Key result
Support vector machine models accurately predict MAP drops, cutting computation time by 6 orders of magnitude.
Why the study?
Surrogate models can reduce computation time for complex physiological models, but methods for their creation and accuracy assessment require clarification.
Effect estimate: Average error -0.05 ± 2.47 mmHg (Small) and -0.3 ± 3.94 mmHg (HumMod)
Surrogate modeling using support vector machine regressions can accurately predict complex physiological model outcomes while reducing computation time by 6 orders of magnitude.
A surrogate model is a black box model that reproduces the output of another more complex model at a single time point. This is to be distinguished from the method of surrogate data, used in time series. The purpose of a surrogate is to reduce the time necessary for a computation at the cost of rigor and generality. We describe a method of constructing surrogates in the form of support vector machine (SVM) regressions for the purpose of exploring the parameter space of physiological models. Our focus is on the methodology of surrogate creation and accuracy assessment in comparison to the original model. This is done in the context of a simulation of hemorrhage in one model, "Small", and renal denervation in another, HumMod. In both cases, the surrogate predicts the drop in mean arterial pressure following the intervention. We asked three questions concerning surrogate models: (1) how many training examples are necessary to obtain an accurate surrogate, (2) is surrogate accuracy homogeneous, and (3) how much can computation time be reduced when using a surrogate. We found the minimum training set size that would guarantee maximal accuracy was widely variable, but could be algorithmically generated. The average error for the pressure response to the protocols was -0.05±2.47 in Small, and -0.3 +/- 3.94 mmHg in HumMod. In the Small model, error grew with actual pressure drop, and in HumMod, larger pressure drops were overestimated by the surrogates. Surrogate use resulted in a 6 order of magnitude decrease in computation time. These results suggest surrogate modeling is a valuable tool for generating predictions of an integrative model's behavior on densely sampled subsets of its parameter space.
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Pruett et al. (2016) studied Hemorrhage and Renal Denervation (Simulated) (n=2,000). Support Vector Machine (SVM) surrogate model vs. Original integrative physiological models (Small and HumMod) was evaluated on Difference in predicted mean arterial pressure drop between surrogate and original model (Average error -0.05 ± 2.47 mmHg (Small) and -0.3 ± 3.94 mmHg (HumMod)). Support Vector Machine surrogate models accurately predicted the drop in mean arterial pressure with an average error of -0.05 ± 2.47 mmHg in the Small model and -0.3 ± 3.94 mmHg in HumMod, reducing computation time by 6 orders of magnitude.
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