A probabilistic SVM based decision system for pain diagnosis

Low back pain (LBP) affects a large proportion of the population and is the main cause of work disabilities worldwide. The mechanism of LBP remains largely unknown and many existing clinical treatment of LBP may be not effective to individual patients. Thus the diagnosis and treatment evaluation is crucial for LBP patients. Probabilistic support vector machine (PSVM) decision system is proposed in this article to deal with the diagnosis and treatment evaluation of LBP. The decision system consists of qualitative knowledge model and quantitative model. Expert knowledge and clinical experience are integrated into the design. To deal with the uncertainties in patients samples, PSVM is employed to learn the decision rules from data. The proposed decision system is applied to LBP patients and achieves better performance than the original system.

[1]  Xuegong Zhang,et al.  Using class-center vectors to build support vector machines , 1999, Neural Networks for Signal Processing IX: Proceedings of the 1999 IEEE Signal Processing Society Workshop (Cat. No.98TH8468).

[2]  G. Andersson Epidemiological features of chronic low-back pain , 1999, The Lancet.

[3]  Shih-Wei Lin,et al.  Particle swarm optimization for parameter determination and feature selection of support vector machines , 2008, Expert Syst. Appl..

[4]  Gregory N Kawchuk,et al.  The accuracy of ultrasonic indentation in detecting simulated bone displacement: a comparison of three techniques. , 2006, Journal of manipulative and physiological therapeutics.

[5]  R. Sherman,et al.  Electromyographic recordings of 5 types of low back pain subjects and non-pain controls in different positions , 1989, Pain.

[6]  R. Adedoyin,et al.  Reliability of rating low back pain with a visual analogue scale and a semantic differential scale , 2004 .

[7]  M A Rauschmann,et al.  [Drug therapy of back pain]. , 2003, Der Orthopade.

[8]  R A Sherman,et al.  Temporal stability of paraspinal electromyographic recordings in low back pain and non-pain subjects. , 1990, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[9]  E. Henley,et al.  A survey of primary care physician practice patterns and adherence to acute low back problem guidelines. , 2000, Archives of family medicine.

[10]  O. Airaksinen,et al.  The efficacy of active rehabilitation in chronic low back pain. Effect on pain intensity, self-experienced disability, and lumbar fatigability. , 1999, Spine.

[11]  Han-Xiong Li,et al.  A probabilistic support vector machine for uncertain data , 2009, 2009 IEEE International Conference on Computational Intelligence for Measurement Systems and Applications.

[12]  Vladimir Vapnik,et al.  Statistical learning theory , 1998 .

[13]  Roger Chou,et al.  Medications for Acute and Chronic Low Back Pain: A Review of the Evidence for an American Pain Society/American College of Physicians Clinical Practice Guideline , 2007, Annals of Internal Medicine.

[14]  M. Briggs,et al.  A descriptive study of the use of visual analogue scales and verbal rating scales for the assessment of postoperative pain in orthopedic patients. , 1999, Journal of pain and symptom management.

[15]  P. Landrigan,et al.  Occupational injury and illness in the United States. Estimates of costs, morbidity, and mortality. , 1997, Archives of internal medicine.

[16]  S. Mottram,et al.  Functional stability re-training: principles and strategies for managing mechanical dysfunction. , 2001, Manual therapy.

[17]  Yong Hu,et al.  Lumbar muscle electromyographic dynamic topography during flexion-extension. , 2010, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[18]  Gregory N Kawchuk,et al.  Creation of an asymmetrical gradient of back muscle activity and spinal stiffness during asymmetrical hip extension. , 2009, Clinical biomechanics.

[19]  Isabelle Guyon,et al.  Discovering Informative Patterns and Data Cleaning , 1996, Advances in Knowledge Discovery and Data Mining.

[20]  Ricardo Pietrobon,et al.  Prescription of nonsteroidal anti-inflammatory drugs and muscle relaxants for back pain in the United States. , 2004, Spine.

[21]  M Szpalski,et al.  Sociocultural factors and back pain. A population-based study in Belgian adults. , 1994, Spine.

[22]  M Solomonow,et al.  The Ligamento‐Muscular Stabilizing System of the Spine , 1998, Spine.

[23]  Ricardo Pietrobon,et al.  Patterns and Trends in Opioid Use among Individuals with Back Pain in the United States , 2004, Spine.

[24]  R A Deyo,et al.  Medication Use for Low Back Pain in Primary Care , 1998, Spine.

[25]  J. Garrett,et al.  The Use of Muscle Relaxant Medications in Acute Low Back Pain , 2004, Spine.

[26]  Hyun-Woo Cho,et al.  Identification of contributing variables using kernel-based discriminant modeling and reconstruction , 2007, Expert Syst. Appl..

[27]  R. Deyo,et al.  Drug Therapy for Back Pain: Which Drugs Help Which Patients? , 1996, Spine.

[28]  Mu-Chen Chen,et al.  Credit scoring with a data mining approach based on support vector machines , 2007, Expert Syst. Appl..