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Kyu Ha Lee

Publications and source records attributed to Kyu Ha Lee.

15 recordsLinked to original sources

High-Dimensional Mediation Analysis for Generalized Linear Models Using Bayesian Variable Selection Guided by Mediator Correlation

High-dimensional mediation analysis aims to identify mediating pathways and to estimate indirect effects linking an exposure to an outcome. In this paper, we propose a Bayesian framework to address key challenges in these analyses, including high dimensionality, complex dependence among omics mediators, and non-continuous outcomes. Furthermore, commonly used approaches assume independent mediators or ignore correlations in the selection stage, which can reduce power when mediators are highly correlated. Addressing these challenges leads to a non-Gaussian likelihood and specialized selection priors, which in turn require efficient and adaptive posterior computation. Our proposed framework selects active pathways under generalized linear models while accounting for mediator dependence. Specifically, the mediators are modeled using a multivariate distribution, exposure-mediator selection is guided by a Markov random field prior on inclusion indicators, and mediator-outcome activation is restricted to mediators supported in the exposure-mediator model through a sequential subsetting Bernoulli prior. Simulation studies show improved operating characteristics in correlated-mediator settings, with appropriate error control under the global null and stable performance under model misspecification. We illustrate the method using real-world metabolomics data to study metabolites that mediate the association between adherence to the Alternate Mediterranean Diet score and two cardiometabolic outcomes.

stat.ME

Characterizing quantile-varying covariate effects under the accelerated failure time model

An important task in survival analysis is choosing a structure for the relationship between covariates of interest and the time-to-event outcome. For example, the accelerated failure time (AFT) model structures each covariate effect as a constant multiplicative shift in the outcome distribution across all survival quantiles. Though parsimonious, this structure cannot detect or capture effects that differ across quantiles of the distribution, a limitation that is analogous to only permitting proportional hazards in the Cox model. To address this, we propose a general framework for quantile-varying multiplicative effects under the AFT model. Specifically, we embed flexible regression structures within the AFT model, and derive a novel formula for interpretable effects on the quantile scale. A regression standardization scheme based on the g-formula is proposed to enable estimation of both covariate-conditional and marginal effects for an exposure of interest. We implement a user-friendly Bayesian approach for estimation and quantification of uncertainty, while accounting for left truncation and complex censoring. We emphasize the intuitive interpretation of this model through numerical and graphical tools, and illustrate its performance through simulation and application to a study of Alzheimer's disease and dementia.

stat.ME

A nutritionally informed model for Bayesian variable selection with metabolite response variables

Understanding the pathways through which diet affects human metabolism is a central task in nutritional epidemiology. This article proposes novel methodology to identify food items associated with blood metabolites in two cohorts of healthcare professionals. We analyze 30 food intake variables that exhibit relationship structure through their correlations and nutritional attributes. The metabolic responses include 244 compounds measured by mass spectrometry, presenting substantial challenges that include missingness, left-censoring, and skewness. While existing methods can address such factors in low-dimensional settings, they are not designed for high-dimensional regression involving strongly correlated predictors and non-normal outcomes. To address these challenges, we propose a novel Bayesian variable selection framework for metabolite response variables based on a skew-normal censored mixture model. To exploit substantive information on the nutritional similarities among dietary factors, we employ a Markov random field prior that encourages joint selection of related predictors, while introducing a new, efficient strategy for its hyperparameter specification. Applying this methodology to the cohort data identifies multiple metabolite-diet associations that are consistent with previous research as well as several potentially novel associations that were not detected using standard methods. The proposed approach is implemented in the R package multimetab, facilitating its use in high-dimensional metabolomic analyses.

stat.ME

A Bayesian Multivariate Spatial Point Pattern Model: Application to Oral Microbiome FISH Image Data

Advances in cellular imaging technologies, especially those based on fluorescence in situ hybridization (FISH) now allow detailed visualization of the spatial organization of human or bacterial cells. Quantifying this spatial organization is crucial for understanding the function of multicellular tissues or biofilms, with implications for human health and disease. To address the need for better methods to achieve such quantification, we propose a flexible multivariate point process model that characterizes and estimates complex spatial interactions among multiple cell types. The proposed Bayesian framework is appealing due to its unified estimation process and the ability to directly quantify uncertainty in key estimates of interest, such as those of inter-type correlation and the proportion of variance due to inter-type relationships. To ensure stable and interpretable estimation, we consider shrinkage priors for coefficients associated with latent processes. Model selection and comparison are conducted by using a deviance information criterion designed for models with latent variables, effectively balancing the risk of overfitting with that of oversimplifying key quantities. Furthermore, we develop a hierarchical modeling approach to integrate multiple image-specific estimates from a given subject, allowing inference at both the global and subject-specific levels. We apply the proposed method to microbial biofilm image data from the human tongue dorsum and find that specific taxon pairs, such as Streptococcus mitis-Streptococcus salivarius and Streptococcus mitis-Veillonella, exhibit strong positive spatial correlations, while others, such as Actinomyces-Rothia, show slight negative correlations. For most of the taxa, a substantial portion of spatial variance can be attributed to inter-taxon relationships.

