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Yiwang Zhou

Publications and source records attributed to Yiwang Zhou.

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Analyzing Geospatial and Socioeconomic Disparities in Breast Cancer Screening Among Populations in the United States: Machine Learning Approach

Breast cancer screening plays a pivotal role in early detection and subsequent effective management of the disease, impacting patient outcomes and survival rates. This study aims to assess breast cancer screening rates nationwide in the United States and investigate the impact of social determinants of health on these screening rates. Data on mammography screening at the census tract level for 2018 and 2020 were collected from the Behavioral Risk Factor Surveillance System. We developed a large dataset of social determinants of health, comprising 13 variables for 72337 census tracts. Spatial analysis employing Getis-Ord Gi statistics was used to identify clusters of high and low breast cancer screening rates. To evaluate the influence of these social determinants, we implemented a random forest model, with the aim of comparing its performance to linear regression and support vector machine models. The models were evaluated using R2 and root mean squared error metrics. Shapley Additive Explanations values were subsequently used to assess the significance of variables and direction of their influence. Geospatial analysis revealed elevated screening rates in the eastern and northern United States, while central and midwestern regions exhibited lower rates. The random forest model demonstrated superior performance, with an R2=64.53 and root mean squared error of 2.06 compared to linear regression and support vector machine models. Shapley Additive Explanations values indicated that the percentage of the Black population, the number of mammography facilities within a 10-mile radius, and the percentage of the population with at least a bachelor's degree were the most influential variables, all positively associated with mammography screening rates.

cs.LG

A Differentially Private Weighted Empirical Risk Minimization Procedure and its Application to Outcome Weighted Learning

Data used to train predictive models via empirical risk minimization (ERM) often contain sensitive personal information. While differential privacy (DP) provides mathematically provable bounds to protect such data, previous work has focused almost exclusively on unweighted ERM. We consider weighted ERM (wERM) -- an important generalization where individual contributions to the objective function vary. We propose the first DP algorithm for general wERM with formal privacy guarantees and derive both its empirical and population utility bounds. Crucially, this general wERM framework provides a pathway for deriving privacy-preserving learning methods for individualized treatment rules, including the popular outcome-weighted learning (OWL) approach. We evaluate DP-wERM applied to OWL in simulated and real data experiments. Our empirical results demonstrate that training OWL models via wERM provides strong DP guarantees while maintaining robust performance, proving the method is practical for sensitive, real-world data.

stat.ML

Deep Historical Borrowing Framework to Prospectively and Simultaneously Synthesize Control Information in Confirmatory Clinical Trials with Multiple Endpoints

In current clinical trial development, historical information is receiving more attention as it provides utility beyond sample size calculation. Meta-analytic-predictive (MAP) priors and robust MAP priors have been proposed for prospectively borrowing historical data on a single endpoint. To simultaneously synthesize control information from multiple endpoints in confirmatory clinical trials, we propose to approximate posterior probabilities from a Bayesian hierarchical model and estimate critical values by deep learning to construct pre-specified strategies for hypothesis testing. This feature is important to ensure study integrity by establishing prospective decision functions before the trial conduct. Simulations are performed to show that our method properly controls family-wise error rate (FWER) and preserves power as compared with a typical practice of choosing constant critical values given a subset of null space. Satisfactory performance under prior-data conflict is also demonstrated. We further illustrate our method using a case study in Immunology.

stat.ME