优点:不规则时间序列慢性病的药物推荐

Shuai Zhang, Jianxin Li, Haoyi Zhou, Qishan Zhu, Shanghang Zhang, Danding Wang
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引用次数: 5

摘要

基于复杂历史电子病历(EMR)的慢性病药物推荐是医学信息学领域的一个重要研究课题,因为病历的采样经常是不规则的,并且存在许多缺失数据。然而,现有的方法大多未能探索动态处方史中的不规则时间序列依赖关系,忽略了动态处方史中的连续相关性。为了填补这一空白,我们提出了基于不规则时间序列的药物推荐网络(merit),该网络利用神经常微分方程(neural ODE)捕获不规则时间序列的依赖关系。同时,利用一个药物-药物相互作用知识图和两个已学习的药物关系图来探索药物的共现性和顺序相关性。我们进一步提出了一种基于注意力的编码器-解码器框架,以结合来自EMR的患者历史信息和药物。此外,我们收集并注释了糖尿病住院患者的药物数据集,并通过将其与几种最先进的药物推荐方法进行比较来证明merit的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
MERITS: Medication Recommendation for Chronic Disease with Irregular Time-Series
Medication recommendation for chronic diseases based on the complex historical electronic medical records (EMR) is an important and challenging research problem in medical informatics because the medical records are often irregularly sampled and contain many missing data. However, most existing approaches fail to explore the irregular time-series dependencies and ignore the consecutive correlation in dynamic prescription history. To fill this gap, we propose the MEdication Recommendation network on Irregular Time-Series (MERITS), which captures the irregular time-series dependencies with the neural ordinary differential equations (Neural ODE). Meanwhile, it leverages a drug-drug interaction knowledge graph and two learned medication relation graphs to explore the co-occurrence and sequential correlations of the medications. We further propose an attention-based encoder-decoder framework to combine the historical information of patients and medications from EMR. Besides, we collect and annotate a diabetes inpatient medication dataset and demonstrate the effectiveness of MERITS by comparing it with several state-of-the-art methods of medication recommendations.
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