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Andrea Cappozzo

Publications and source records attributed to Andrea Cappozzo.

13 recordsLinked to original sources

Cluster-weighted modeling of lifetime hierarchical data for profiling COVID-19 heart failure patients

This study investigates the heterogeneity in survival times among COVID-19 patients with Heart Failure (HF) hospitalized in the Lombardy region of Italy during the pandemic. To address this, we propose a novel mixture model for right-censored lifetime data that incorporates random effects and allows for local distributions of the explanatory variables. Our approach identifies latent clusters of patients while estimating component-specific covariate effects on survival, taking into account the hierarchical structure induced by the healthcare facility. Specifically, a shared frailty term, unique to each cluster, captures hospital-level variability enabling a twofold decoupling of survival heterogeneity across both clusters and hierarchies. Two EM-based algorithms, namely a Classification EM (CEM) and a Stochastic EM (SEM), are proposed for parameter estimation. The devised methodology effectively uncovers latent patient profiles, evaluates within-cluster hospital effects, and quantifies the impact of respiratory conditions on survival. Our findings provide new information on the complex interplay between the impacts of HF, COVID-19, and healthcare facilities on public health, highlighting the importance of personalized and context-sensitive clinical strategies.

stat.AP

DISARM++: Beyond scanner-free harmonization

Harmonization of T1-weighted MR images across different scanners is crucial for ensuring consistency in neuroimaging studies. This study introduces a novel approach to direct image harmonization, moving beyond feature standardization to ensure that extracted features remain inherently reliable for downstream analysis. Our method enables image transfer in two ways: (1) mapping images to a scanner-free space for uniform appearance across all scanners, and (2) transforming images into the domain of a specific scanner used in model training, embedding its unique characteristics. Our approach presents strong generalization capability, even for unseen scanners not included in the training phase. We validated our method using MR images from diverse cohorts, including healthy controls, traveling subjects, and individuals with Alzheimer's disease (AD). The model's effectiveness is tested in multiple applications, such as brain age prediction (R2 = 0.60 \pm 0.05), biomarker extraction, AD classification (Test Accuracy = 0.86 \pm 0.03), and diagnosis prediction (AUC = 0.95). In all cases, our harmonization technique outperforms state-of-the-art methods, showing improvements in both reliability and predictive accuracy. Moreover, our approach eliminates the need for extensive preprocessing steps, such as skull-stripping, which can introduce errors by misclassifying brain and non-brain structures. This makes our method particularly suitable for applications that require full-head analysis, including research on head trauma and cranial deformities. Additionally, our harmonization model does not require retraining for new datasets, allowing smooth integration into various neuroimaging workflows. By ensuring scanner-invariant image quality, our approach provides a robust and efficient solution for improving neuroimaging studies across diverse settings. The code is available at this link.

cs.CV

Model-based clustering for covariance matrices via penalized Wishart mixture models

Covariance matrices provide a valuable source of information about complex interactions and dependencies within the data. However, from a clustering perspective, this information has often been underutilized and overlooked. Indeed, commonly adopted distance-based approaches tend to rely primarily on mean levels to characterize and differentiate between groups. Recently, there have been promising efforts to cluster covariance matrices directly, thereby distinguishing groups solely based on the relationships between variables. From a model-based perspective, a probabilistic formalization has been provided by considering a mixture model with component densities following a Wishart distribution. Notwithstanding, this approach faces challenges when dealing with a large number of variables, as the number of parameters to be estimated increases quadratically. To address this issue, we propose a sparse Wishart mixture model, which assumes that the component scale matrices possess a cluster-dependent degree of sparsity. Model estimation is performed by maximizing a penalized log-likelihood, enforcing a covariance graphical lasso penalty on the component scale matrices. This penalty not only reduces the number of non-zero parameters, mitigating the challenges of high-dimensional settings, but also enhances the interpretability of results by emphasizing the most relevant relationships among variables. The proposed methodology is tested on both simulated and real data, demonstrating its ability to unravel the complexities of neuroimaging data and effectively cluster subjects based on the relational patterns among distinct brain regions.

stat.ME

Uncover mortality patterns and hospital effects in COVID-19 heart failure patients: a novel Multilevel logistic cluster-weighted modeling approach

