• Health Policy and Management
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• v.12 no.2
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• pp.1-22
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• 2002

Since the early 1980s scholars have applied latent structure and other type of finite mixture models from various academic fields. Although the merits of finite mixture model are well documented, the attempt to apply the mixture model to medical service has been relatively rare. The researchers aim to try to fill this gap by introducing finite mixture model and segmenting inpatients DB from one general hospital. In section 2 finite mixture models are compared with clustering, chi-square analysis, and discriminant analysis based on Wedel and Kamakura(2000)'s segmentation methodology schemata. The mixture model shows the optimal segments number and fuzzy classification for each observation by EM(expectation-maximization algorism). The finite mixture model is to unfix the sample, to Identify the groups, and to estimate the parameters of the density function underlying the observed data within each group. In section 3 and 4 we illustrate results of segmenting 4510 patients data including menial and ratio scales. And then, we show AHP can be identify the attractiveness of each segment, in which the decision maker can select the best target segment.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.14
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• pp.5721-5727
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• 2014

Objectives: To evaluate the performance of clustering methods used in the prognostic assessment of categorical clinical data for hepatocellular carcinoma (HCC) patients in China, and establish a predictable prognostic nomogram for clinical decisions. Materials and Methods: A total of 332 newly diagnosed HCC patients treated with hepatic resection during 2006-2009 were enrolled. Patients were regularly followed up at outpatient clinics. Clustering methods including the Average linkage, k-modes, fuzzy k-modes, PAM, CLARA, protocluster, and ROCK were compared by Monte Carlo simulation, and the optimal method was applied to investigate the clustering pattern of the indices including platelet count, platelet/lymphocyte ratio (PLR) and serum aspartate aminotransferase activity/platelet count ratio index (APRI). Then the clustering variable, age group, tumor size, number of tumor and vascular invasion were studied in a multivariable Cox regression model. A prognostic nomogram was constructed for clinical decisions. Results: The ROCK was best in both the overlapping and non-overlapping cases performed to assess the prognostic value of platelet-based indices. Patients with categorical platelet-based indices significantly split across two clusters, and those with high values, had a high risk of HCC recurrence (hazard ratio [HR] 1.42, 95% CI 1.09-1.86; p<0.01). Tumor size, number of tumor and blood vessel invasion were also associated with high risk of HCC recurrence (all p< 0.01). The nomogram well predicted HCC patient survival at 3 and 5 years. Conclusions: A cluster of platelet-based indices combined with other clinical covariates could be used for prognosis evaluation in HCC.

• Journal of Broadcast Engineering
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• v.22 no.5
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• pp.608-617
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• 2017

Methods of contrast enhancement have problem such as side effect of over-enhancement with non-gaussian histogram distribution, tradeoff enhancement efficiency against brightness preserving. In order to enhance contrast at various histogram distribution, segmentation to region with gaussian distribution and then enhance contrast each region. First, we segment an image into several regions using GMM(Gaussian Mixture Model)fitting by that k-mean clustering and EM(Expectation-Maximization) in $L^*a^*b^*$ color space. As a result region segmentation, we get the region map and probability map. Then we apply local contrast enhancement algorithm that mean shift to minimum overlapping of each region and preserve brightness histogram equalization. Experiment result show that proposed region based contrast enhancement method compare to the conventional method as AMBE(AbsoluteMean Brightness Error) and AE(Average Entropy), brightness is maintained and represented detail information.

• Journal of the Korean Institute of Intelligent Systems
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• v.24 no.5
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• pp.529-535
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• 2014

In this paper, we propose a hybrid approach towards multiple kernels interval type-2 possibilistic fuzzy C-means(PFCM) based on interval type-2 possibilistic fuzzy c-means(IT2PFCM) and possibilistic fuzzy c-means using multiple kernels( PFCM-MK). In case of noisy data or overlapping cluster prototypes, fuzzy C-means gives poor performance in comparison to possibilistic fuzzy C-means(PFCM). Moreover, to address the uncertainty associated with fuzzifier parameter m, interval type-2 possibilistic fuzzy C-means(PFCM) is used. Most of the practical data available are complex and non-linearly separable. In such cases using Gaussian kernels proves helpful. Therefore, in order to overcome all these issues, we have integrated multiple kernels possibilistic fuzzy C-means(PFCM) into interval type-2 possibilistic fuzzy C-means(IT2PFCM) and propose the idea of multiple kernels based interval type-2 possibilistic fuzzy C-means(IT2PFCM-MK).