Now showing 1 - 9 of 9
  • Publication
    Short-term predictor for COVID-19 severity from a longitudinal multi-omics study for practical application in intensive care units
    ( 2024) ;
    Hahnefeld, Lisa
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    Kloka, Jan Andreas
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    Nürenberg-Goloub, Elena
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    Zinn, Sebastian
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    Vehrenschild, Maria
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    Zacharowski, Kai
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    Lindau, Simone
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    Ulrich, Evelyn
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    Schwäble, Joachim
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    Gurke, Robert
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    Dorochow, Erika
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    Bennett, Alexandre
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    Dauth, Stephanie
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    Campe, Julia
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    Knape, Tilo
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    Laux, Volker
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    Kannt, Aimo
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    Köhm, Michaela
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    Resch, Eduard
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    Behrens, Frank
    Background: The COVID-19 pandemic challenged the management of technical and human resources in intensive care units (ICU) across the world. Several long-term predictors for COVID-19 disease progression have been discovered. However, predictors to support short-term planning of resources and medication that can be translated to future pandemics are still missing. A workflow was established to identify a predictor for short-term COVID-19 disease progression in the acute phase of intensive care patients to support clinical decision-making. Methods: Thirty-two patients with SARS-CoV-2 infection were recruited on admission to the ICU and clinical data collected. During their hospitalization, plasma samples were acquired from each patient on multiple occasions, excepting one patient for which only one time point was possible, and the proteome (Inflammation, Immune Response and Organ Damage panels from Olink® Target 96), metabolome and lipidome (flow injection analysis and liquid chromatography-mass spectrometry) analyzed for each sample. Patient visits were grouped according to changes in disease severity based on their respiratory and organ function, and evaluated using a combination of statistical analysis and machine learning. The resulting short-term predictor from this multi-omics approach was compared to the human assessment of disease progression. Furthermore, the potential markers were compared to the baseline levels of 50 healthy subjects with no known SARS-CoV-2 or other viral infections. Results: A total of 124 clinical parameters, 271 proteins and 782 unique metabolites and lipids were assessed. The dimensionality of the dataset was reduced, selecting 47 from the 1177 parameters available following down-selection, to build the machine learning model. Subsequently, two proteins (C-C motif chemokine 7 (CCL7) and carbonic anhydrase 14 (CA14)) and one lipid (hexosylceramide 18:2; O2/20:0) were linked to disease progression in the studied SARS-CoV-2 infections. Thus, a predictor delivering the prognosis of an upcoming worsening of the patient's condition up to five days in advance with a reasonable accuracy (79 % three days prior to event, 84 % four to five days prior to event) was found. Interestingly, the predictor's performance was complementary to the clinicians' capabilities to foresee a worsening of a patient. Conclusion: This study presents a workflow to identify omics-based biomarkers to support clinical decision-making and resource management in the ICU. This was successfully applied to develop a short-term predictor for aggravation of COVID-19 symptoms. The applied methods can be adapted for future small cohort studies.
  • Publication
    A machine learning method for the identification and characterization of novel COVID-19 drug targets
    ( 2023-05-03) ;
    Delong, Lauren Nicole
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    Masny, Aliaksandr
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    Lentzen, Manuel
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    Dijk, David van
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    Hansen, Anne Funck
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    Kannt, Aimo
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    Foldenauer, Ann Christina
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    Resch, Eduard
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    Frank, Kevin
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    Laue, Hendrik
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    Hirsch, Jochen
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    Wischnewski, Marco
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    Tom Kodamullil, Alpha
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    Gemünd, Andre
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    Fluck, Juliane
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    Steinborn, Carina
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    Hermanowski, Helena
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    Klein, Jürgen
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    Knieps, Meike
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    Wendland, Philipp Johannes
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    Wegner, Philipp
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    Lentzen, Manuel
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    In addition to vaccines, the World Health Organization sees novel medications as an urgent matter to fight the ongoing COVID-19 pandemic. One possible strategy is to identify target proteins, for which a perturbation by an existing compound is likely to benefit COVID-19 patients. In order to contribute to this effort, we present GuiltyTargets-COVID-19 (https://guiltytargets-covid.eu/), a machine learning supported web tool to identify novel candidate drug targets. Using six bulk and three single cell RNA-Seq datasets, together with a lung tissue specific protein-protein interaction network, we demonstrate that GuiltyTargets-COVID-19 is capable of (i) prioritizing meaningful target candidates and assessing their druggability, (ii) unraveling their linkage to known disease mechanisms, (iii) mapping ligands from the ChEMBL database to the identified targets, and (iv) pointing out potential side effects in the case that the mapped ligands correspond to approved drugs. Our example analyses identified 4 potential drug targets from the datasets: AKT3 from both the bulk and single cell RNA-Seq data as well as AKT2, MLKL, and MAPK11 in the single cell experiments. Altogether, we believe that our web tool will facilitate future target identification and drug development for COVID-19, notably in a cell type and tissue specific manner.
