Ability to quantify and predict progression of a disease is fundamental for selecting an appropriate treatment. Many clinical metrics cannot be acquired frequently either because of their cost (e.g. MRI, gait analysis) or because they are inconvenient or harmful to a patient (e.g. biopsy, x-ray). In such scenarios, in order to estimate individual trajectories of disease progression, it is advantageous to leverage similarities between patients, i.e. the covariance of trajectories, and find a latent representation of progression. Most of existing methods for estimating trajectories do not account for events in-between observations, what dramatically decreases their adequacy for clinical practice. In this study, we develop a machine learning framework named Coordinatewise-Soft-Impute (CSI) for analyzing disease progression from sparse observations in the presence of confounding events. CSI is guaranteed to converge to the global minimum of the corresponding optimization problem. Experimental results also demonstrates the effectiveness of CSI using both simulated and real dataset.
While the probabilistic approach of mixed-effect models offers many theoretical advantages including convergence rates and inference testing, it is often sensitive to the assumptions on distributions, some of which are hard to verify in practice. To avoid the potential bias of distributional assumptions in mixed-effect models, in @cite_8 formulate the problem as a sparse matrix completion problem. We will review this approach in the current section.
@cite_8
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In clinical practice and biomedical research, measurements are often collected sparsely and irregularly in time while the data acquisition is expensive and inconvenient. Examples include measurements of spine bone mineral density, cancer growth through mammography or biopsy, a progression of defect of vision, or assessment of gait in patients with neurological disorders. Since the data collection is often costly and inconvenient, estimation of progression from sparse observations is of great interest for practitioners. From the statistical standpoint, such data is often analyzed in the context of a mixed-effect model where time is treated as both random and fixed effect. Alternatively, researchers analyze Gaussian processes or functional data where observations are assumed to be drawn from a certain distribution of processes. These models are flexible but rely on probabilistic assumptions and require very careful implementation. In this study, we propose an alternative elementary framework for analyzing longitudinal data, relying on matrix completion. Our method yields point estimates of progression curves by iterative application of the SVD. Our framework covers multivariate longitudinal data, regression and can be easily extended to other settings. We apply our methods to understand trends of progression of motor impairment in children with Cerebral Palsy. Our model approximates individual progression curves and explains 30 of the variability. Low-rank representation of progression trends enables discovering that subtypes of Cerebral Palsy exhibit different progression trends.