A comparison of Multilayer Perceptron with Logistic Regression for the Risk Factor Analysis of Type 2 Diabetes Mellitus

제2형 당뇨병의 위험인자 분석을 위한 다층 퍼셉트론과 로지스틱 회귀 모델의 비교

  • 서혜숙 (서울대학교 의과대학 의공학교실, 내과학교실) ;
  • 최진욱 (서울대학교 의과대학 의공학교실, 내과학교실) ;
  • 이홍규 (서울대학교 의과대학 의공학교실, 내과학교실)
  • Published : 2001.08.01

Abstract

The statistical regression model is one of the most frequently used clinical analysis methods. It has basic assumption of linearity, additivity and normal distribution of data. However, most of biological data in medical field are nonlinear and unevenly distributed. To overcome the discrepancy between the basic assumption of statistical model and actual biological data, we propose a new analytical method based on artificial neural network. The newly developed multilayer perceptron(MLP) is trained with 120 data set (60 normal, 60 patient). On applying test data, it shows the discrimination power of 0.76. The diabetic risk factors were also identified from the MLP neural network model and the logistic regression model. The signigicant risk factors identified by MLP model were post prandial glucose level(PP2), sex(male), fasting blood sugar(FBS) level, age, SBP, AC and WHR. Those from the regression model are sex(male), PP2, age and FBS. The combined risk factors can be identified using the MLP model. Those are total cholesterol and body weight, which is consistent with the result of other clinical studies. From this experiment we have learned that MLP can be applied to the combined risk factor analysis of biological data which can not be provided by the conventional statistical method.

Keywords

References

  1. 당뇨병학(제2판) 김응진;민헌기;최영길;이태희;허갑범;신순현
  2. Diabet Med v.16 no.11 Modifiable risk factors for type 2 diabetes mellitus in a peri-urban community in South Africa Levitt NS;Steyn K;Lambert EV;Reagon G;Lombard CJ;Fourie JM;Rossouw K;Hoffman M
  3. Chung Hua Liu Hsing Ping Hsueh Tsa Chih v.19 no.3 A study on the risk factors of none-insulin-dependent type diabetes mellitus Zhou Y;Fan N;Yan J
  4. Diabetes Res Clin Pract v.42 no.3 Non-insulin-dependent diabetes in Kuwait: prevalence rates and associated risk factors Abdella N;Al Arouj M;Al Nakhi A;Al Assoussi A;Moussa M
  5. Diabet Med v.16 no.3 Knowledge of risk of developing diabetes mellitus among siblings of Type 2 diabetic patients Farmer AJ;Levy JC;Turner RC
  6. Diabetes Care v.21 no.SUP.3 Epidemiology of type 2 diabetes: risk factors Haffner SM
  7. Diabetes Care v.20 no.12 Risk factors for the development of NIDDM in Yonchon County Korea Shin CS;Lee HK;Koh CS;Kim YI;Shin YS;Yoo KY;Park HY;Park YS;Yang BG
  8. Neural Networks S.Haykin
  9. Neural Networks in Artificial Intelligence Mattew Z.
  10. 전문가 시스템 김화수;조용범;최종욱
  11. Lancet v.346 Application of artificial neural networks to clinical medicine William G.Baxt
  12. M.D.Computing v.15 no.2 Use of Neural Networks in Medical Diagnosis Adi Armoni
  13. Cancer Treatment Peprots v.69 no.10 Regression Models for Prognostic Prediction: Advantages, Problems, and Suggested Solutions Frank E.Harrell,Jr;Kerry L.Lee;David B.Matchar;Thomas A.Reichert
  14. Algorithms, and Applications Neural Network Fundamentals with Graphs N.K.Bose;P.Liang
  15. 신경망 이론과 응용(Ⅰ) 김대수
  16. EEIS transactions Statistical RBF network with applications to an expert system for characterizing diabetes mellitus Kyong-Sik Om;Hee-Chan Kim;Byoung-Goo Min;Chan-Soo Shin;Hong-Kyu Lee
  17. 실용 의학통계론 안윤옥;유근영;박병주
  18. 일반통계학 김우철;김재주;박병욱;박성현;송문섭;이영조;전종우;조신섭
  19. Wasserman. Applied Linear Regression Models(3rd ed.) Neter;Kutner;Nachtsheim
  20. 의학연구방법론 신영수;안윤옥
  21. AMIA Annual Fall Symphosium Improving the Potential Clinical Significance of Decision-Support Systems Using Artificial Neural Networks. Proc M.Frize;C.M.Ennett;MASc
  22. Treatment of Type 2 Diabetes Mellitus Joe A.Florence;Bryan F.Yeager;Pharm D.
  23. MEDINFO98 Diagnosing Breast Cancer from FNAs:Variable Relevance in Neural Network and Logistic Regression Models Lucila Ohno-Machado;Donald Bialek
  24. 대한의료정보학회지 v.4 no.1 신경망을 이용한 유방암예측 모델의 개발 최진욱