Utilizing Explainable AI and Biosensors for Clinical Diagnosis of Infectious Vector-Borne Diseases
Received: 17 September 2024 | Revised: 13 October 2024 | Accepted: 16 October March 2024 | Online: 2 December 2024
Corresponding author: Thavavel Vaiyapuri
Abstract
Infectious Diseases (ID) are a significant global threat due to their epidemic nature and substantial impact on mortality rates. COVID-19 has proven this assertion by wreaking havoc on human wellness and healthcare resources. This has underscored the need for early ID diagnosis to restrict the spread and protect human lives. Recently, Artificial Intelligence (AI)-assisted biosensors have shown great potential to assist physicians in making decisions to minimize mortality rates. However, their adoption in clinical practice is still in its infancy, primarily due to the challenges faced by physicians to interpret decisions derived from these black-box systems. The objective of this study is to earn the trust of physicians to promote their acceptance and widespread adoption in healthcare. Against this backdrop, this research is a pioneering effort to investigate not only the diagnostic accuracy of several Machine Learning (ML) algorithms for ID but more specifically how to leverage the benefits of Shapley values to provide valuable insights regarding the contribution of clinical features for early ID diagnosis. This analysis examines four ML algorithms that stem from different theories, such as Random Forest Classifier (RFC), Gradient Boosting Classifier (GBC), Support Vector Classifier (SVC), and Multilayer Perceptron (MLP). The visual analysis results presented for local and global interpretation facilitate the observation of the marginal impact of each clinical feature on a patient-by-patient basis. Therefore, the results of this study are expected to aid practitioners in better evaluating the diagnostic decisions of the ML models developed and boost the use of AI-assisted biosensors for ID diagnoses.
Keywords:
biosensors, machine learning, model agnostic methods, early pandemic diagnosis, SHAP framework, global and local explanationDownloads
References
R. E. Baker et al., "Infectious disease in an era of global change," Nature Reviews Microbiology, vol. 20, no. 4, pp. 193–205, Apr. 2022.
S. Solayman, S. A. Aumi, C. S. Mery, M. Mubassir, and R. Khan, "Automatic COVID-19 prediction using explainable machine learning techniques," International Journal of Cognitive Computing in Engineering, vol. 4, pp. 36–46, Jun. 2023.
P. Van de Vuurst and L. E. Escobar, "Climate change and infectious disease: a review of evidence and research trends," Infectious Diseases of Poverty, vol. 12, no. 1, May 2023, Art. no. 51.
B. Chala and F. Hamde, "Emerging and Re-emerging Vector-Borne Infectious Diseases and the Challenges for Control: A Review," Frontiers in Public Health, vol. 9, Oct. 2021.
M. L. Sin, K. E. Mach, P. K. Wong, and J. C. Liao, "Advances and challenges in biosensor-based diagnosis of infectious diseases," Expert Review of Molecular Diagnostics, vol. 14, no. 2, pp. 225–244, Mar. 2014.
S. A. A. Biabani and N. A. Tayyib, "A Review on the Use of Machine Learning Against the Covid-19 Pandemic," Engineering, Technology & Applied Science Research, vol. 12, no. 1, pp. 8039–8044, Feb. 2022.
S. Jain et al., "Internet of medical things (IoMT)-integrated biosensors for point-of-care testing of infectious diseases," Biosensors and Bioelectronics, vol. 179, May 2021, Art. no. 113074.
X. Jin, C. Liu, T. Xu, L. Su, and X. Zhang, "Artificial intelligence biosensors: Challenges and prospects," Biosensors and Bioelectronics, vol. 165, Oct. 2020, Art. no. 112412.
A. A. Theodosiou and R. C. Read, "Artificial intelligence, machine learning and deep learning: Potential resources for the infection clinician," Journal of Infection, vol. 87, no. 4, pp. 287–294, Oct. 2023.
N. Kumar, A. Hashmi, M. Gupta, and A. Kundu, "Automatic Diagnosis of Covid-19 Related Pneumonia from CXR and CT-Scan Images," Engineering, Technology & Applied Science Research, vol. 12, no. 1, pp. 7993–7997, Feb. 2022.
K. R. Bhatele et al., "COVID-19 Detection: A Systematic Review of Machine and Deep Learning-Based Approaches Utilizing Chest X-Rays and CT Scans," Cognitive Computation, vol. 16, no. 4, pp. 1889–1926, Jul. 2024.
A. Nambiar, H. S, and S. S, "Model-agnostic explainable artificial intelligence tools for severity prediction and symptom analysis on Indian COVID-19 data," Frontiers in Artificial Intelligence, vol. 6, Dec. 2023.
