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研究生: 陳昱瑋
Yu-Wei Chen
論文名稱: 應用貝氏網路於肺癌併骨骼移轉之預後推論
Applying Bayesian Networks to Prognostic Inferences for Bone Metastasis from Lung Cancer
指導教授: 林希偉
Shi-Woei Lin
口試委員: 王孔政
Kung-Jeng Wang
謝志宏
Chih-Hung Hsieh
學位類別: 碩士
Master
系所名稱: 管理學院 - 工業管理系
Department of Industrial Management
論文出版年: 2015
畢業學年度: 103
語文別: 英文
論文頁數: 94
中文關鍵詞: 貝氏網路肺癌移轉簡單貝氏模型樹狀貝氏模型CaMML
外文關鍵詞: Bayesian network, bone metastasis, lung cancer, Tree augmented Naive Bayes, Naive Bayes model, CaMML
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為了為老化社會中的癌症醫療提供更佳的預後分析及決策支援,在本研究中,我們應用貝氏網路,針對臺灣常見肺癌之移轉(骨轉移)來做描述與預測,並且進行建模及推論。研究中用來建立貝氏網路模型的資料庫包含從1996年到2010年間所收集的臺灣肺癌患者資料,共44,883例。研究中並透過交叉驗證比較包含簡單貝氏模型、樹狀貝氏模型、專家判斷模型及CaMML(Causal discovery via Maximum Message Length)模型。實驗結果指出能夠結合自動學習與專家判斷的CaMML結構學習法得來的模型的預後能力超越多數其他模型,同時又保有易於詮釋的優點。本研究結果不僅可以幫助醫療決策者預測及評估移轉的風險,並且可對於肺癌移轉(骨)做診斷及推論,進一步改善醫療決策的品質。


In order to improve the prognostic prediction and decision support for cancer medicine, Bayesian networks were applied to model the mechanism of the occurrence of bone metastasis from lung cancer and to perform uncertainty inferences in this thesis study. A nationwide database containing 44,883 cases of cancer patients who primarily diagnosed with lung cancer from 1996-2010 in Taiwan was used to build the network. Several experiments were carried out with different Bayesian network topologies including Naive Bayes model, Tree Augmented Naive Bayes model (TAN), Expert Judgment model and the model obtained by using Causal discovery via Maximum Message Length (CaMML) to predict the occurrence of metastasis. Results show that the hybrid model (of CaMML with temporal tier information) which integrates expert judgment and automatic learning into the Bayesian network structure learning outperforms many models in terms of predictive accuracy. This model can help physicians to predict the probability of any query given limit evidences and get the uncertainty inference of bone metastasis of lung cancer. Results from the study may also provide useful recommendations and guidelines for how to utilize our health care resources for lung cancer medicine

摘要 Abstract 誌謝 Contents List of Tables List of Figures Chapter 1 Introduction 1.1 Research Background 1.2 Research Motivation 1.3 Research Purposes and Framework Chapter 2 Literature Review 2.1 Bayesian Networks 2.1.1 Structure and Parameter Learning 2.2 Bayesian Network Applications in Medicine 2.2.1 Bayesian Network Application in Ontology or Cancer Study 2.2.2 Bone Metastasis of Lung Cancer and Bayesian Networks Applications Specifically in Lung Cancer Study Chapter 3 Materials and Methods 3.1 Variables and Data 3.1.1 Pre-processing the NHI dataset 3.1.2 Re-sampling Techniques 3.2 Bayesian Networks Model 3.2.1 Definition 3.2.2 Structure Learning 3.2.3 Parameter Learning 3.3 Benchmark Methods 3.4 Performance Evaluation of Classifiers Chapter 4 Experiments and Results 4.1 Explanatory Graphical Model 4.1.1 Naive Bayes 4.1.2 Tree Augmented Naive Bayes (TAN) 4.1.3 Expert Judgment 4.1.4 CaMML without Expert prior 4.1.5 CaMML with Tier 4.2 Assessment on Predictive Performance 4.3 Sensitivity Analysis 4.3.1 Sensitivity of Model Performance to Different Over-sampling Technique 4.3.2 Different processing steps for dataset 4.3.3 Comprehensive Sensitivity Analysis (by Changing More Than Two Settings Simultaneously) 4.4 Discussion Chapter 5 Inference 5.1 Predictive Reasoning 5.2 Most Probable Explanation Chapter 6 Conclusions and Future Research Reference Appendix

Ahmad, F. K., Deris, S., & Abdullah, M. S. (2011). Synergy network based inference for breast cancer metastasis. Procedia Computer Science, 3, 1094-1100.
Bellazzi, R., & Zupan, B. (2008). Predictive data mining in clinical medicine: current issues and guidelines. International journal of medical informatics,77(2), 81-97.