stat.ME

Inference for Log-Gaussian Cox Point Processes using Bayesian Deep Learning: Application to Human Oral Microbiome Image Data

It is common in nature to see aggregation of objects in space. Exploring the mechanism associated with the locations of such clustered observations can be essential to understanding the phenomenon, such as the source of spatial heterogeneity, or comparison to other event generating processes in the same domain. Log-Gaussian Cox processes (LGCPs) represent an important class of models for quantifying aggregation in a spatial point pattern. However, implementing likelihood-based Bayesian inference for such models presents many computational challenges, particularly in high dimensions. In this paper, we propose a novel likelihood-free inference approach for LGCPs using the recently developed BayesFlow approach, where invertible neural networks are employed to approximate the posterior distribution of the parameters of interest. BayesFlow is a neural simulation-based method based on "amortized" posterior estimation. That is, after an initial training procedure, fast feed-forward operations allow rapid posterior inference for any data within the same model family. Comprehensive numerical studies validate the reliability of the framework and show that BayesFlow achieves substantial computational gain in repeated application, especially for two-dimensional LGCPs. We demonstrate the utility and robustness of the method by applying it to two distinct oral microbial biofilm images.

stat.ME

Bayesian Variable Selection for High-Dimensional Mediation Analysis: Application to Metabolomics Data in Epidemiological Studies

In epidemiological research, causal models incorporating potential mediators along a pathway are crucial for understanding how exposures influence health outcomes. This work is motivated by integrated epidemiological and blood biomarker studies, investigating the relationship between long-term adherence to a Mediterranean diet and cardiometabolic health, with plasma metabolomes as potential mediators. Analyzing causal mediation in such high-dimensional omics data presents substantial challenges, including complex dependencies among mediators and the need for advanced regularization or Bayesian techniques to ensure stable and interpretable estimation and selection of indirect effects. To this end, we propose a novel Bayesian framework for identifying active pathways and estimating indirect effects in the presence of high-dimensional multivariate mediators. Our approach adopts a multivariate stochastic search variable selection method, tailored for such complex mediation scenarios. Central to our method is the introduction of a set of priors for the selection: a Markov random field prior and sequential subsetting Bernoulli priors. The first prior's Markov property leverages the inherent correlations among mediators, thereby increasing power to detect mediated effects. The sequential subsetting aspect of the second prior encourages the simultaneous selection of relevant mediators and their corresponding indirect effects from the two model parts, providing a more coherent and efficient variable selection framework, specific to mediation analysis. Comprehensive simulation studies demonstrate that the proposed method provides superior power in detecting active mediating pathways. We further illustrate the practical utility of the method through its application to metabolome data from two cohort studies, highlighting its effectiveness in real data setting.

stat.ME

Group-wise normalization in differential abundance analysis of microbiome samples

A key challenge in differential abundance analysis of microbial samples is that the counts for each sample are compositional, resulting in biased comparisons of the absolute abundance across study groups. Normalization-based differential abundance analysis methods rely on external normalization factors that account for the compositionality by standardizing the counts onto a common numerical scale. However, existing normalization methods have struggled at maintaining the false discovery rate in settings where the variance or compositional bias is large. This article proposes a novel framework for normalization that can reduce bias in differential abundance analysis by re-conceptualizing normalization as a group-level task. We present two normalization methods within the group-wise framework: group-wise relative log expression (G-RLE) and fold-truncated sum scaling (FTSS). G-RLE and FTSS achieve higher statistical power for identifying differentially abundant taxa than existing methods in model-based and synthetic data simulation settings, while maintaining the false discovery rate in challenging scenarios where existing methods suffer. The best results are obtained from using FTSS normalization with the differential abundance analysis method MetagenomeSeq. Code for implementing the methods and replicating the analysis can be found at our GitHub page (https://github.com/dclarkboucher/microbiome_groupwise_normalization).

q-bio.GN

Multivariate cluster point process to quantify and explore multi-entity configurations: Application to biofilm image data