  • Publication
    Uncovering Chains of Infections through Spatio-Temporal and Visual Analysis of COVID-19 Contact Traces
    A major challenge for departments of public health (DPHs) in dealing with the ongoing COVID-19 pandemic is tracing contacts in exponentially growing SARS-CoV-2 infection clusters. Prevention of further disease spread requires a comprehensive registration of the connections between individuals and clusters. Due to the high number of infections with unknown origin, the healthcare analysts need to identify connected cases and clusters through accumulated epidemiological knowledge and the metadata of the infections in their database. Here we contribute a visual analytics dashboard to identify, assess and visualize clusters in COVID-19 contact tracing networks. Additionally, we demonstrate how graph-based machine learning methods can be used to find missing links between infection clusters and thus support the mission to get a comprehensive view on infection events. This work was developed through close collaboration with DPHs in Germany. We argue how our dashboard supports the identification of clusters by public health experts, discuss ongoing developments and possible extensions.
  • Publication
    Overview with details for exploring geo-located graphs on maps
    ( 2016)
    Brodkorb, Felix
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    Andrienko, Gennady
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    Andrienko, Natalia
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    Landesberger, Tatiana von
    Geo-located graph drawings often suffer from map visualization problems, such as overplotting of nodes as well as edges and location of parts of the graph being outside of the screen. One cause of these problems is often an irregular distribution of nodes on the map. Zooming and panning do not solve the problems, as they either only show the overview of the whole graph or only the details of a part of the graph. We present an interactive graph drawing technique that overcomes these problems without affecting the overall geographical structure of the graph. First, we introduce a method that uses insets to visualize details of small or remote areas. Second, to prevent the subgraphs within insets from overplotting and edge crossing, we introduce a local area re-arrangement. Moreover, insets are automatically drawn/hidden and repositioned in accordance with the user's navigation. We test our technique on real-world geo-located graph data and show the effectiveness of our approach for showing overview and details at the same time. Additionally, we report on expert feedback concerning our approach.
  • Publication
    The technologically integrated oncosimulator: Combining multiscale cancer modeling with information technology in the in silico oncology context
    ( 2014)
    Stamatakos, Georgios
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    Dionysiou, Dimitra
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    Lunzer, Aran
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    Belleman, Robert
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    Kolokotroni, Eleni
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    Georgiadi, Eleni
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    Pukacki, Juliusz
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    Giatili, Stavroula
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    d`Onofrio, Alberto
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    Sfakianakis, Stelios
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    Marias, Kostas
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    Desmedt, Christine
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    Tsiknakis, Manolis
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    Graf, Norbert
    This paper outlines the major components and function of the Technologically Integrated Oncosimulator developed primarily within the ACGT (Advancing Clinico Genomic Trials on Cancer) project. The Oncosimulator is defined as an information technology system simulating in vivo tumor response to therapeutic modalities within the clinical trial context. Chemotherapy in the neoadjuvant setting, according to two real clinical trials concerning nephroblastoma and breast cancer, has been considered. The spatiotemporal simulation module embedded in the Oncosimulator is based on the multiscale, predominantly top-down, discrete entity - discrete event cancer simulation technique developed by the In Silico Oncology Group, National Technical University of Athens. The technology modules include multiscale data handling, image processing, invocation of code execution via a spreadsheet-inspired environment portal, execution of the code on the grid and visualization of the predictions. A refining scenario for the eventual coupling of the Oncosimulator with immunological models is also presented. Parameter values have been adapted to multiscale clinical trial data in a consistent way, thus supporting the predictive potential of the Oncosimulator. Indicative results demonstrating various aspects of the clinical adaptation and validation process are presented. Completion of these processes is expected to pave the way for the clinical translation of the system.
