This paper proposes to use the volumetric Laplace spectrum as a global shape descriptor for medical shape analysis. The approach allows for shape comparisons using minimal shape preprocessing. In particular, no registration, mapping, or remeshing is necessary. All computations can be performed directly on the voxel representations of the shapes. The discriminatory power of the method is tested on a population of female caudate shapes (brain structure) of normal control subjects and of subjects with schizotypal personality disorder. The behavior and properties of the volumetric Laplace spectrum are discussed extensively for both the Dirichlet and Neumann boundary condition showing advantages of the Neumann spectra. Both, the computations of spectra on 3D voxel data for shape matching as well as the use of the Neumann spectrum for shape analysis are completely new.
The present study aims to compare the performance of eight Machine Learning Techniques (MLTs) in the prediction of hospitalization among patients with heart failure, using data from the Gestione Integrata dello Scompenso Cardiaco (GISC) study. The GISC project is an ongoing study that takes place in the region of Puglia, Southern Italy. Patients with a diagnosis of heart failure are enrolled in a long-term assistance program that includes the adoption of an online platform for data sharing between general practitioners and cardiologists working in hospitals and community health districts. Logistic regression, generalized linear model net (GLMN), classification and regression tree, random forest, adaboost, logitboost, support vector machine, and neural networks were applied to evaluate the feasibility of such techniques in predicting hospitalization of 380 patients enrolled in the GISC study, using data about demographic characteristics, medical history, and clinical characteristics of each patient. The MLTs were compared both without and with missing data imputation. Overall, models trained without missing data imputation showed higher predictive performances. The GLMN showed better performance in predicting hospitalization than the other MLTs, with an average accuracy, positive predictive value and negative predictive value of 81.2%, 87.5%, and 75%, respectively. Present findings suggest that MLTs may represent a promising opportunity to predict hospital admission of heart failure patients by exploiting health care information generated by the contact of such patients with the health care system.
We found out that the intervention was a cost-saving strategy for follow-up of the patients suffering from HF at 6 and 12 months after the enrolment compared with hospitalizations' cost before the recruitment.
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