Deep learning health space model for ordered responses

Abstract Background As personalized medicine becomes more prevalent, the objective measurement and visualization of an individual’s health status are becoming increasingly crucial. However, as the dimensions of data collected from each individual increase, this task becomes more challenging. The Hea...

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Main Authors: Chanhee Lee, Taesung Park
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Medical Informatics and Decision Making
Subjects:
Online Access:https://doi.org/10.1186/s12911-025-03026-3
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author Chanhee Lee
Taesung Park
author_facet Chanhee Lee
Taesung Park
author_sort Chanhee Lee
collection DOAJ
description Abstract Background As personalized medicine becomes more prevalent, the objective measurement and visualization of an individual’s health status are becoming increasingly crucial. However, as the dimensions of data collected from each individual increase, this task becomes more challenging. The Health Space (HS) model provides a statistical framework for visualizing an individual’s health status on biologically meaningful axes. In our previous study, we developed HS models using statistical models such as logistic regression model (LRM) and the proportional odds model (POM). However, these statistical HS models are limited in their ability to accommodate complex non-linear biological relationships. Methods In order to model complex non-linear biological relationship, we developed deep learning HS models. Specifically, we formulated five distinct deep learning HS models: four standard binary deep neural networks (DNNs) for binary outcomes and one deep ordinal neural network (DONN) that accounts for the ordinality of the dependent variable. We trained these models using 32,140 samples from the Korea National Health and Nutrition Examination Survey (KNHANES) and validated them with data from the Ewha-Boramae cohort (862 samples) and the Korea Association Resource (KARE) project (3,199 samples). Results The proposed deep learning HS models were compared with the existing statistical HS model based on the POM. Deep learning HS model using DONN demonstrated the best performance in discriminating health status in both the training and external datasets. Conclusion We developed deep learning HS models to capture complex non-linear biological relationships in HS and compared their performance with our previously best-performing statistical HS model. The deep learning HS models show promise as effective tools for objectively and meaningfully visualizing an individual’s health status. Clinical trial number Not applicable.
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spelling doaj-art-3c9107429c634b1ca44c45c705ee1fb72025-08-20T03:07:51ZengBMCBMC Medical Informatics and Decision Making1472-69472025-05-0125111010.1186/s12911-025-03026-3Deep learning health space model for ordered responsesChanhee Lee0Taesung Park1Interdisciplinary Program in Bioinformatics, Seoul National UniversityInterdisciplinary Program in Bioinformatics, Seoul National UniversityAbstract Background As personalized medicine becomes more prevalent, the objective measurement and visualization of an individual’s health status are becoming increasingly crucial. However, as the dimensions of data collected from each individual increase, this task becomes more challenging. The Health Space (HS) model provides a statistical framework for visualizing an individual’s health status on biologically meaningful axes. In our previous study, we developed HS models using statistical models such as logistic regression model (LRM) and the proportional odds model (POM). However, these statistical HS models are limited in their ability to accommodate complex non-linear biological relationships. Methods In order to model complex non-linear biological relationship, we developed deep learning HS models. Specifically, we formulated five distinct deep learning HS models: four standard binary deep neural networks (DNNs) for binary outcomes and one deep ordinal neural network (DONN) that accounts for the ordinality of the dependent variable. We trained these models using 32,140 samples from the Korea National Health and Nutrition Examination Survey (KNHANES) and validated them with data from the Ewha-Boramae cohort (862 samples) and the Korea Association Resource (KARE) project (3,199 samples). Results The proposed deep learning HS models were compared with the existing statistical HS model based on the POM. Deep learning HS model using DONN demonstrated the best performance in discriminating health status in both the training and external datasets. Conclusion We developed deep learning HS models to capture complex non-linear biological relationships in HS and compared their performance with our previously best-performing statistical HS model. The deep learning HS models show promise as effective tools for objectively and meaningfully visualizing an individual’s health status. Clinical trial number Not applicable.https://doi.org/10.1186/s12911-025-03026-3Biologically interpretable visualizationHealth space modelDeep ordinal neural network
spellingShingle Chanhee Lee
Taesung Park
Deep learning health space model for ordered responses
BMC Medical Informatics and Decision Making
Biologically interpretable visualization
Health space model
Deep ordinal neural network
title Deep learning health space model for ordered responses
title_full Deep learning health space model for ordered responses
title_fullStr Deep learning health space model for ordered responses
title_full_unstemmed Deep learning health space model for ordered responses
title_short Deep learning health space model for ordered responses
title_sort deep learning health space model for ordered responses
topic Biologically interpretable visualization
Health space model
Deep ordinal neural network
url https://doi.org/10.1186/s12911-025-03026-3
work_keys_str_mv AT chanheelee deeplearninghealthspacemodelfororderedresponses
AT taesungpark deeplearninghealthspacemodelfororderedresponses