Bayesian Network as a Decision Tool for Predicting ALS Disease

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Bsodjahi

Introduction

In order to propose the best decision tool for Amyotrophic Lateral Sclerosis (ALS) prediction, Hasan Aykut et al. presents in the paper a comparative empirical study of the predictive performance of 8 supervised Machine Learning classifiers, namely, Bayesian Network, Artificial Neural Networks, Logistic Regression, Naïve Bayes, J48, Support Vector Machines, KStar, and K-Nearest Neighbor. With a dataset consisting of blood plasma protein level and independent personal features, for each classifier they predicted ALS patients and found that Bayesian Network offers the best results based on various metrics such as accuracy (88.7%) and 97% for Area Under the Curve (AUC).

Our summary of the paper commences with the review of previous works underpinning its motivation, next we discuss dataset and the approach the authors used, then we analyze the results which is finally followed by the conclusion.

Previous Work and Motivation

ALS is a nervous system disease that progressively affects brain nerve cells and spinal cord, impacting the patient's upper and lower motor autonomy in the loss of muscle control. Its origin is still unknown, though in some instances it is thought to be hereditary. Sadly, at this point of time, it is not curable and the progressive degeneration of the muscles cannot be halted once started [1] and inexorably results in patient's passing away within 2-5 years [2].

The symptoms that ALS patients exhibit are not distinctively unique to ALS, as they are similar to a host of other neurological disorders. Furthermore, because the impact on patient's motor skill is usually not noticeable in early stage [3], diagnosis at that time is a challenge. One of the main diagnosis protocols, known as El Escorial criteria, involves a battery of tests taking 3-6 months. This is a considerable amount of time since a quicker diagnosis would allow earlier medical monitoring, conducive to patient's life conditions improvement with the possibility ofan extended survival.

Given the need of a more timely but effective diagnosis, the authors of this paper proposed to bring to contribution the application of Machine Learning to identify among a list of candidates, the approach that yields the most accurate prediction.

Dataset

The table below shows the characteristics of the patient for which data was collected. The Inception architecture consists of stacking blocks called the inception modules.



The idea is that to increase the depth and width of model by finding local optimal sparse structure and repeating it spatially. Traditionally, in each layer of convolutional network pooling operation and convolution and its size (1 by 1, 3 by 3 or 5 by 5) should be decided while all of them are beneficial for the modeling power of the network. Whereas, in Inception module instead of choosing, all these various options are computed simultaneously (Fig. 1a). Inspired by layer-by-layer construction of Arora et al. [3], in Inception module statistics correlation of the last layer is analyzed and clustered into groups of units with high correlation. These clusters form units of next layer and are connected to the units of previous layer. Each unit from the earlier layer corresponds to some region of the input image and the outputs of them are concatenated into a filter bank. Additionally, because of the beneficial effect of pooling in the convolutional networks, a parallel path of pooling has been added in each module. The Inception module in its naïve form (Fig. 1a) suffers from high computation and power cost. In addition, as the concatenated output from the various convolutions and the pooling layer will be an extremely deep channel of output volume, the claim that this architecture has an improved memory and computation power use looks like counterintuitive. However, this issue has been addressed by adding a 1 by 1 convolution before costly 3 by 3 and 5 by 5 convolutions. The idea of 1 by 1 convolution was first introduced by Lin et al. and called network in network [1]. This 1x1 convolution mathematically is equivalent to a multilayer perceptron which reduces the dimension of filter space (the depth of the output volume) and on top of that they also act as a non-linear rectifying activation layer ReLu to add to the non-linearity immediately after each 1 by 1 convolution (Fig. 1b). This enables less over-fitting due to smaller Kernel size (1 by 1). This distinctive dimensionality reduction feature of the 1 by 1 convolution allows shielding of the large number of input filters of the previous stage to the next stage (Footnote 2).

Figure 1(a): Inception module, naïve version
Figure 1(b): Inception module with dimension reductions

The combination of various layers of convolution has some similarity with human eyes in interpreting the visual information in a sense that human eyes also process the visual information at various scale and combines to extract the features from different scale simultaneously. Similarly, in inception design network in network designs extract the fine grain details of input volume while medium- and large-sized filters cover a large receptive field of the inputs and extract their features and with pooling operations overfitting can be overcome by reducing the spatial sizes.

