Revolutionizing clinical decision making through deep learning and topic modeling for pathway optimization.

IF 3.9 2区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES
Liu Tianzhao, He Jinzhi, Zhou Rong, Song Jun, Liu Hailong, Liang Yan
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引用次数: 0

Abstract

Optimizing clinical pathways is pivotal for enhancing healthcare delivery, yet traditional methods are increasingly insufficient in the face of complex, personalized medical demands. This paper introduces an innovative optimization framework that fuses Latent Dirichlet Allocation (LDA) topic modeling with Bidirectional Long Short-Term Memory (BiLSTM) networks to address the complexities of modern healthcare. The LDA component elucidates key diagnostic and treatment patterns from clinical narratives, while the BiLSTM network adeptly captures the temporal progression of patient care. Our model was validated against a real-world medical dataset, achieving remarkable results with an accuracy of over 90%, precision exceeding 28% improvement, recall with a 21% enhancement, and an F1 score that reflects a 25% increase over existing models. These results were obtained through comparative analysis with established models such as DeepCare, Doctor AI, and LSTM variants, showcasing the superior predictive capabilities of our LDA-BiLSTM integrated approach. This study not only advances the academic discourse on clinical pathway management but also presents a tangible tool for healthcare practitioners, promising a significant impact on the customization and efficacy of clinical pathways, thereby enhancing patient care and satisfaction.

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通过深度学习和主题建模进行路径优化,彻底改变临床决策。
优化临床路径是增强医疗服务的关键,然而面对复杂、个性化的医疗需求,传统方法越来越不够。本文介绍了一个创新的优化框架,该框架融合了潜在狄利克雷分配(LDA)主题建模和双向长短期记忆(BiLSTM)网络,以解决现代医疗保健的复杂性。LDA组件从临床叙述中阐明关键的诊断和治疗模式,而BiLSTM网络熟练地捕捉患者护理的时间进展。我们的模型针对现实世界的医疗数据集进行了验证,取得了显著的结果,准确率超过90%,精度提高超过28%,召回率提高21%,F1分数比现有模型提高了25%。这些结果是通过与DeepCare、Doctor AI和LSTM变体等已建立的模型进行比较分析获得的,显示了我们的LDA-BiLSTM集成方法的卓越预测能力。本研究不仅推动了临床路径管理的学术论述,而且为医疗从业者提供了一个切实的工具,有望对临床路径的定制和疗效产生重大影响,从而提高患者的护理和满意度。
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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来源期刊
Scientific Reports
Scientific Reports Natural Science Disciplines-
CiteScore
7.50
自引率
4.30%
发文量
19567
审稿时长
3.9 months
期刊介绍: We publish original research from all areas of the natural sciences, psychology, medicine and engineering. You can learn more about what we publish by browsing our specific scientific subject areas below or explore Scientific Reports by browsing all articles and collections. Scientific Reports has a 2-year impact factor: 4.380 (2021), and is the 6th most-cited journal in the world, with more than 540,000 citations in 2020 (Clarivate Analytics, 2021). •Engineering Engineering covers all aspects of engineering, technology, and applied science. It plays a crucial role in the development of technologies to address some of the world''s biggest challenges, helping to save lives and improve the way we live. •Physical sciences Physical sciences are those academic disciplines that aim to uncover the underlying laws of nature — often written in the language of mathematics. It is a collective term for areas of study including astronomy, chemistry, materials science and physics. •Earth and environmental sciences Earth and environmental sciences cover all aspects of Earth and planetary science and broadly encompass solid Earth processes, surface and atmospheric dynamics, Earth system history, climate and climate change, marine and freshwater systems, and ecology. It also considers the interactions between humans and these systems. •Biological sciences Biological sciences encompass all the divisions of natural sciences examining various aspects of vital processes. The concept includes anatomy, physiology, cell biology, biochemistry and biophysics, and covers all organisms from microorganisms, animals to plants. •Health sciences The health sciences study health, disease and healthcare. This field of study aims to develop knowledge, interventions and technology for use in healthcare to improve the treatment of patients.
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