一种估计临床试验项目外部状态的推理引擎

Masato Sakata, Zeynep Yücel, K. Shinozawa, N. Hagita, M. Imai, M. Furutani, R. Matsuoka
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引用次数: 1

摘要

常见的定期健康检查包括几种临床检查项目,费用负担得起。然而,这些标准测试并不能直接显示大多数生活方式疾病的迹象。为了发现这些疾病,需要进行一些额外的具体临床检查,这增加了健康检查的费用。本研究旨在丰富我们对常见健康检查的认识,并提出一种基于常见检查的标准测试来估计几种生活方式疾病迹象的方法,而无需进行任何额外的特定测试。通过这种方式,我们实现了一个诊断过程,在这个过程中,医生可能更愿意根据通过一组常见的负担得起的测试进行的估计进行或避免昂贵的测试。为此,用多元核密度估计对标准测试结果和特定测试结果之间的关系进行建模。根据贝叶斯框架评估患者关于特定测试的情况。结果表明,该方法的总体估计精度为84%。此外,对于高成本测试的子集实现了出色的估计准确性。此外,与标准人工智能方法的比较表明,我们的算法优于传统方法。我们的贡献如下:(i)促进负担得起的健康检查,(ii)某些测试的估计准确性高,(iii)由于易于在不同平台和机构上实施而具有泛化能力,(iv)适用于各种测试的灵活性和提高早期检出率的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Inference Engine for Estimating Outside States of Clinical Test Items
Common periodical health check-ups include several clinical test items with affordable cost. However, these standard tests do not directly indicate signs of most lifestyle diseases. In order to detect such diseases, a number of additional specific clinical tests are required, which increase the cost of the health check-up. This study aims to enrich our understanding of the common health check-ups and proposes a way to estimate the signs of several lifestyle diseases based on the standard tests in common examinations without performing any additional specific tests. In this manner, we enable a diagnostic process, where the physician may prefer to perform or avoid a costly test according to the estimation carried out through a set of common affordable tests. To that end, the relation between standard and specific test results is modeled with a multivariate kernel density estimate. The condition of the patient regarding a specific test is assessed following a Bayesian framework. Our results indicate that the proposed method achieves an overall estimation accuracy of 84%. In addition, an outstanding estimation accuracy is achieved for a subset of high-cost tests. Moreover, comparison with standard artificial intelligence methods suggests that our algorithm outperforms the conventional methods. Our contributions are as follows: (i) promotion of affordable health check-ups, (ii) high estimation accuracy in certain tests, (iii) generalization capability due to ease of implementation on different platforms and institutions, (iv) flexibility to apply to various tests and potential to improve early detection rates.
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