Evaluating hospitals' performance and its relation to patients' characteristics is of utmost importance to ensure timely, effective, and optimal treatment. Such a matter is particularly relevant in areas and situations where the healthcare system must contend with an unexpected surge in hospitalizations, such as for heart failure patients in the Lombardy region of Italy during the COVID-19 pandemic. Motivated by this issue, the paper introduces a novel Multilevel Logistic Cluster-Weighted Model (ML-CWMd) for predicting 45-day mortality following hospitalization due to COVID-19. The methodology flexibly accommodates dependence patterns among continuous, categorical, and dichotomous variables; effectively accounting for hospital-specific effects in distinct patient subgroups showing different attributes. A tailored Expectation-Maximization algorithm is developed for parameter estimation, and extensive simulation studies are conducted to evaluate its performance against competing models. The novel approach is applied to administrative data from the Lombardy Region, aiming to profile heart failure patients hospitalized for COVID-19 and investigate the hospital-level impact on their overall mortality. A scenario analysis demonstrates the model's efficacy in managing multiple sources of heterogeneity, thereby yielding promising results in aiding healthcare providers and policy-makers in the identification of patient-specific treatment pathways.

stat.AP

Sparse model-based clustering of three-way data via lasso-type penalties

Mixtures of matrix Gaussian distributions provide a probabilistic framework for clustering continuous matrix-variate data, which are becoming increasingly prevalent in various fields. Despite its widespread adoption and successful application, this approach suffers from over-parameterization issues, making it less suitable even for matrix-variate data of moderate size. To overcome this drawback, we introduce a sparse model-based clustering approach for three-way data. Our approach assumes that the matrix mixture parameters are sparse and have different degree of sparsity across clusters, allowing to induce parsimony in a flexible manner. Estimation of the model relies on the maximization of a penalized likelihood, with specifically tailored group and graphical lasso penalties. These penalties enable the selection of the most informative features for clustering three-way data where variables are recorded over multiple occasions and allow to capture cluster-specific association structures. The proposed methodology is tested extensively on synthetic data and its validity is demonstrated in application to time-dependent crime patterns in different US cities.

stat.CO

A general framework for penalized mixed-effects multitask learning with applications on DNA methylation surrogate biomarkers creation

Recent evidence highlights the usefulness of DNA methylation (DNAm) biomarkers as surrogates for exposure to risk factors for non-communicable diseases in epidemiological studies and randomized trials. DNAm variability has been demonstrated to be tightly related to lifestyle behavior and exposure to environmental risk factors, ultimately providing an unbiased proxy of an individual state of health. At present, the creation of DNAm surrogates relies on univariate penalized regression models, with elastic-net regularizer being the gold standard when accomplishing the task. Nonetheless, more advanced modeling procedures are required in the presence of multivariate outcomes with a structured dependence pattern among the study samples. In this work we propose a general framework for mixed-effects multitask learning in presence of high-dimensional predictors to develop a multivariate DNAm biomarker from a multi-center study. A penalized estimation scheme based on an expectation-maximization algorithm is devised, in which any penalty criteria for fixed-effects models can be conveniently incorporated in the fitting process. We apply the proposed methodology to create novel DNAm surrogate biomarkers for multiple correlated risk factors for cardiovascular diseases and comorbidities. We show that the proposed approach, modeling multiple outcomes together, outperforms state-of-the-art alternatives, both in predictive power and bio-molecular interpretation of the results.

stat.AP

Variational Inference for Semiparametric Bayesian Novelty Detection in Large Datasets

After being trained on a fully-labeled training set, where the observations are grouped into a certain number of known classes, novelty detection methods aim to classify the instances of an unlabeled test set while allowing for the presence of previously unseen classes. These models are valuable in many areas, ranging from social network and food adulteration analyses to biology, where an evolving population may be present. In this paper, we focus on a two-stage Bayesian semiparametric novelty detector, also known as Brand, recently introduced in the literature. Leveraging on a model-based mixture representation, Brand allows clustering the test observations into known training terms or a single novelty term. Furthermore, the novelty term is modeled with a Dirichlet Process mixture model to flexibly capture any departure from the known patterns. Brand was originally estimated using MCMC schemes, which are prohibitively costly when applied to high-dimensional data. To scale up Brand applicability to large datasets, we propose to resort to a variational Bayes approach, providing an efficient algorithm for posterior approximation. We demonstrate a significant gain in efficiency and excellent classification performance with thorough simulation studies. Finally, to showcase its applicability, we perform a novelty detection analysis using the openly-available Statlog dataset, a large collection of satellite imaging spectra, to search for novel soil types.

stat.CO

Group-wise shrinkage estimation in penalized model-based clustering

Finite Gaussian mixture models provide a powerful and widely employed probabilistic approach for clustering multivariate continuous data. However, the practical usefulness of these models is jeopardized in high-dimensional spaces, where they tend to be over-parameterized. As a consequence, different solutions have been proposed, often relying on matrix decompositions or variable selection strategies. Recently, a methodological link between Gaussian graphical models and finite mixtures has been established, paving the way for penalized model-based clustering in the presence of large precision matrices. Notwithstanding, current methodologies implicitly assume similar levels of sparsity across the classes, not accounting for different degrees of association between the variables across groups. We overcome this limitation by deriving group-wise penalty factors, which automatically enforce under or over-connectivity in the estimated graphs. The approach is entirely data-driven and does not require additional hyper-parameter specification. Analyses on synthetic and real data showcase the validity of our proposal.

