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Deep Neural Networks for Image-Based Dietary Assessment
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Classification-based deep neural network vs mixture density network models for insulin sensitivity prediction

Balázs Benyó1, Béla Paláncz1, Ákos Szlávecz1

  • 1Department of Control Engineering and Information Technology, Faculty of Electrical Engineering and Informatics, Budapest University of Technology and Economics, Budapest, Hungary.

Computer Methods and Programs in Biomedicine
|June 21, 2023
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Summary
This summary is machine-generated.

New neural network models accurately predict insulin sensitivity for model-based glycemic control (GC) in intensive care units (ICUs). These advanced methods match or exceed current predictions, improving patient state monitoring.

Keywords:
Artificial intelligenceDeep neural networkGlycaemic controlIntensive careMachine learningMixture density networkSTARinsulin sensitivity

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Area of Science:

  • Biomedical Engineering
  • Artificial Intelligence in Medicine
  • Clinical Informatics

Background:

  • Intensive care units (ICUs) commonly manage stress-induced hyperglycemia using model-based glycemic control (GC) protocols.
  • The STAR (Stochastic-TARgeted) protocol, a widely used model-based GC, relies on patient-specific insulin sensitivity for accurate glucose management.
  • Predicting patient insulin sensitivity is crucial for optimizing GC effectiveness and patient outcomes.

Purpose of the Study:

  • To develop and evaluate novel neural network-based methods for predicting patient insulin sensitivity.
  • To compare the predictive accuracy of these new methods against existing model-based predictions used in clinical practice.
  • To assess the potential of these AI-driven approaches for enhancing patient state prediction in GC.

Main Methods:

  • Two deep neural network architectures were developed: a classification deep neural network and a Mixture Density Network.
  • These models were trained using treatment data from three distinct patient cohorts.
  • The prediction accuracy of the neural network models was benchmarked against the current model-based predictions guiding clinical care.

Main Results:

  • The developed neural network models demonstrated prediction accuracy that was equivalent to or surpassed the reference model-based predictions.
  • Both the classification deep neural network and the Mixture Density Network proved effective in estimating patient insulin sensitivity.
  • The findings suggest a strong potential for these AI methods in improving patient state prediction for GC.

Conclusions:

  • The study introduces promising neural network-based methods for predicting insulin sensitivity in the context of model-based glycemic control.
  • These AI approaches offer a potentially superior alternative to current methods for patient state prediction in ICUs.
  • Further validation through in-silico simulations and clinical trials is recommended to confirm the clinical utility and safety of these novel techniques.