title: Predicting high-risk preterm birth using artificial neural networks.
abstract: A reengineered approach to the early prediction of preterm birth is presented as a complimentary technique to the current procedure of using costly and invasive clinical testing on high-risk maternal populations. Artificial neural networks (ANNs) are employed as a screening tool for preterm birth on a heterogeneous maternal population; risk estimations use obstetrical variables available to physicians before 23 weeks gestation. The objective was to assess if ANNs have a potential use in obstetrical outcome estimations in low-risk maternal populations. The back-propagation feedforward ANN was trained and tested on cases with eight input variables describing the patient's obstetrical history; the output variables were: 1) preterm birth; 2) high-risk preterm birth; and 3) a refined high-risk preterm birth outcome excluding all cases where resuscitation was delivered in the form of free flow oxygen. Artificial training sets were created to increase the distribution of the underrepresented class to 20%. Training on the refined high-risk preterm birth model increased the network's sensitivity to 54.8%, compared to just over 20% for the nonartificially distributed preterm birth model.
authors.affiliation: Systems and Computer Engineering Department, Carleton University, Ottawa, ON, Canada. ccatley@ieee.org
authors.forename: Christina
authors.initials: C
authors.lastname: Catley
authors.forename: Monique
authors.initials: M
authors.lastname: Frize
authors.forename: C Robin
authors.initials: CR
authors.lastname: Walker
authors.forename: Dorina C
authors.initials: DC
authors.lastname: Petriu
mesh_terms: D001185:Artificial Intelligence; D002170:Canada / Q000453:epidemiology; D020000:Decision Support Systems, Clinical; D003936:Diagnosis, Computer-Assisted / Q000379:methods*; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D009415:Nerve Net; D017063:Outcome Assessment, Health Care / Q000379:methods*; D010363:Pattern Recognition, Automated / Q000379:methods; D018743:Perinatal Care / Q000379:methods; D047928:Premature Birth / Q000175:diagnosis* / Q000453:epidemiology*; D015203:Reproducibility of Results; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D012680:Sensitivity and Specificity