Subpopulation-specific confidence designation for more informative biomedical classification

ObjectiveAlthough classification algorithms are promising tools to support clinical diagnosis and treatment of disease, the usual implicit assumption underlying these algorithms, that all patients are homogeneous with respect to characteristics of interest, is unsatisfactory. The objective here is to exploit the population heterogeneity reflected by characteristics that may not be apparent and thus not controlled, in order to differentiate levels of classification accuracy between subpopulations and further the goal of tailoring therapies on an individual basis.Methods and materialsA new subpopulation-based confidence approach is developed in the context of a selective voting algorithm defined by an ensemble of convex-hull classifiers. Populations of training samples are divided into three subpopulations that are internally homogeneous, with different levels of predictivity. Two different distance measures are used to cluster training samples into subpopulations and assign test samples to these subpopulations.ResultsValidation of the new approach's levels of confidence of classification is carried out using six publicly available datasets. Our approach demonstrates a positive correspondence between the predictivity designations derived from training samples and the classification accuracy of test samples. The average difference between highest- and lowest-confidence accuracies for the six datasets is 17.8%, with a minimum of 11.3% and a maximum of 24.1%.ConclusionThe classification accuracy increases as the designated confidence increases.