The constant upward movement of data-driven medicine as a valuable option to enhance daily clinical practice has brought new challenges for data analysts to get access to valuable but sensitive data due to privacy considerations. One solution for most of these challenges are Distributed Analytics (DA) infrastructures, which are technologies fostering collaborations between healthcare institutions by establishing a privacy-preserving network for data sharing. However, in order to participate in such a network, a lot of technical and administrative prerequisites have to be made, which could pose bottlenecks and new obstacles for non-technical personnel during their deployment. We have identified three major problems in the current state-of-the-art. Namely, the missing compliance with FAIR data principles, the automation of processes, and the installation. In this work, we present a seamless on-boarding workflow based on a DA reference architecture for data sharing institutions to address these problems. The on-boarding service manages all technical configurations and necessities to reduce the deployment time. Our aim is to use well-established and conventional technologies to gain acceptance through enhanced ease of use. We evaluate our development with six institutions across Germany by conducting a DA study with open-source breast cancer data, which represents the second contribution of this work. We find that our on-boarding solution lowers technical barriers and efficiently deploys all necessary components and is, therefore, indeed an enabler for collaborative data sharing.
Modern machine and deep learning methods require large datasets to achieve reliable and robust results. This requirement is often difficult to meet in the medical field, due to data sharing limitations imposed by privacy regulations or the presence of a small number of patients (e.g., rare diseases). To address this data scarcity and to improve the situation, novel generative models such as Generative Adversarial Networks (GANs) have been widely used to generate synthetic data that mimic real data by representing features that reflect health-related information without reference to real patients. In this paper, we consider several GAN models to generate synthetic data used for training binary (malignant/benign) classifiers, and compare their performances in terms of classification accuracy with cases where only real data are considered. We aim to investigate how synthetic data can improve classification accuracy, especially when a small amount of data is available. To this end, we have developed and implemented an evaluation framework where binary classifiers are trained on extended datasets containing both real and synthetic data. The results show improved accuracy for classifiers trained with generated data from more advanced GAN models, even when limited amounts of original data are available.
A performance metric is a tool to measure the correctness of a trained Machine Learning (ML) model. Numerous performance metrics have been developed for classification problems making it overwhelming to select the appropriate one since each of them represents a particular aspect of the model. Furthermore, selection of a performance metric becomes harder for problems with imbalanced and/or small datasets. Therefore, in clinical studies where datasets are frequently imbalanced and, in situations when the prevalence of a disease is low or the collection of patient samples is difficult, deciding on a suitable metric for performance evaluation of an ML model becomes quite challenging. The most common approach to address this problem is measuring multiple metrics and compare them to identify the best-performing ML model. However, comparison of multiple metrics is laborious and prone to user preference bias. Furthermore, evaluation metrics are also required by ML model optimization techniques such as hyperparameter tuning, where we train many models, each with different parameters, and compare their performances to identify the best-performing parameters. In such situations, it becomes almost impossible to assess different models by comparing multiple metrics. Here, we propose a new metric called Machine Learning Cumulative Performance Score (MLcps) as a Python package for classification problems. MLcps combines multiple pre-computed performance metrics into one metric that conserves the essence of all pre-computed metrics for a particular model. We tested MLcps on 4 different publicly available biological datasets and the results reveal that it provides a comprehensive picture of overall model robustness. MLcps is available at https://pypi.org/project/MLcps/ and cases of use are available at https://mybinder.org/v2/gh/FunctionalUrology/MLcps.git/main.
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