Enhancing Semantic and Structure Modeling of Diseases for Diagnosis Prediction.

AMIA ... Annual Symposium proceedings. AMIA Symposium Pub Date : 2025-05-22 eCollection Date: 2024-01-01
Hang Lv, Zehai Chen, Yacong Yang, Shuyao Pan, Bo Xiong, Yanchao Tan, Carl Yang
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Abstract

Electronic Health Records (EHRs) are valuable healthcare data, aiding researchers and doctors in improving diagnosis accuracy. Researchers have developed several predictive models by learning disease representations to forecast the potential diagnosis that patients may receive. However, existing studies usually ignore the fine-grained semantic and structure information in EHRs (e.g., the hierarchical relations between diseases and ICD-9 codes), which fails to provide accurate disease representation towards effective diagnosis prediction. To this end, we propose to enhance diagnosis prediction through LabCare, a framework with improved semantic and structure modeling of diseases in EHR data. LabCare can simultaneously capture rich semantic and structural relations among diseases and ICD-9 codes, which is achieved by innovatively integrating language models and box embeddings. Extensive experiments on two EHR datasets show that LabCare surpasses competitors, consistently achieving a 4.29% average improvement in Recall and NDCG metrics.

面向疾病诊断预测的语义和结构建模。
电子健康记录(EHRs)是有价值的医疗保健数据,可帮助研究人员和医生提高诊断准确性。研究人员通过学习疾病表征开发了几种预测模型来预测患者可能接受的潜在诊断。然而,现有的研究往往忽略了电子病历中细粒度的语义和结构信息(如疾病与ICD-9编码之间的层次关系),无法为有效的诊断预测提供准确的疾病表征。为此,我们提出通过LabCare框架来增强诊断预测,LabCare框架改进了EHR数据中疾病的语义和结构建模。LabCare可以同时捕获疾病和ICD-9代码之间丰富的语义和结构关系,这是通过创新地集成语言模型和盒嵌入来实现的。在两个EHR数据集上进行的大量实验表明,LabCare超越了竞争对手,在召回率和NDCG指标上平均提高了4.29%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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