RSMOTE: improving classification performance over imbalanced medical datasets

Introduction Medical diagnosis is a crucial step for patient treatment. However, diagnosis is prone to bias due to imbalanced datasets. To overcome the imbalanced dataset problem, simple minority oversampling technique (SMOTE) was proposed that can generate new synthetic samples at data level to create the balance between minority and majority classes. However, the synthetic samples are generated on a random basis which causes class mixture problem; thus, resulting in deteriorating the classification performance and biased diagnosis. Purpose In order to overcome the SMOTE shortcomings, some modified methods were proposed that try to generate synthetic samples along the line segment of selected minority samples. Most of these methods adopt one of the two policies for selecting minority samples to generate synthetic samples: borderline region sampling or safe region sampling. However, they both suffer from over-generalisation problem. We propose a modified SMOTE-based resampling method called RSMOTE to alleviate the medical imbalanced dataset problem. We provide an in-depth analysis and verify the performance of RSMOTE over imbalanced medical datasets. Methods In this paper, the proposed RSMOTE divides the minority sample domain into four regions (normal, semi-normal, semi-critical, and critical) based on the minority sample density analysis. RSMOTE discovers the minority sample region globally and applies the resampling near a specific group of samples. Results Our analysis and experiments verify that if synthetic samples are generated in the regions with high minority sample density, classification performance will be improved due to low risk of class mixture. Unlike some safe region methods, RSMOTE decides the region of minority samples on a global basis, thus removing the over-generalisation problem. Classic and additional evaluation metrics are considered to measure the effectiveness of the modified method: Recall, FP Rate, Precision, F-Measure, ROC area, and Average Aggregated Metric. We carried out experiments over various imbalanced medical datasets. Conclusion Based on the minority sample density analysis, we propose RSMOTE method that divides the minority sample domain into four regions. The proposed RSMOTE includes four re-sampling methods that each of them carries out resampling on a specific region. According to the experimental results, resampling on the regions with high minority sample density obtained better results while those with lower minority sample density got the inferior results. Thus, we conclude that the RSMOTE is a more flexible resampling method for the imbalanced medical datasets that is capable of generating samples with various minority sample densities.