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Biomedical subjects

Javier Roca-Pardiñas

Publications and source records attributed to Javier Roca-Pardiñas.

6 recordsLinked to original sources

Bootstrap-based methods for testing factor-by-curve interactions in generalized additive models: assessing prefrontal cortex neural activity related to decision-making.

In many situations the effect of a continuous covariate on response varies across groups defined by levels of a categorical variable. This paper addresses generalized additive models incorporating the so-called factor-by-curve interaction. A local scoring algorithm based on local linear kernel smoothers was used to estimate the model. Two different types of bootstrap-based procedures are proposed for testing interaction terms, namely, the likelihood ratio test, and a procedure based on an estimate of the interaction terms. Given the high computational cost involved, binning techniques were used to speed up computation in the estimation and testing processes. A simulation study was conducted to assess the validity of these bootstrap-based tests. This methodology was applied to studying prefrontal cortex neural activity associated with decision-making in monkeys. The proposed statistical procedure proved very useful in revealing the neural activity correlates of decision-making strategies adopted by monkeys in accordance with different behavioural tasks.

Action Potentials↗

Effect measures in non-parametric regression with interactions between continuous exposures.

In many biomedical studies, interest is often attached to calculating effect measures in the presence of interactions between two continuous exposures. Traditional approaches based on parametric regression are limited by the degree of arbitrariness involved in transforming these exposures into categorical variables or imposing a parametric form on the regression function. In this paper, we present: (a) a flexible non-parametric method for estimating effect measures through generalized additive models including interactions; and (b) bootstrap techniques for (i) testing the significance of interaction terms, and (ii) constructing confidence intervals for effect measures. The validity of our methodology is supported by simulations, and illustrated using data from a study of possible risk factors for post-operative infection. This application revealed a hitherto unreported effect: for patients with high plasma glucose levels, increased risk is associated, not only with low, but also with high percentages of lymphocytes.

Algorithms↗

Using generalized additive models for construction of nonlinear classifiers in computer-aided diagnosis systems.

Several investigators have pointed out the possibility of using computer-aided diagnosis (CAD) schemes, as second readers, to help radiologists in the interpretation of images. One of the most important aspects to be considered when the diagnostic imaging systems are analyzed is the evaluation of their diagnostic performance. To perform this task, receiver operating characteristic curves are the method of choice. An important step in nearly all CAD systems is the reduction of false positives, as well as the classification of lesions, using different algorithms, such as neural networks or feature analysis, and several statistical methods. A statistical model more often employed is linear discriminant analysis (LDA). However, LDA implies several limitations in the type of variables that it can analyze. In this work, we have developed a novel approach, based on generalized additive models (GAMs), as an alternative to LDA, which can deal with a broad variety of variables, improving the results produced by using the LDA model. As an application, we have used GAM techniques for reducing the number of false detections in a computerized method to detect clustered microcalcifications, and we have compared this with the results obtained when LDA was applied. Employing LDA, the system achieved a sensitivity of 80.52% at a false-positive rate of 1.90 false detections per image. With the GAM, the sensitivity increased to 83.12% and 1.46 false positives per image.

Algorithms↗

Neural correlates of memory retrieval in the prefrontal cortex.

Working memory includes short-term representations of information that were recently experienced or retrieved from long-term representations of sensory stimuli. Evidence is presented here that working memory activates the same dorsolateral prefrontal cortex neurons that: (a) maintained recently perceived visual stimuli; and (b) retrieved visual stimuli from long-term memory (LTM). Single neuron activity was recorded in the dorsolateral prefrontal cortex while trained monkeys discriminated between two orientated lines shown sequentially, separated by a fixed interstimulus interval. This visual task required the monkey to compare the orientation of the second line with the memory trace of the first and to decide the relative orientation of the second. When the behavioural task required the monkey to maintain in working memory a first stimulus that continually changed from trial to trial, the discharge in these cells was related to the parameters--the orientation--of the memorized item. Then, what the monkey had to recall from memory was manipulated by switching to another task in which the first stimulus was not shown, and had to be retrieved from LTM. The discharge rates of the same neurons also varied depending on the parameters of the memorized stimuli, and their response was progressively delayed as the monkey performed the task. These results suggest that working memory activates dorsolateral prefrontal cortex neurons that maintain parametrical visual information in short-term and LTM, and that the contents of working memory cannot be limited to what has recently happened in the sensory environment.

Action Potentials↗

Non-parametric estimation of the odds ratios for continuous exposures using generalized additive models with an unknown link function.

The generalized additive, model (GAM) is a powerful and widely used tool that allows researchers to fit, non-parametrically, the effect of continuous predictors on a transformation of the mean response variable. Such a transformation is given by a so-called link function, and in GAMs this link function is assumed to be known. Nevertheless, if an incorrect choice is made for the link, the resulting GAM is misspecified and the results obtained may be misleading. In this paper, we propose a modified version of the local scoring algorithm that allows for the non-parametric estimation of the link function, by using local linear kernel smoothers. To better understand the effect that each covariate produces on the outcome, results are expressed in terms of the non-parametric odds ratio (OR) curves. Bootstrap techniques were used to correct the bias in the OR estimation and to construct point-wise confidence intervals. A simulation study was carried out to assess the behaviour of the resulting estimates. The proposed methodology was illustrated using data from the AIDS Register of Galicia (NW Spain), with a view to assessing the effect of the CD4 lymphocyte count on the probability of being AIDS-diagnosed via Tuberculosis (TB). This application shows how the link's flexibility makes it possible to obtain OR curve estimates that are less sensitive to the presence of outliers and unusual values that are often present in the extremes of the covariate distributions.

AIDS-Related Opportunistic Infections↗

A bootstrap method to avoid the effect of concurvity in generalised additive models in time series studies of air pollution.

BACKGROUND: In recent years a great number of studies have applied generalised additive models (GAMs) to time series data to estimate the short term health effects of air pollution. Lately, however, it has been found that concurvity--the non-parametric analogue of multicollinearity--might lead to underestimation of standard errors of the effects of independent variables. Underestimation of standard errors means that for concurvity levels commonly present in the data, the risk of committing type I error rises by over threefold. METHODS: This study developed a conditional bootstrap methology that consists of assuming that the outcome in any observation is conditional upon the values of the set of independent variables used. It then tested this procedure by means of a simulation study using a Poisson additive model. The response variable of this model is a function of an unobserved confounding variable (that introduces trend and seasonality), real black smoke data, and temperature. Scenarios were created with different coefficients and degrees of concurvity. RESULTS: Conditional bootstrap provides confidence intervals with coverages close to nominal (95%), irrespective of the degree of concurvity, number of variables in the model or magnitude of the coefficient to be estimated (for example, for a concurvity of 0.85, bootstrap confidence interval coverage is 95% compared with 71% in the case of the asymptotic interval obtained directly with S-plus gam function). CONCLUSIONS: The bootstrap method avoids the problem of concurvity in time series studies of air pollution, and is easily generalised to non-linear dose-risk effects. All bootstrap calculations described in this paper can be performed using S-Plus gam.boot software.

Air Pollution↗