (2022) ‘Knowledge-driven feature engineering to detect multiple symptoms using ambulatory blood pressure monitoring data’, Computer Methods and Programs in Biomedicine. Computer Methods and Programs in Biomedicine, 217, 106638 (7 pp). doi: 10.1016/j.cmpb.2022.106638.en
dc.identifier.doi10.1016/j.cmpb.2022.106638en
dc.identifier.endpage7en
dc.identifier.issn1872-7565
dc.identifier.journaltitleComputer Methods and Programs In Biomedicineen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/12934
dc.identifier.volume217en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S0169260722000232
dc.rights© 2022 The Author(s). Published by Elsevier B.V.This is an open access article under the CC BY-NC-ND licenseen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectMulti-label classificationen
dc.subjectKnowledge-driven feature extractionen
dc.subjectHypertensionen
dc.subjectAmbulatory blood pressure monitoringen
dc.subjectFeature engineeringen
dc.titleKnowledge-driven feature engineering to detect multiple symptoms using ambulatory blood pressure monitoring dataen
dc.typeArticle (peer-reviewed)en
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