arXivDaily arXiv每日学术速递 周一至周五更新
arXiv 2007.12678cs.LGcs.AIstat.ML
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临床医生在环决策:具有近优集值策略的强化学习

Clinician-in-the-Loop Decision Making: Reinforcement Learning with Near-Optimal Set-Valued Policies

University of Michigan(密歇根大学);Michigan Medicine, University of Michigan(密歇根大学密歇根医学院);Institute for Healthcare Policy & Innovation, University of Michigan(密歇根大学医疗政策与创新研究所)

Shengpu Tang, Aditya Modi, Michael W. Sjoding, Jenna Wiens

摘要:

标准的强化学习(RL)旨在找到一个最优策略,为每个状态确定最佳行动。然而,在医疗保健环境中,许多动作可以相对于奖励几乎等同(例如,生存)。我们考虑了另一个目标-学习集值策略,以捕获导致类似累积奖励的近似等价行为。我们提出了一个无模型算法的基础上的时间差异学习和一个近似贪婪的启发式动作选择。我们分析了所提出的算法的理论特性,提供最优性保证,并在模拟环境和实际临床任务上演示了我们的方法。经验上,该算法表现出良好的收敛性能,并发现有意义的近等价行动。我们的工作为临床医生/人在环决策提供了理论和实践基础,其中人类(例如,临床医生,患者)可以结合额外的知识(例如,副作用、患者偏好)。

英文摘要:

Standard reinforcement learning (RL) aims to find an optimal policy that identifies the best action for each state. However, in healthcare settings, many actions may be near-equivalent with respect to the reward (e.g., survival). We consider an alternative objective -- learning set-valued policies to capture near-equivalent actions that lead to similar cumulative rewards. We propose a model-free algorithm based on temporal difference learning and a near-greedy heuristic for action selection. We analyze the theoretical properties of the proposed algorithm, providing optimality guarantees and demonstrate our approach on simulated environments and a real clinical task. Empirically, the proposed algorithm exhibits good convergence properties and discovers meaningful near-equivalent actions. Our work provides theoretical, as well as practical, foundations for clinician/human-in-the-loop decision making, in which humans (e.g., clinicians, patients) can incorporate additional knowledge (e.g., side effects, patient preference) when selecting among near-equivalent actions.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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