Meibomian gland dysfunction is the most common cause of dry eye disease, which is a prevalent condition that can damage the ocular surface and cause reduced vision and substantial pain. Meibum secreted from the meibomian glands makes up the majority of the outer, protective lipid layer of the tear film. Changes in the secreted meibum and markers of glandular damage can be detected through tear sampling.
Several studies have investigated the tear film protein expression in meibomian gland dysfunction, but less work apply machine learning to analyze the protein patterns. We use machine learning and methods from explainable artificial intelligence to detect potential clinically relevant proteins in meibomian gland dysfunction. Two different explainable artificial intelligence methods are compared. Several of the proteins found important in the models have been linked to dry eye disease in the past, while some are novel. Consequently, explainable artificial intelligence methods serve as a promising tool for screening for proteins that are relevant for meibomian gland dysfunction. By doing so, one may be able to discover new biomarkers and treatments, and gain a better understanding of how diseases develop.

High-quality tabular data is a crucial requirement for developing data-driven applications, especially healthcare-related ones, because most of the data nowadays collected in this context is in tabular form. However, strict data protection laws complicates the access to medical datasets. Thus, synthetic data has become an ideal alternative for data scientists and healthcare professionals to circumvent such hurdles. Although many healthcare institutions still use the classical de-identification and anonymization techniques for generating synthetic data, deep learning-based generative models such as generative adversarial networks (GANs) have shown a remarkable performance in generating tabular datasets with complex structures. This paper examines the GANs’ potential and applicability within the healthcare industry, which often faces serious challenges with insufficient training data and patient records sensitivity. We investigate several state-of-the-art GAN-based models proposed for tabular synthetic data generation. Healthcare datasets with different sizes, numbers of variables, column data types, feature distributions, and inter-variable correlations are examined. Moreover, a comprehensive evaluation framework is defined to evaluate the quality of the synthetic records and the viability of each model in preserving the patients’ privacy. The results indicate that the proposed models can generate synthetic datasets that maintain the statistical characteristics, model compatibility and privacy of the original data. Moreover, synthetic tabular healthcare datasets can be a viable option in many data-driven applications. However, there is still room for further improvements in designing a perfect architecture for generating synthetic tabular data.

Dry eye disease is a common and potentially debilitating medical condition. Meibum secreted from the meibomian glands is the largest contributor to the outermost, protective lipid layer of the tear film. Dysfunction of the meibomian glands is the most common cause of dry eye disease. As meibomian gland dysfunction progresses, gradual atrophy of the glands is observed. The meibomian glands are commonly visualized through meibography, a technique requiring specialist equipment and knowledge that might not be available to the physician. In the present project we use machine learning on clinical tabular data to predict the degree of meibomian gland dropout. Moreover, we employ explainable artificial intelligence on the best performing algorithms for feature importance evaluation. The best performing algorithms were AdaBoost, multilayer perceptron and LightGBM which outperformed the majority vote baseline classifier in every included evaluation metric for both multioutput and binary classification. Through explainable artificial intelligence known associations are validated and novel connections identified and discussed.