Developing deep LSTMs with later temporal attention for predicting COVID-19 severity, clinical outcome, and antibody level by screening serological indicators over time

OBJECTIVE: The clinical course of COVID-19, as well as the immunological reaction, is notable for its extreme variability. Identifying the main associated factors might help understand the disease progression and physiological status of COVID-19 patients. The dynamic changes of the antibody against Spike protein are crucial for understanding the immune response. This work explores a temporal attention (TA) mechanism of deep learning to predict COVID-19 disease severity, clinical outcomes, and Spike antibody levels by screening serological indicators over time.

METHODS: We use feature selection techniques to filter feature subsets that are highly correlated with the target. The specific deep Long Short-Term Memory (LSTM) models are employed to capture the dynamic changes of disease severity, clinical outcome, and Spike antibody level. We also propose deep LSTMs with a TA mechanism to emphasize the later blood test records because later records often attract more attention from doctors.

RESULTS: Risk factors highly correlated with COVID-19 are revealed. LSTM achieves the highest classification accuracy for disease severity prediction. Temporal Attention Long Short-Term Memory (TA-LSTM) achieves the best performance for clinical outcome prediction. For Spike antibody level prediction, LSTM achieves the best permanence.

CONCLUSION: The experimental results demonstrate the effectiveness of the proposed models. The proposed models can provide a computer-aided medical diagnostics system by simply using time series of serological indicators.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:PP

Enthalten in:

IEEE journal of biomedical and health informatics - PP(2024) vom: 02. Apr.

Sprache:

Englisch

Beteiligte Personen:

Cai, Jiaxin [VerfasserIn]
Li, Yang [VerfasserIn]
Liu, Baichen [VerfasserIn]
Wu, Zhixi [VerfasserIn]
Zhu, Shengjun [VerfasserIn]
Chen, Qiliang [VerfasserIn]
Lei, Qing [VerfasserIn]
Hou, Hongyan [VerfasserIn]
Guo, Zhibin [VerfasserIn]
Jiang, Hewei [VerfasserIn]
Guo, Shujuan [VerfasserIn]
Wang, Feng [VerfasserIn]
Huang, Shengjing [VerfasserIn]
Zhu, Shunzhi [VerfasserIn]
Fan, Xionglin [VerfasserIn]
Tao, Shengce [VerfasserIn]

Links:

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Themen:

Journal Article

Anmerkungen:

Date Revised 02.04.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1109/JBHI.2024.3384333

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM37053851X