Bennett, C. C., & Hauser, K. (2013). Artificial intelligence framework for simulating clinical decision-making: A Markov decision process approach.Artificial intelligence in medicine, 57(1), 9-19.
Beinlich, I. A., Suermondt, H. J., Chavez, R. M., & Cooper, G. F. (1989). The ALARM monitoring system: A case study with two probabilistic inference techniques for belief networks (pp. 247-256). Springer Berlin Heidelberg.
Bajard, A., Westeel, V., Dubiez, A., Jacoulet, P., Pernet, D., Dalphin, J. C., & Depierre, A. (2004). Multivariate analysis of factors predictive of brain metastases in localised non-small cell lung carcinoma. Lung Cancer, 45(3), 317-323.
Brier, G. W. (1950). Verification of forecasts expressed in terms of probability.Monthly weather review, 78(1), 1-3.
Cooper, G. F. (1984). NESTOR: A Computer-Based Medical Diagnostic Aid That Integrates Causal and Probabilistic Knowledge (No. STAN-CS-84-1031). STANFORD UNIV CA DEPT OF COMPUTER SCIENCE.
Chiang, C. J., Chen, Y. C., Chen, C. J., You, S. L., & Lai, M. S. (2010). Cancer trends in Taiwan. Japanese journal of clinical oncology, 40(10), 897-904.
Cruz-Ramírez, N., Acosta-Mesa, H. G., Carrillo-Calvet, H., Alonso Nava-Fernández, L., & Barrientos-Martínez, R. E. (2007). Diagnosis of breast cancer using Bayesian networks: A case study. Computers in Biology and Medicine,37(11), 1553-1564.
Coleman, R. E. (2006). Clinical features of metastatic bone disease and risk of skeletal morbidity. Clinical Cancer Research, 12(20), 6243s-6249s.
Chawla, N. V., Bowyer, K. W., Hall, L. O., & Kegelmeyer, W. P. (2002). SMOTE: Synthetic Minority Over-sampling Technique. Journal of Artificial Intelligence Research, 16, 321-357.
Friedman, N., Geiger, D., & Goldszmidt, M. (1997). Bayesian network classifiers. Machine learning, 29(2-3), 131-163.
Flores, M.J., Nicholson, A. E., Brunskill, A., Korb, K. B., & Mascaro, S. (2011). Incorporating expert knowledge when learning Bayesian network structure: a medical case study. Artificial intelligence in medicine, 53(3), 181-204.
Gorry, G. A., & Barnett, G. (1968). Experience with a model of sequential diagnosis. Computers and Biomedical Research, 1(5), 490-507
Hubbs, J. L., Boyd, J. A., Hollis, D., Chino, J. P., Saynak, M., & Kelsey, C. R. (2010). Factors associated with the development of brain metastases. Cancer,116(21), 5038-5046.
Hsiung, C. Y., Leung, S. W., Wang, C. J., Lo, S. K., Chen, H. C., Sun, L. M., & Fang, F. M. (1998). The prognostic factors of lung cancer patients with brain metastases treated with radiotherapy. Journal of neuro-oncology, 36(1), 71-77.
Jayasurya, K., Fung, G., Yu, S., Dehing-Oberije, C., De Ruysscher, D., Hope, A., ... & Dekker, A. L. A. J. (2010). Comparison of Bayesian network and support vector machine models for two-year survival prediction in lung cancer patients treated with radiotherapy. Medical physics, 37(4), 1401-1407.
Johnston, A. D. (1970). Pathology of metastatic tumors in bone. Clinical orthopaedics and related research, 73, 8-32.
Korb, K. B., & Nicholson, A. E. (2011). Bayesian Artificial Intelligence, ser.
Kahn Jr, C. E., Roberts, L. M., Shaffer, K. A., & Haddawy, P. (1997). Construction of a Bayesian network for mammographic diagnosis of breast cancer. Computers in biology and medicine, 27(1), 19-29.
Kankaria, R. (2004). A tool for constructing and Visualizing tree augmented Bayesian networks for survey data (Doctoral dissertation, University of Minnesota). Friedman
Ko, Y. C., Lee, C. H., Chen, M. J., Huang, C. C., Chang, W. Y., Lin, H. J., ... & Chang, P. Y. (1997). Risk factors for primary lung cancer among non-smoking women in Taiwan. International journal of epidemiology, 26(1), 24-31.
Lauritzen, S. L., & Spiegelhalter, D. J. (1988). Local computations with probabilities on graphical structures and their application to expert systems.Journal of the Royal Statistical Society. Series B (Methodological), 157-224.
