Abstract
Although neural networks have been widely applied to medical problems in recent years, their applicability has been limited for a variety of reasons. One of these barriers has been the inability to discriminate rare classes of solutions (i.e., the identification of categories that are infrequent). In this article, I demonstrate that a system of hierarchical neural networks (HNN) can overcome the problem of recognizing low frequency patterns, and therefore can improve the prediction power of neural-network systems. HNN are designed according to a divide-and-conquer approach: Triage networks are able to discriminate supersets that contain the infrequent pattern, and these supersets are then used by Specialized networks, which discriminate the infrequent pattern from the other ones in the superset. The supersets that are discriminated by the Triage networks are based on pattern similarity. The application of multilayered neural networks in more than one step allows the prior probability of a given pattern to increase at each step, provided that the predictive power of the network at the previous level is high. The method has been applied to one artificial set and one real set of data. In the artificial set, the distribution of the patterns was known and no noise was present. In this experiment, the HNN provided better discrimination than a standard neural network for all classes. In a real data set of nine thousand patients who were suspected of having thyroid disorders, the HNN also provided higher sensitivity than its corresponding standard neural network (without a corresponding decay in specificity) given the same time constraints.(ABSTRACT TRUNCATED AT 250 WORDS)
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