Dataset and Study Approach

The Inception architecture consists of stacking blocks called the inception modules. The idea is that to increase the depth and width of model by finding local optimal sparse structure and repeating it spatially. Traditionally, in each layer of convolutional network pooling operation and convolution and its size (1 by 1, 3 by 3 or 5 by 5) should be decided while all of them are beneficial for the modeling power of the network. Whereas, in Inception module instead of choosing, all these various options are computed simultaneously (Fig. 1a). Inspired by layer-by-layer construction of Arora et al. [3], in Inception module statistics correlation of the last layer is analyzed and clustered into groups of units with high correlation. These clusters form units of next layer and are connected to the units of previous layer. Each unit from the earlier layer corresponds to some region of the input image and the outputs of them are concatenated into a filter bank. Additionally, because of the beneficial effect of pooling in the convolutional networks, a parallel path of pooling has been added in each module. The Inception module in its naïve form (Fig. 1a) suffers from high computation and power cost. In addition, as the concatenated output from the various convolutions and the pooling layer will be an extremely deep channel of output volume, the claim that this architecture has an improved memory and computation power use looks like counterintuitive. However, this issue has been addressed by adding a 1 by 1 convolution before costly 3 by 3 and 5 by 5 convolutions. The idea of 1 by 1 convolution was first introduced by Lin et al. and called network in network [1]. This 1x1 convolution mathematically is equivalent to a multilayer perceptron which reduces the dimension of filter space (the depth of the output volume) and on top of that they also act as a non-linear rectifying activation layer ReLu to add to the non-linearity immediately after each 1 by 1 convolution (Fig. 1b). This enables less over-fitting due to smaller Kernel size (1 by 1). This distinctive dimensionality reduction feature of the 1 by 1 convolution allows shielding of the large number of input filters of the previous stage to the next stage (Footnote 2).

Figure 1(a): Inception module, naïve version
Figure 1(b): Inception module with dimension reductions

The combination of various layers of convolution has some similarity with human eyes in interpreting the visual information in a sense that human eyes also process the visual information at various scale and combines to extract the features from different scale simultaneously. Similarly, in inception design network in network designs extract the fine grain details of input volume while medium- and large-sized filters cover a large receptive field of the inputs and extract their features and with pooling operations overfitting can be overcome by reducing the spatial sizes.


Results Analysis

The proposed architecture was implemented through a deep network called GoogLeNet as a submission for ILSVRC14’s Classification Challenge and Detection Challenge.

The classification challenge is to classify images into one of 1000 categories in the Imagenet hierarchy. The top-5 error rate - the percentage of test examples for which the correct class is not in the top 5 predicted classes - is used for measuring accuracy. The results of the classification challenge is shown in Table 1. The final submission of GoogLeNet obtains a top-5 error of 6.67% on both the validation and testing data, ranking first among all participants, significantly outperforming top teams in previous years, and not utilizing external data.

Image: 500 pixels
Image: 500 pixels
Table 1: Classification performance

The ILSVRC detection challenge asks to produce bounding boxes around objects in images among 200 classes. Detected objects count as correct if they match the class of the groundtruth and their bounding boxes overlap by at least 50%. Each image may contain multiple objects (with different scales) or none. The mean average precision (mAP) is used to report performance. The results of the detection challenge is listed in Table 2. Using the Inception model as a region classifier, combining Selective Search and using an ensemble of 6 CNNs, GoogLeNet gave top detection results, almost doubling accuracy of the the 2013 top model.

Image: 600 pixels
Image: 600 pixels
Table 2: Detection performance

Conclusion

Googlenet outperformed the other previous deep learning networks, and it became a proof of concept that approximating the expected optimal sparse structure by readily available dense building blocks (or the inception modules) is a viable method for improving the neural networks in computer vision. The significant quality gain is at a modest increase for the computational requirement is the main advantage for this method. Even without performing any bounding box operations to detect objects, this architecture gained a significant amount of quality with a modest amount of computational resources.

Critiques

By using nearly 5 million parameters, GoogLeNet, compared to previous architectures like VGGNet and AlexNet, reduced the number of parameters in the network by almost 92%. This enabled Inception to be used for many big data applications where a huge amount of data was needed to be processed at a reasonable cost while the computational capacity was limited. However, the Inception network is still complex and susceptible to scaling. If the network is scaled up, large parts of the computational gains can be lost immediately. Also, there was no clear description about the various factors that lead to the design decision of this inception architecture, making it harder to adapt to other applications while maintaining the same computational efficiency.

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References

[1] Rowland, L.P.; Shneider, N.A. Amyotrophic Lateral Sclerosis. N. Engl. J. Med. 2001, 344, 1688–1700. [CrossRef] [PubMed]

[2] Ross B. Girshick, Jeff Donahue, Trevor Darrell, and Jitendra Malik. Rich feature hierarchies for accurate object detection and semantic segmentation. In Computer Vision and Pattern Recognition, 2014. CVPR 2014. IEEE Conference on, 2014.

[3] Sanjeev Arora, Aditya Bhaskara, Rong Ge, and Tengyu Ma. Provable bounds for learning some deep representations. CoRR, abs/1310.6343, 2013.

[4] ¨Umit V. C¸ ataly¨urek, Cevdet Aykanat, and Bora Uc¸ar. On two-dimensional sparse matrix partitioning: Models, methods, and a recipe. SIAM J. Sci. Comput., 32(2):656–683, February 2010.

Footnote 1: Hebbian theory is a neuroscientific theory claiming that an increase in synaptic efficacy arises from a presynaptic cell's repeated and persistent stimulation of a postsynaptic cell. It is an attempt to explain synaptic plasticity, the adaptation of brain neurons during the learning process.

Footnote 2: For more explanation on 1 by 1 convolution refer to: https://iamaaditya.github.io/2016/03/one-by-one-convolution/