Ledley, R. S., & Lusted, L. B. (1959). Reasoning Foundations of Medical Diagnosis Symbolic logic, probability, and value theory aid our understanding of how physicians reason. Science, 130(3366), 9-21.
Lynne Eldridge MD (2013). Lung Cancer with Bone Metastases. Available at: http://lungcancer.about.com/od/typesoflungcance1/a/Lung-Cancer-With-Bone-Metastases.htm.
Lucas, P. J., van der Gaag, L. C., & Abu-Hanna, A. (2004). Bayesian networks in biomedicine and health-care. Artificial Intelligence in medicine, 30(3), 201-214.
Lisboa, P. J., & Taktak, A. F. (2006). The use of artificial neural networks in decision support in cancer: a systematic review. Neural networks, 19(4), 408-415.
Lappenschaar, M., Hommersom, A., Lucas, P. J., Lagro, J., & Visscher, S. (2013). Multilevel Bayesian networks for the analysis of hierarchical health care data. Artificial intelligence in medicine, 57(3), 171-183.
Lorensuhewa, A., Pham, B. L., & Geva, S. (2006). Inferencing design styles using Baysian Networks. Ruhuna Journal of Science, 1, 113-124.
Ministry of health and welfare. (2012). 2012 statistics of causes of death, Cause of death in Taiwan ,2012. Available at: http;//www.mohw.goc.tw/en/Ministry/Index.aspx
Medina, F. M., Barrera, R. R., Morales, J. F., Echegoyen, R. C., Chavarria, J. G., & Rebora, F. T. (1996). Primary lung cancer in Mexico City: a report of 1019 cases. Lung Cancer, 14(2), 185-193.
Oh, K. S., Sundaram, B., Krishnamurthy, V., Pickens, A., Venkatram, M., Kazerooni, E. A., ... & Hayman, J. (2010). Site-Directed Therapy for Lung Cancer Metastases. In Lung Cancer Metastasis (pp. 351-381). Springer New York.
O’donnell, R. T., Nicholson, A. E., Han, B., Korb, K. B., Alam, M. J., & Hope, L. R. (2006). Incorporating expert elicited structural information in the CaMML causal discovery program. In Proceedings of the 19th Australian Joint Conference on Artificial Intelligence: Advances in Artificial Intelligence (pp. 1-16).
Oniśko, A., & Druzdzel, M. J. (2013). Impact of precision of Bayesian network parameters on accuracy of medical diagnostic systems. Artificial intelligence in medicine, 57(3), 197-206.
Oniśko, A. (2008). Medical diagnosis. Bayesian Networks: A Practical Guide to Applications, 15-32.
Pearl, J. (1988). Probabilistic reasoning in intelligent systems: networks of plausible inference. Morgan Kaufmann.
Rumelhart, D. E., Hinton, G. E., & Williams, R. J. (1985). "Learning internal representations by error propagation," DTIC Document.
Sugiura, H., Yamada, K., Sugiura, T., Hida, T., & Mitsudomi, T. (2008). Predictors of survival in patients with bone metastasis of lung cancer. Clinical orthopaedics and related research, 466(3), 729-736.
Sesen, M. B., Nicholson, A. E., Banares-Alcantara, R., Kadir, T., & Brady, M. (2013). Bayesian networks for clinical decision support in lung cancer care.PloS one, 8(12), e82349.
Schulz, R., Newsom, J., Mittelmark, M., Burton, L., Hirsch, C., & Jackson, S. (1997). Health effects of caregiving: the caregiver health effects study: an ancillary study of the Cardiovascular Health Study. Annals of Behavioral Medicine, 19(2), 110-116.
Sierra, B., & Larranaga, P. (1998). Predicting survival in malignant skin melanoma using Bayesian networks automatically induced by genetic algorithms. An empirical comparison between different approaches. Artificial Intelligence in Medicine, 14(1), 215-230.
Štajduhar, I., & Dalbelo-Bašić, B. (2010). Learning Bayesian networks from survival data using weighting censored instances. Journal of biomedical informatics, 43(4), 613-622.
Twardy, C. R., Nicholson, A. E., Korb, K. B., & McNeil, J. (2006). Epidemiological data mining of cardiovascular Bayesian networks. electronic Journal of Health Informatics, 1(1), e3.
Wallace, C. S. (2005). Statistical and inductive inference by minimum message length (p. 429). New York: Springer.
World Cancer Report (2014). World Health Organization. 2014. pp. Chapter 1.1
Wallace, C. S., & Boulton, D. M. (1968). An information measure for classification. The Computer Journal, 11(2), 185-194.
Zheng, Y., Zhou, H., Dunstan, C. R., Sutherland, R. L., & Seibel, M. J. (2013). The role of the bone microenvironment in skeletal metastasis. Journal of Bone Oncology, 2(1), 47-57.

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