stat.ME

A Two-Stage Bayesian Semiparametric Model for Novelty Detection with Robust Prior Information

Novelty detection methods aim at partitioning the test units into already observed and previously unseen patterns. However, two significant issues arise: there may be considerable interest in identifying specific structures within the novelty, and contamination in the known classes could completely blur the actual separation between manifest and new groups. Motivated by these problems, we propose a two-stage Bayesian semiparametric novelty detector, building upon prior information robustly extracted from a set of complete learning units. We devise a general-purpose multivariate methodology that we also extend to handle functional data objects. We provide insights on the model behavior by investigating the theoretical properties of the associated semiparametric prior. From the computational point of view, we propose a suitable $\boldsymbolξ$-sequence to construct an independent slice-efficient sampler that takes into account the difference between manifest and novelty components. We showcase our model performance through an extensive simulation study and applications on both multivariate and functional datasets, in which diverse and distinctive unknown patterns are discovered.

stat.AP

Robust variable selection in the framework of classification with label noise and outliers: applications to spectroscopic data in agri-food

Classification of high-dimensional spectroscopic data is a common task in analytical chemistry. Well-established procedures like support vector machines (SVMs) and partial least squares discriminant analysis (PLS-DA) are the most common methods for tackling this supervised learning problem. Nonetheless, interpretation of these models remains sometimes difficult, and solutions based on feature selection are often adopted as they lead to the automatic identification of the most informative wavelengths. Unfortunately, for some delicate applications like food authenticity, mislabeled and adulterated spectra occur both in the calibration and/or validation sets, with dramatic effects on the model development, its prediction accuracy and robustness. Motivated by these issues, the present paper proposes a robust model-based method that simultaneously performs variable selection, outliers and label noise detection. We demonstrate the effectiveness of our proposal in dealing with three agri-food spectroscopic studies, where several forms of perturbations are considered. Our approach succeeds in diminishing problem complexity, identifying anomalous spectra and attaining competitive predictive accuracy considering a very low number of selected wavelengths.

stat.AP

Robust variable selection for model-based learning in presence of adulteration

The problem of identifying the most discriminating features when performing supervised learning has been extensively investigated. In particular, several methods for variable selection in model-based classification have been proposed. Surprisingly, the impact of outliers and wrongly labeled units on the determination of relevant predictors has received far less attention, with almost no dedicated methodologies available in the literature. In the present paper, we introduce two robust variable selection approaches: one that embeds a robust classifier within a greedy-forward selection procedure and the other based on the theory of maximum likelihood estimation and irrelevance. The former recasts the feature identification as a model selection problem, while the latter regards the relevant subset as a model parameter to be estimated. The benefits of the proposed methods, in contrast with non-robust solutions, are assessed via an experiment on synthetic data. An application to a high-dimensional classification problem of contaminated spectroscopic data concludes the paper.

stat.AP

Anomaly and Novelty detection for robust semi-supervised learning

Three important issues are often encountered in Supervised and Semi-Supervised Classification: class-memberships are unreliable for some training units (label noise), a proportion of observations might depart from the main structure of the data (outliers) and new groups in the test set may have not been encountered earlier in the learning phase (unobserved classes). The present work introduces a robust and adaptive Discriminant Analysis rule, capable of handling situations in which one or more of the afore-mentioned problems occur. Two EM-based classifiers are proposed: the first one that jointly exploits the training and test sets (transductive approach), and the second one that expands the parameter estimate using the test set, to complete the group structure learned from the training set (inductive approach). Experiments on synthetic and real data, artificially adulterated, are provided to underline the benefits of the proposed method.

stat.AP

A robust approach to model-based classification based on trimming and constraints

In a standard classification framework a set of trustworthy learning data are employed to build a decision rule, with the final aim of classifying unlabelled units belonging to the test set. Therefore, unreliable labelled observations, namely outliers and data with incorrect labels, can strongly undermine the classifier performance, especially if the training size is small. The present work introduces a robust modification to the Model-Based Classification framework, employing impartial trimming and constraints on the ratio between the maximum and the minimum eigenvalue of the group scatter matrices. The proposed method effectively handles noise presence in both response and exploratory variables, providing reliable classification even when dealing with contaminated datasets. A robust information criterion is proposed for model selection. Experiments on real and simulated data, artificially adulterated, are provided to underline the benefits of the proposed method.

stat.AP