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Chapter 5 Machine learning methods for robust parameter estimation  175


















                     Figure 5.7. Absolute errors for all patients after initialization with fixed parameter
                     values (blue, dark gray in print version), after data-driven initialization for
                     increasing amount of training data (white), and after full personalization (green,
                     light gray in print version). Data-driven initialization yielded significantly reduced
                                                           2
                     errors if sufficient training data were available (> 10 ) compared to initialization
                     with fixed values. Full personalization further reduced the errors significantly. Red
                     (mid gray in print version) bar and box edges indicate median absolute error, and
                     25 and 75 percentiles, respectively.

                        were minimized by tuning all three parameters in x simultane-
                        ously. The algorithm terminated once all convergence criteria
                        were satisfied (success) or if the number of forward model eval-
                        uations exceeded 100 (failure).
                     •  CASCADEGEP implements an advanced estimator with strong
                        focus on robustness, which computes the optimum parame-
                        ters in a multi-step iterative fashion as described in [380].
                        To remove bias towards the choice of initial parameter values,
                     for each of the two methods all datasets were personalized 100
                     times with different random, but physiologically plausible (Ω)ini-
                     tializations. We observed significant differences in performance
                     with different initializations, indicating non-convexity of the cost
                     function: the number of successfully personalized cases varied
                     from 13 to 37 for SIMPLEGEP, andfrom31to51for CASCADEGEP,
                     which means a variability of more than 25% of the total number of
                     patients.
                     Full personalization performance First, we evaluated the overall
                     performance of the RL-based method and compared against the
                     reference methods. We ran the full personalization pipeline (off-
                     line learning, initialization, and on-line personalization) on all
                     patients with leave-one-patient-out cross-validation using 1000
                     training episodes per patient and maximum number of iterations
                     set to 100. The green (light gray in print version) box plots in
                     the two panels of Fig. 5.7 summarize the results. The mean ab-
                                                                        ◦
                     solute errors were 4.1 ± 5.6 ms for QRSd and 12.4 ± 13.3 for EA.
                     In comparison, the best SIMPLEGEP run yielded absolute errors
                     of 4.4 ± 10.8 ms for QRSd and 15.5 ± 18.6 for EA on average, and
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