2021
DOI: 10.1186/s12911-021-01655-y
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Machine learning with asymmetric abstention for biomedical decision-making

Abstract: Machine learning and artificial intelligence have entered biomedical decision-making for diagnostics, prognostics, or therapy recommendations. However, these methods need to be interpreted with care because of the severe consequences for patients. In contrast to human decision-making, computational models typically make a decision also with low confidence. Machine learning with abstention better reflects human decision-making by introducing a reject option for samples with low confidence. The abstention interv… Show more

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Cited by 6 publications
(3 citation statements)
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References 36 publications
(34 reference statements)
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“…Care should be taken to use abstention, or the removal of instances in a principled and appropriate manner. When there is risk involved in making the wrong classification, abstention can be an important practice, as in medical contexts [ 46 , 47 ]. In other cases there may be a distinctive factor impacting the performance of the classifier on specific instances: for example, when simulated training data fails to capture dynamics in unusual genomic regions.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Care should be taken to use abstention, or the removal of instances in a principled and appropriate manner. When there is risk involved in making the wrong classification, abstention can be an important practice, as in medical contexts [ 46 , 47 ]. In other cases there may be a distinctive factor impacting the performance of the classifier on specific instances: for example, when simulated training data fails to capture dynamics in unusual genomic regions.…”
Section: Discussionmentioning
confidence: 99%
“…For example, in the context of genome scans for selection, such unexpected signatures can arise in regions of the genome with idiosyncratic recombination or mutation profiles that are not captured in simulated training data, such as the MHC [44,45]. Designing abstention into classifiers should be considered a best practice [46], especially for biomedical data [47]. Abstention in the context of discriminative classifiers can be addressed with the addition of an "abstention class" in training data [48] or an "abstention option" included in the loss function [49].…”
Section: Introductionmentioning
confidence: 99%
“…Consequently, the usefulness of machine learning in medical image analysis is often not observed in omics analysis. New models and analysis platforms for these problems are being developed by our research group and others [ 100 , 102 , 187 190 ], and it is hoped that robust systems that can be applied clinically will be developed in the future.…”
Section: Current Challenges and Possible Future Ai-based Mtbsmentioning
confidence: 99%