Classification-based deep neural network vs mixture density network models for insulin sensitivity prediction problem

Publication Name: Computer Methods and Programs in Biomedicine

Publication Date: 2023-10-01

Volume: 240

Issue: Unknown

Page Range: Unknown

Description:

Model-based glycemic control (GC) protocols are used to treat stress-induced hyperglycaemia in intensive care units (ICUs). The STAR (Stochastic-TARgeted) glycemic control protocol – used in clinical practice in several ICUs in New Zealand, Hungary, Belgium, and Malaysia – is a model-based GC protocol using a patient-specific, model-based insulin sensitivity to describe the patient's actual state. Two neural network based methods are defined in this study to predict the patient's insulin sensitivity parameter: a classification deep neural network and a Mixture Density Network based method. Treatment data from three different patient cohorts are used to train the network models. Accuracy of neural network predictions are compared with the current model- based predictions used to guide care. The prediction accuracy was found to be the same or better than the reference. The authors suggest that these methods may be a promising alternative in model-based clinical treatment for patient state prediction. Still, more research is needed to validate these findings, including in-silico simulations and clinical validation trials.

Open Access: Yes

DOI: 10.1016/j.cmpb.2023.107633

Authors - 6