arXiv subjects

Antony Rosen

Publications and source records attributed to Antony Rosen.

3 recordsLinked to original sources

arXiv2022

Learning and Predicting from Dynamic Models for COVID-19 Patient Monitoring

COVID-19 has challenged health systems to learn how to learn. This paper describes the context, methods and challenges for learning to improve COVID-19 care at one academic health center. Challenges to learning include: (1) choosing a right clinical target; (2) designing methods for accurate predictions by borrowing strength from prior patients' experiences; (3) communicating the methodology to clinicians so they understand and trust it; (4) communicating the predictions to the patient at the moment of clinical decision; and (5) continuously evaluating and revising the methods so they adapt to changing patients and clinical demands. To illustrate these challenges, this paper contrasts two statistical modeling approaches - prospective longitudinal models in common use and retrospective analogues complementary in the COVID-19 context - for predicting future biomarker trajectories and major clinical events. The methods are applied to and validated on a cohort of 1,678 patients who were hospitalized with COVID-19 during the early months of the pandemic. We emphasize graphical tools to promote physician learning and inform clinical decision making.

stat.AP↗

arXiv2018

A Bayesian Approach to Restricted Latent Class Models for Scientifically-Structured Clustering of Multivariate Binary Outcomes

In this paper, we propose a general framework for combining evidence of varying quality to estimate underlying binary latent variables in the presence of restrictions imposed to respect the scientific context. The resulting algorithms cluster the multivariate binary data in a manner partly guided by prior knowledge. The primary model assumptions are that 1) subjects belong to classes defined by unobserved binary states, such as the true presence or absence of pathogens in epidemiology, or of antibodies in medicine, or the "ability" to correctly answer test questions in psychology, 2) a binary design matrix $Γ$ specifies relevant features in each class, and 3) measurements are independent given the latent class but can have different error rates. Conditions ensuring parameter identifiability from the likelihood function are discussed and inform the design of a novel posterior inference algorithm that simultaneously estimates the number of clusters, design matrix $Γ$, and model parameters. In finite samples and dimensions, we propose prior assumptions so that the posterior distribution of the number of clusters and the patterns of latent states tend to concentrate on smaller values and sparser patterns, respectively. The model readily extends to studies where some subjects' latent classes are known or important prior knowledge about differential measurement accuracy is available from external sources. The methods are illustrated with an analysis of protein data to detect clusters representing auto-antibody classes among scleroderma patients.

stat.ME↗

arXiv2017

Estimating AutoAntibody Signatures to Detect Autoimmune Disease Patient Subsets

Autoimmune diseases are characterized by highly specific immune responses against molecules in self-tissues. Different autoimmune diseases are characterized by distinct immune responses, making autoantibodies useful for diagnosis and prediction. In many diseases, the targets of autoantibodies are incompletely defined. Although the technologies for autoantibody discovery have advanced dramatically over the past decade, each of these techniques generates hundreds of possibilities, which are onerous and expensive to validate. We set out to establish a method to greatly simplify autoantibody discovery, using a pre-filtering step to define subgroups with similar specificities based on migration of radiolabeled, immunoprecipitated proteins on sodium dodecyl sulfate (SDS) gels and autoradiography [$\textbf{G}$el $\textbf{E}$lectrophoresis and band detection on $\textbf{A}$utoradiograms (GEA)]. Human recognition of patterns is not optimal when the patterns are complex or scattered across many samples. Multiple sources of errors - including irrelevant intensity differences and warping of gels - have challenged automation of pattern discovery from autoradiograms. In this paper, we address these limitations using a Bayesian hierarchical model with shrinkage priors for pattern alignment and spatial dewarping. The Bayesian model combines information from multiple gel sets and corrects spatial warping for coherent estimation of autoantibody signatures defined by presence or absence of a grid of landmark proteins. We show the pre-processing creates more clearly separated clusters and improves the accuracy of autoantibody subset detection via hierarchical clustering. Finally, we demonstrate the utility of the proposed methods with GEA data from scleroderma patients.

stat.AP↗