Clusters of similar or dissimilar objects are encountered in many fields. Frequently used approaches treat the central object of each cluster as latent. Yet, often objects of one or more types cluster around objects of another type. Such arrangements are common in biomedical images of cells, in which nearby cell types likely interact. Quantifying spatial relationships may elucidate biological mechanisms. Parent-offspring statistical frameworks can be usefully applied even when central objects (parents) differ from peripheral ones (offspring). We propose the novel multivariate cluster point process (MCPP) to quantify multi-object (e.g., multi-cellular) arrangements. Unlike commonly used approaches, the MCPP exploits locations of the central parent object in clusters. It accounts for possibly multilayered, multivariate clustering. The model formulation requires specification of which object types function as cluster centers and which reside peripherally. If such information is unknown, the relative roles of object types may be explored by comparing fit of different models via the deviance information criterion (DIC). In simulated data, we compared DIC of a series of models; the MCPP correctly identified simulated relationships. It also produced more accurate and precise parameter estimates than the classical univariate Neyman-Scott process model. We also used the MCPP to quantify proposed configurations and explore new ones in human dental plaque biofilm image data. MCPP models quantified simultaneous clustering of Streptococcus and Porphyromonas around Corynebacterium and of Pasteurellaceae around Streptococcus and successfully captured hypothesized structures for all taxa. Further exploration suggested the presence of clustering between Fusobacterium and Leptotrichia, a previously unreported relationship.

stat.AP

Group lasso priors for Bayesian accelerated failure time models with left-truncated and interval-censored data

An important task in health research is to characterize time-to-event outcomes such as disease onset or mortality in terms of a potentially high-dimensional set of risk factors. For example, prospective cohort studies of Alzheimer's disease typically enroll older adults for observation over several decades to assess the long-term impact of genetic and other factors on cognitive decline and mortality. The accelerated failure time model is particularly well-suited to such studies, structuring covariate effects as `horizontal' changes to the survival quantiles that conceptually reflect shifts in the outcome distribution due to lifelong exposures. However, this modeling task is complicated by the enrollment of adults at differing ages, and intermittent followup visits leading to interval censored outcome information. Moreover, genetic and clinical risk factors are not only high-dimensional, but characterized by underlying grouping structure, such as by function or gene location. Such grouped high-dimensional covariates require shrinkage methods that directly acknowledge this structure to facilitate variable selection and estimation. In this paper, we address these considerations directly by proposing a Bayesian accelerated failure time model with a group-structured lasso penalty, designed for left-truncated and interval-censored time-to-event data. We develop a custom Markov chain Monte Carlo sampler for efficient estimation, and investigate the impact of various methods of penalty tuning and thresholding for variable selection. We present a simulation study examining the performance of this method relative to models with an ordinary lasso penalty, and apply the proposed method to identify groups of predictive genetic and clinical risk factors for Alzheimer's disease in the Religious Orders Study and Memory and Aging Project (ROSMAP) prospective cohort studies of AD and dementia.

stat.ME

Measuring performance for end-of-life care

Although not without controversy, readmission is entrenched as a hospital quality metric, with statistical analyses generally based on fitting a logistic-Normal generalized linear mixed model. Such analyses, however, ignore death as a competing risk, although doing so for clinical conditions with high mortality can have profound effects; a hospitals seemingly good performance for readmission may be an artifact of it having poor performance for mortality. In this paper we propose novel multivariate hospital-level performance measures for readmission and mortality, that derive from framing the analysis as one of cluster-correlated semi-competing risks data. We also consider a number of profiling-related goals, including the identification of extreme performers and a bivariate classification of whether the hospital has higher-/lower-than-expected readmission and mortality rates, via a Bayesian decision-theoretic approach that characterizes hospitals on the basis of minimizing the posterior expected loss for an appropriate loss function. In some settings, particularly if the number of hospitals is large, the computational burden may be prohibitive. To resolve this, we propose a series of analysis strategies that will be useful in practice. Throughout the methods are illustrated with data from CMS on N=17,685 patients diagnosed with pancreatic cancer between 2000-2012 at one of J=264 hospitals in California.

stat.ME

Bayesian Survival Analysis Using Gamma Processes with Adaptive Time Partition

In Bayesian semi-parametric analyses of time-to-event data, non-parametric process priors are adopted for the baseline hazard function or the cumulative baseline hazard function for a given finite partition of the time axis. However, it would be controversial to suggest a general guideline to construct an optimal time partition. While a great deal of research has been done to relax the assumption of the fixed split times for other non-parametric processes, to our knowledge, no methods have been developed for a gamma process prior, which is one of the most widely used in Bayesian survival analysis. In this paper, we propose a new Bayesian framework for proportional hazards models where the cumulative baseline hazard function is modeled a priori by a gamma process. A key feature of the proposed framework is that the number and position of interval cutpoints are treated as random and estimated based on their posterior distributions.

stat.ME

Bayesian Variable Selection for Multivariate Zero-Inflated Models: Application to Microbiome Count Data