K. Chadaga et al., "Explainable artificial intelligence approaches for COVID-19 prognosis prediction using clinical markers," Scientific Reports, vol. 14, no. 1, Jan. 2024, Art. no. 1783.
L. S. Wyatt, L. M. van Karnenbeek, M. Wijkhuizen, F. Geldof, and B. Dashtbozorg, "Explainable Artificial Intelligence (XAI) for Oncological Ultrasound Image Analysis: A Systematic Review," Applied Sciences, vol. 14, no. 18, Jan. 2024, Art. no. 8108.
A. Salih et al., "Explainable Artificial Intelligence and Cardiac Imaging: Toward More Interpretable Models," Circulation: Cardiovascular Imaging, vol. 16, no. 4, Apr. 2023, Art. no. e014519.
B. Aldughayfiq, F. Ashfaq, N. Z. Jhanjhi, and M. Humayun, "Explainable AI for Retinoblastoma Diagnosis: Interpreting Deep Learning Models with LIME and SHAP," Diagnostics, vol. 13, no. 11, Jan. 2023, Art. no. 1932.
R. Karunakaran and M. Keskin, "Chapter 11 - Biosensors: components, mechanisms, and applications," in Analytical Techniques in Biosciences, C. Egbuna, K. C. Patrick-Iwuanyanwu, M. A. Shah, J. C. Ifemeje, and A. Rasul, Eds. Academic Press, 2022, pp. 179–190.
A. Chaddad, J. Peng, J. Xu, and A. Bouridane, "Survey of Explainable AI Techniques in Healthcare," Sensors, vol. 23, no. 2, Jan. 2023, Art. no. 634.
F. Prinzi, C. Militello, N. Scichilone, S. Gaglio, and S. Vitabile, "Explainable Machine-Learning Models for COVID-19 Prognosis Prediction Using Clinical, Laboratory and Radiomic Features," IEEE Access, vol. 11, pp. 121492–121510, 2023.
A. F. Markus, J. A. Kors, and P. R. Rijnbeek, "The role of explainability in creating trustworthy artificial intelligence for health care: A comprehensive survey of the terminology, design choices, and evaluation strategies," Journal of Biomedical Informatics, vol. 113, Jan. 2021, Art. no. 103655.
O. O. Bifarin, "Interpretable machine learning with tree-based shapley additive explanations: Application to metabolomics datasets for binary classification," PLOS ONE, vol. 18, no. 5, 2023, Art. no. e0284315.
Z. Li, "Extracting spatial effects from machine learning model using local interpretation method: An example of SHAP and XGBoost," Computers, Environment and Urban Systems, vol. 96, Sep. 2022, Art. no. 101845.
N. Peiffer-Smadja et al., "Machine learning for clinical decision support in infectious diseases: a narrative review of current applications," Clinical Microbiology and Infection, vol. 26, no. 5, pp. 584–595, May 2020.
V. Thavavel and M. Karthiyayini, "Hybrid Feature Selection Framework for Identification of Alzheimer’s Biomarkers," Indian Journal of Science and Technology, vol. 11, no. 22, pp. 1–10, Jun. 2018.
A. Binbusayyis, H. Alaskar, T. Vaiyapuri, and M. Dinesh, "An investigation and comparison of machine learning approaches for intrusion detection in IoMT network," The Journal of Supercomputing, vol. 78, no. 15, pp. 17403–17422, Oct. 2022.
S. R. da S. Neto et al., "Machine learning and deep learning techniques to support clinical diagnosis of arboviral diseases: A systematic review," PLOS Neglected Tropical Diseases, vol. 16, no. 1, 2022, Art. no. e0010061.
P. Silitonga, A. Bustamam, H. Muradi, W. Mangunwardoyo, and B. E. Dewi, "Comparison of Dengue Predictive Models Developed Using Artificial Neural Network and Discriminant Analysis with Small Dataset," Applied Sciences, vol. 11, no. 3, Jan. 2021, Art. no. 943.
T. Vaiyapuri, "Deep Learning Enabled Autoencoder Architecture for Collaborative Filtering Recommendation in IoT Environment," Computers, Materials & Continua, vol. 68, no. 1, pp. 487–503, 2021.
K. Chadaga et al., "An explainable multi-class decision support framework to predict COVID-19 prognosis utilizing biomarkers," Cogent Engineering, vol. 10, no. 2, Dec. 2023, Art. no. 2272361.
Y. Fan, M. Liu, and G. Sun, "An interpretable machine learning framework for diagnosis and prognosis of COVID-19," PLOS ONE, vol. 18, no. 9, 2023, Art. no. e0291961.
Downloads
How to Cite
License
Copyright (c) 2024 Thavavel Vaiyapuri
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain the copyright and grant the journal the right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) after its publication in ETASR with an acknowledgement of its initial publication in this journal.