Key result
Feature selection performed outside of cross-validation yielded classification accuracies approximately 10% higher than when performed within cross-validation, demonstrating inflated performance due to selection bias.
Why the study?
Many machine learning studies uncovering neuropsychiatric biomarkers omit cross-validation or perform it incorrectly, leading to biased results and overfitting from feature selection with high-dimensional features.
Absolute Event Rate: 77.09% vs 68.02%
Performing feature selection outside of cross-validation leads to inflated prediction accuracies due to data leakage and overfitting.
Clinicians should view EEG biomarker accuracies skeptically; leaves open reliable neuropsychiatric predictions until feature selection is embedded in cross-validation.
In recent years, machine learning techniques have been frequently applied to uncovering neuropsychiatric biomarkers with the aim of accurately diagnosing neuropsychiatric diseases and predicting treatment prognosis. However, many studies did not perform cross validation (CV) when using machine learning techniques, or others performed CV in an incorrect manner, leading to significantly biased results due to overfitting problem. The aim of this study is to investigate the impact of CV on the prediction performance of neuropsychiatric biomarkers, in particular, for feature selection performed with high-dimensional features. To this end, we evaluated prediction performances using both simulation data and actual electroencephalography (EEG) data. The overall prediction accuracies of the feature selection method performed outside of CV were considerably higher than those of the feature selection method performed within CV for both the simulation and actual EEG data. The differences between the prediction accuracies of the two feature selection approaches can be thought of as the amount of overfitting due to selection bias. Our results indicate the importance of correctly using CV to avoid biased results of prediction performance of neuropsychiatric biomarkers.
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Shim et al. (2021) studied Post-traumatic stress disorder (PTSD) (n=116). Feature selection performed outside of cross-validation vs. Feature selection performed within cross-validation was evaluated on Mean classification accuracy using Support Vector Machine (SVM) on actual EEG data. Feature selection performed outside of cross-validation yielded classification accuracies approximately 10% higher than when performed within cross-validation, demonstrating inflated performance due to selection bias.
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