Supervised machine learning and associated algorithms: applications in orthopedic surgery.

Journal: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
Published Date:

Abstract

Supervised learning is the most common form of machine learning utilized in medical research. It is used to predict outcomes of interest or classify positive and/or negative cases with a known ground truth. Supervised learning describes a spectrum of techniques, ranging from traditional regression modeling to more complex tree boosting, which are becoming increasingly prevalent as the focus on "big data" develops. While these tools are becoming increasingly popular and powerful, there is a paucity of literature available that describe the strengths and limitations of these different modeling techniques. Typically, there is no formal training for health care professionals in the use of machine learning models. As machine learning applications throughout medicine increase, it is important that physicians and other health care professionals better understand the processes underlying application of these techniques. The purpose of this study is to provide an overview of commonly used supervised learning techniques with recent case examples within the orthopedic literature. An additional goal is to address disparities in the understanding of these methods to improve communication within and between research teams.

Authors

  • James A Pruneski
    Department of Orthopedic Surgery, Boston Children's Hospital, Boston, MA, USA.
  • Ayoosh Pareek
    Department of Orthopaedic Surgery and Sports Medicine, Mayo Clinic, Rochester, Minnesota, USA.
  • Kyle N Kunze
    Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA.
  • R Kyle Martin
    Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota, USA rkylemmartin@gmail.com.
  • Jón Karlsson
    Orthopaedic Research Department, Göteborg University, Göteborg, SE, Sweden.
  • Jacob F Oeding
    School of Medicine, Mayo Clinic Alix School of Medicine Rochester Minnesota USA.
  • Ata M Kiapour
    Department of Orthopaedic Surgery and Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
  • Benedict U Nwachukwu
    Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.
  • Riley J Williams
    Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.