捕获疾病进展建模中的特征级不规则性

Kaiping Zheng, Wei Wang, Jinyang Gao, K. Ngiam, B. Ooi, J. Yip
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引用次数: 31

摘要

疾病进展模型(Disease progression modeling, DPM)通过分析患者的电子病历(electronic medical records, EMR)来预测患者的健康状态,从而促进慢性病的准确预后、早期发现和治疗。然而,EMR是不规律的,因为患者根据治疗需要不定期访问医院。每次就诊,他们通常会得到不同的诊断,开出各种药物和实验室检查。因此,EMR在特征级别上表现出不规则性。为了解决这个问题,我们提出了一个基于门控循环单元的模型,利用细粒度的特征级时间跨度信息来衰减先前记录的影响,并学习不同特征的衰减参数,以考虑它们在不规则性下的不同行为,如衰减速度。在阿尔茨海默病数据集和慢性肾脏疾病数据集上的大量实验结果表明,我们提出的捕获特征级不规则的模型可以有效地提高DPM的准确性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Capturing Feature-Level Irregularity in Disease Progression Modeling
Disease progression modeling (DPM) analyzes patients' electronic medical records (EMR) to predict the health state of patients, which facilitates accurate prognosis, early detection and treatment of chronic diseases. However, EMR are irregular because patients visit hospital irregularly based on the need of treatment. For each visit, they are typically given different diagnoses, prescribed various medications and lab tests. Consequently, EMR exhibit irregularity at the feature level. To handle this issue, we propose a model based on the Gated Recurrent Unit by decaying the effect of previous records using fine-grained feature-level time span information, and learn the decaying parameters for different features to take into account their different behaviours like decaying speeds under irregularity. Extensive experimental results in both an Alzheimer's disease dataset and a chronic kidney disease dataset demonstrate that our proposed model of capturing feature-level irregularity can effectively improve the accuracy of DPM.
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