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1 - 1 - Development of analysis system for constitution diagnosis Chul Kim([email protected]) Senior Researcher KIOM (Korea Institute of Oriental Medicine), KOREA - 2 - Learning Objectives Understand the whole process about clinical and biologic al data handling technique. Get the recent research information in building the diagn osis system. Make the best use of technique to correspond with your environment.

Development of analysis system for constitution diagnosis · 2014-03-04 · 1 - 1 - Development of analysis system for constitution diagnosis Chul Kim([email protected]) Senior

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Page 1: Development of analysis system for constitution diagnosis · 2014-03-04 · 1 - 1 - Development of analysis system for constitution diagnosis Chul Kim(chulnice@kiom.re.kr) Senior

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Development of analysis system for constitution diagnosis

Chul Kim([email protected]) Senior Researcher

KIOM(Korea Institute of Oriental Medicine), KOREA

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Learning Objectives

•  Understand the whole process about clinical and biological data handling technique.

•  Get the recent research information in building the diagnosis system.

•  Make the best use of technique to correspond with your environment.

Page 2: Development of analysis system for constitution diagnosis · 2014-03-04 · 1 - 1 - Development of analysis system for constitution diagnosis Chul Kim(chulnice@kiom.re.kr) Senior

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Table of contents

•  The Goal of study

•  Significance of Project

•  Study Contents

- clinical information management system

- Analysis Algorithm for constitution diagnosis with clinical data

- Analysis Algorithm for constitution diagnosis with SNP data

•  Conclusion

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Goal of study

Optimizing Algorithm

Development of Information Analysis Algorithm for constitution diagnosis

Developing search and managing program

Development of analysis toolkit for constitution diagnosis

Clinical data biological data

Constructing infra for clinical and biological data analysis

Page 3: Development of analysis system for constitution diagnosis · 2014-03-04 · 1 - 1 - Development of analysis system for constitution diagnosis Chul Kim(chulnice@kiom.re.kr) Senior

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Significance of Project

Collection of clinical data, blood sample

Measuring about diagnosis of oriental medicine doctor

Development of diagnosis standard

Developm

ent of Analysis

Algorithm

for constitution

Clinical DB

Developm

ent of drug System

for constitution

Multiple clinical study network

SNP Linkage Analysis

Analysis of clinical index Derivation of valid index

Development of

Integrated web system

Development of constitution diagnosis Tool

Integrated analysis Analysis tool

DNA

Clinical info.

Biological info.

DB construction (clinical DB, SNP DB)

DB collaboration

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Study Contents – clinical information management system

E-CRF input program

clinical DB creation

9-medical center, 1-oriental medicine hospital, 4-Oriental medicine clinic

Management system

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Web-based E-CRF(CASE REPORT FORM ) program •  Management of 14 input clinical organs •  Double-checking function about input data(demographic, figure, personality,

deficiency, disease, sickness, gynecology, drug response, diagnosis results, etc)

•  Multi-media data(picture, audio or movie file) upload & download

Clinical DB •  Size

–  # of data: 1065, # of item: 181 •  Replace subjective data by realistic data •  # of collaboration organ : 9 medical center of 6 colleges of oriental medicine

, 1 oriental medicine hospital, 4 oriental medicine clinic

Study Contents – clinical information management system

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 Development of web-based management system of clinical information

•  Design the identification code •  System environment : Solaris OS + Apache + Tomcat + Altibase DB

MS •  Inquiry function of sample ID and collected center •  Service for full data download with excel format by checking

authority •  Basic statistics to clinical data •  Multiple condition search function

Study Contents – clinical information management system

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  clinical valid index - apply to valid items with ANOVA test - valid items of 181 clinical items are derived from decision tree analy

sis.

valid items significance level

14 items(angle of ribs, quantity of perspiration, etc) <0.001

9 items(voice purity and impurity, rate of hypertension, etc) 0.001~0.01

13 items(appetite, rate of asthma, etc) 0.01~0.05

181 clinical items

valid items

Decision tree Significances of valid items

ANOVA test

Study Contents – Analysis Algorithm for constitution diagnosis using clinical data

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Study Contents – Analysis Algorithm for constitution diagnosis using clinical data

Page 6: Development of analysis system for constitution diagnosis · 2014-03-04 · 1 - 1 - Development of analysis system for constitution diagnosis Chul Kim(chulnice@kiom.re.kr) Senior

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- Data cleaning low call rate / HWE / MAF - Missing Imputation - Format conversion

Genetic conversion -Additive / Dominant / Recessive

Relation analysis(X2)

SNP marker choice

Classification algorithm (HMM, SVM, Naïve Bayesian)

Validation

Choice of classification model

3) marker validation program

1) Data pre-process program

2) Association analysis program

SNP data input

Constitution prediction

4) Constitution prediction program

Associator v2.0 package

classification model

•  4 individual program module •  error data handling: increase usefulness to SNP data •  apply to multiple classification model •  verification relation to Sample

Study Contents – Analysis Algorithm for constitution diagnosis using SNP data

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Verification for separation ability about SNP marker

•  prediction rate: 75%(100 marker), 90% (300 marker)

•  SNP marker analysis (310 sample, 500K SNP data) •  various classification algorithm (marker number : 2-300, classification model : 3, 10-fold CV)

object

result

method

Application for constitution classification algo.

Study Contents – Analysis Algorithm for constitution diagnosis using SNP data

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Web associator

Study Contents – Analysis Algorithm for constitution diagnosis using SNP data

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character of data Rate of accuracy(%)

Male Female

1st year data(# : 390 ) 87.5 88.1

2nd year data(# : 161 ) 76.0 54.1

co-analysis with KRIBB (# : 228 ) 62.2 80.0

average 77.6 78.6

  Sasang constitution diagnosis result - sasang(taeyang, soyang, taeeum and soeum type) constitution dia

gnosis result using our algorithm

Conclusion

The objectification of clinical data is very important to raise the accuracy of constitution diagnosis.

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Run # of Test

True Positive

Accuracy (%)

1 228 161 70.6

2 228 159 69.7

3 228 163 71.5

4 228 156 68.4

5 228 160 70.2

6 228 164 71.9

7 228 157 68.9

8 228 161 70.6

9 228 162 71.1

10 228 160 70.2

Average 228 160.3 70.3

228 samples -SVM model, 17 SNP marker (p<10-5) -constitution prediction rate : 70.3 % (10-fold CV)

Conclusion

Our system have the opportunity to improve in proportion to number of sample data and program improvement. We continued this system development and we will make the integrated analysis system for constitution diagnosis using clinical and biological information.

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Information of authors

Order 2nd 3rd 4th 5th

Name Sang-Kyun Kim Hee-Jeong Jin Mi-Young Song Young- Joo Kim

title Senior Researcher

Senior Researcher

Principal Researcher

Principal Researcher

Organization KIOM KIOM KIOM KRIBB

country South Korea South Korea South Korea South Korea

Email skkim @kiom.re.kr [email protected] [email protected]

e.kr [email protected]

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Q & A

Thank you !