Summary In screening applications involving low-prevalence diseases, pooling specimens (e.g., urine, blood, swabs, etc.) through group testing can be far more cost effective than testing specimens individually. Estimation is a common goal in such applications and typically involves modeling the probability of disease as a function of available covariates. In recent years, several authors have developed regression methods to accommodate the complex structure of group testing data but often under the assumption that covariate effects are linear. Although linearity is a reasonable assumption in some applications, it can lead to model misspecification and biased inference in others. To offer a more flexible framework, we propose a Bayesian generalized additive regression approach to model the individual-level probability of disease with potentially misclassified group testing data. Our approach can be used to analyze data arising from any group testing protocol with the goal of estimating multiple unknown smooth functions of covariates, standard linear effects for other covariates, and assay classification accuracy probabilities. We illustrate the methods in this article using group testing data on chlamydia infection in Iowa.
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Automated Primary Hyperparathyroidism Screening with Neural Networks
Primary Hyperparathyroidism(PHPT) is a relatively common disease, affecting about one in every 1,000 adults. However, screening for PHPT can be difficult, meaning it often goes undiagnosed for long periods of time. While looking at specific blood test results independently can help indicate whether a patient has PHPT, often these blood result levels can all be within their respective normal ranges despite the patient having PHPT. Based on the clinic data from the real world, in this work, we propose a novel approach to screening PHPT with neural network (NN) architecture, achieving over 97% accuracy with common blood values as inputs. Further, we propose a second model achieving over 99% accuracy with additional lab test values as inputs. Moreover, compared to traditional PHPT screening methods, our NN models can reduce the false negatives of traditional screening methods by 99%.
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- Award ID(s):
- 2109971
- NSF-PAR ID:
- 10287753
- Date Published:
- Journal Name:
- IEEE Globecom 2021
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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