Microorganisms play critical roles in human health and disease. It is well known that microbes live in diverse communities in which they interact synergistically or antagonistically. Thus for estimating microbial associations with clinical covariates, multivariate statistical models are preferred. Multivariate models allow one to estimate and exploit complex interdependencies among multiple taxa, yielding more powerful tests of exposure or treatment effects than application of taxon-specific univariate analyses. In addition, the analysis of microbial count data requires special attention because data commonly exhibit zero inflation. To meet these needs, we developed a Bayesian variable selection model for multivariate count data with excess zeros that incorporates information on the covariance structure of the outcomes (counts for multiple taxa), while estimating associations with the mean levels of these outcomes. Although there has been a great deal of effort in zero-inflated models for longitudinal data, little attention has been given to high-dimensional multivariate zero-inflated data modeled via a general correlation structure. Through simulation, we compared performance of the proposed method to that of existing univariate approaches, for both the binary and count parts of the model. When outcomes were correlated the proposed variable selection method maintained type I error while boosting the ability to identify true associations in the binary component of the model. For the count part of the model, in some scenarios the the univariate method had higher power than the multivariate approach. This higher power was at a cost of a highly inflated false discovery rate not observed with the proposed multivariate method. We applied the approach to oral microbiome data from the Pediatric HIV/AIDS Cohort Oral Health Study and identified five species (of 44) associated with HIV infection.

stat.AP

SemiCompRisks: An R Package for Independent and Cluster-Correlated Analyses of Semi-Competing Risks Data

Semi-competing risks refer to the setting where primary scientific interest lies in estimation and inference with respect to a non-terminal event, the occurrence of which is subject to a terminal event. In this paper, we present the R package SemiCompRisks that provides functions to perform the analysis of independent/clustered semi-competing risks data under the illness-death multi-state model. The package allows the user to choose the specification for model components from a range of options giving users substantial flexibility, including: accelerated failure time or proportional hazards regression models; parametric or non-parametric specifications for baseline survival functions; parametric or non-parametric specifications for random effects distributions when the data are cluster-correlated; and, a Markov or semi-Markov specification for terminal event following non-terminal event. While estimation is mainly performed within the Bayesian paradigm, the package also provides the maximum likelihood estimation for select parametric models. The package also includes functions for univariate survival analysis as complementary analysis tools.

stat.CO

Universal geometric constraints during epithelial jamming

As an injury heals, an embryo develops, or a carcinoma spreads, epithelial cells systematically change their shape. In each of these processes cell shape is studied extensively, whereas variation of shape from cell-to-cell is dismissed most often as biological noise. But where do cell shape and variation of cell shape come from? Here we report that cell shape and shape variation are mutually constrained through a relationship that is purely geometrical. That relationship is shown to govern maturation of the pseudostratified bronchial epithelial layer cultured from both non-asthmatic and asthmatic donors as well as formation of the ventral furrow in the epithelial monolayer of the Drosophila embryo in vivo. Across these and other vastly different epithelial systems, cell shape variation collapses to a family of distributions that is common to all and potentially universal. That distribution, in turn, is accounted for quantitatively by a mechanistic theory of cell-cell interaction showing that cell shape becomes progressively less elongated and less variable as the layer becomes progressively more jammed. These findings thus uncover a connection between jamming and geometry that is generic -spanning jammed living and inert systems alike- and demonstrate that proximity of the cell layer to the jammed state is the principal determinant of the most primitive features of epithelial cell shape and shape variation.

physics.bio-ph

Hierarchical models for semi-competing risks data with application to quality of end-of-life care for pancreatic cancer

Readmission following discharge from an initial hospitalization is a key marker of quality of health care in the United States. For the most part, readmission has been used to study quality of care for patients with acute health conditions, such as pneumonia and heart failure, with analyses typically based on a logistic-Normal generalized linear mixed model. Applying this model to the study readmission among patients with increasingly prevalent advanced health conditions such as pancreatic cancer is problematic, however, because it ignores death as a competing risk. A more appropriate analysis is to imbed such studies within the semi-competing risks framework. To our knowledge, however, no comprehensive statistical methods have been developed for cluster-correlated semi-competing risks data. In this paper we propose a novel hierarchical modeling framework for the analysis of cluster-correlated semi-competing risks data. The framework permits parametric or non-parametric specifications for a range of model components, including baseline hazard functions and distributions for key random effects, giving analysts substantial flexibility as they consider their own analyses. Estimation and inference is performed within the Bayesian paradigm since it facilitates the straightforward characterization of (posterior) uncertainty for all model parameters including hospital-specific random effects. The proposed framework is used to study the risk of readmission among 5,298 Medicare beneficiaries diagnosed with pancreatic cancer at 112 hospitals in the six New England states between 2000-2009, specifically to investigate the role of patient-level risk factors and to characterize variation in risk across hospitals that is not explained by differences in patient case-mix.

stat.AP