  • Publication
    Opening up the "black box" of medical image segmentation with statistical shape models
    ( 2013)
    Landesberger, Tatiana von
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    Andrienko, Gennady
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    Andrienko, Natalia
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    Bremm, Sebastian
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    Kirschner, Matthias
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    The importance of medical image segmentation increases in fields like treatment planning or computer aided diagnosis. For high quality automatic segmentations, algorithms based on statistical shape models (SSMs) are often used. They segment the image in an iterative way. However, segmentation experts and other users can only asses the final segmentation results, as the segmentation is performed in a "black box manner". Users cannot get deeper knowledge on how the (possibly bad) output was produced. Moreover, they do not see whether the final output is the result of a stabilized process. We present a novel Visual Analytics method, which offers this desired deeper insight into the image segmentation. Our approach combines interactive visualization and automatic data analysis. It allows the expert to assess the quality development (convergence) of the model both on global (full organ) and local (organ areas, landmarks) level. Thereby, local patterns in time and space, e.g., non-converging parts of the organ during the segmentation, can be identified. The localization and specifications of such problems helps the experts creating segmentation algorithms to identify algorithm drawbacks and thus it may point out possible ways how to improve the algorithms systematically. We apply our approach on real-world data showing its usefulness for the analysis of the segmentation process with statistical shape models.
  • Publication
    Space-in-time and time-in-space self-organizing maps for exploring spatiotemporal patterns
    ( 2010)
    Andrienko, Gennady
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    Andrienko, Natalia
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    Bremm, Sebastian
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    Schreck, Tobias
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    Landesberger, Tatiana von
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    Bak, Peter
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    Keim, Daniel A.
    Spatiotemporal data pose serious challenges to analysts in geographic and other domains. Owing to the complexity of the geospatial and temporal components, this kind of data cannot be analyzed by fully automatic methods but require the involvement of the human analyst's expertise. For a comprehensive analysis, the data need to be considered from two complementary perspectives: (1) as spatial distributions (situations) changing over time and (2) as profiles of local temporal variation distributed over space. In order to support the visual analysis of spatiotemporal data, we suggest a framework based on the "Self-Organizing Map" (SOM) method combined with a set of interactive visual tools supporting both analytic perspectives. SOM can be considered as a combination of clustering and dimensionality reduction. In the first perspective, SOM is applied to the spatial situations at different time moments or intervals. In the other perspective, SOM is applied to the local temporal evolution profiles. The integrated visual analytics environment includes interactive coordinated displays enabling various transformations of spatiotemporal data and post-processing of SOM results. The SOM matrix display offers an overview of the groupings of data objects and their two-dimensional arrangement by similarity. This view is linked to a cartographic map display, a time series graph, and a periodic pattern view. The linkage of these views supports the analysis of SOM results in both the spatial and temporal contexts. The variable SOM grid coloring serves as an instrument for linking the SOM with the corresponding items in the other displays. The framework has been validated on a large dataset with real city traffic data, where expected spatiotemporal patterns have been successfully uncovered. We also describe the use of the framework for discovery of previously unknown patterns in 41-years time series of 7 crime rate attributes in the states of the USA.
  • Publication
    A framework for using self-organizing maps to analyze spatio-temporal patterns, exemplified by analysis of mobile phone usage
    ( 2010)
    Andrienko, Gennady
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    Andrienko, Natalia
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    Bak, Peter
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    Bremm, Sebastian
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    Keim, Daniel A.
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    Landesberger, Tatiana von
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    Pölitz, C.
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    Schreck, Tobias
    We suggest a visual analytics framework for the exploration and analysis of spatially and temporally referenced values of numeric attributes. The framework supports two complementary perspectives on spatio-temporal data: as a temporal sequence of spatial distributions of attribute values (called spatial situations) and as a set of spatially referenced time series of attribute values representing local temporal variations. To handle a large amount of data, we use the self-organising map (SOM) method, which groups objects and arranges them according to similarity of relevant data features. We apply the SOM approach to spatial situations and to local temporal variations and obtain two types of SOM outcomes, called space-in-time SOM and time-in-space SOM, respectively. The examination and interpretation of both types of SOM outcomes are supported by appropriate visualisation and interaction techniques. This article describes the use of the framework by an example scenario of data analysis. We also discuss how the framework can be extended from supporting explorative analysis to building predictive models of the spatio-temporal variation of attribute values. We apply our approach to phone call data showing its usefulness in real-world analytic scenarios.
  • Publication
    Design and narrative structure for the virtual human scenarios
    ( 2007)
    Göbel, Stefan
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    Iurgel, Ido
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    Rössler, Markus
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    This article describes the design of the two application scenarios of the Virtual Human project and its integration into the Virtual Human system. This includes overall concepts and considerations of the demonstrators for the two application scenarios (learning, edutainment) as well as underlying methodic-didactic aspects for knowledge transmission and narrative concepts for story structure and story control during run-time of the system. Hence, in contrast to traditional learning systems with virtual characters as virtual instructors, an exciting and suspenseful interactive information space has been created. On the one hand, the methodic-didactic methods and VH learning model guarantee learning effects, on the other hand narrative structures and an emotion module provide the ground for a playful and exciting story environment, whereby the users can interact and discuss with a set of virtual characters.