arXivDaily arXiv每日学术速递 周一至周五更新
arXiv周末暂无论文更新,休息一下吧,周末愉快~~
arXiv 2304.04062cs.LGcs.AI
收藏

使用多模态深度神经网络预测多发性硬化症疾病严重程度

Predicting multiple sclerosis disease severity with multimodal deep neural networks

University of Texas Health Sciences Center at Houston(休斯顿德克萨斯大学健康科学中心);McGovern Medical School(麦戈文医学院);San Jose State University(圣何塞州立大学)

Kai Zhang, John A. Lincoln, Xiaoqian Jiang, Elmer V. Bernstam, Shayan Shams

AI总结:

提出利用患者多模态纵向EHR数据(结构化EHR、神经影像和临床笔记)构建深度学习框架预测多发性硬化症严重程度,AUROC较单模态提升达25%,并分析了各模态信号量。

摘要:

多发性硬化症(MS)是一种发生在大脑和脊髓中的慢性疾病,可能导致神经的永久性损伤或恶化。MS疾病的严重程度通过扩展残疾状态量表(EDSS)进行监测,该量表由几个功能子分数组成。早期且准确地分类MS疾病严重程度对于通过应用早期治疗干预策略来减缓或预防疾病进展至关重要。深度学习的最新进展和电子健康记录(EHR)的广泛使用为实现这一目标创造了应用数据驱动和预测建模工具的机会。以往专注于使用单模态机器学习和深度学习算法的研究,由于数据不足或模型简单性,在预测准确性方面受到限制。在本文中,我们提出了一种利用患者的多模态纵向和纵向EHR数据来预测医院就诊时多发性硬化症疾病严重程度的想法。这项工作有两个重要贡献。首先,我们描述了一项试点工作,利用结构化EHR数据、神经影像数据和临床笔记构建多模态深度学习框架来预测患者的MS疾病严重程度。与使用单模态数据的模型相比,所提出的流程在受试者工作特征曲线下面积(AUROC)方面显示出高达25%的提升。其次,该研究还提供了关于每种数据模态中嵌入的针对MS疾病预测的有用信号数量的见解,这可能会改善数据收集过程。

英文摘要:

Multiple Sclerosis (MS) is a chronic disease developed in human brain and spinal cord, which can cause permanent damage or deterioration of the nerves. The severity of MS disease is monitored by the Expanded Disability Status Scale (EDSS), composed of several functional sub-scores. Early and accurate classification of MS disease severity is critical for slowing down or preventing disease progression via applying early therapeutic intervention strategies. Recent advances in deep learning and the wide use of Electronic Health Records (EHR) creates opportunities to apply data-driven and predictive modeling tools for this goal. Previous studies focusing on using single-modal machine learning and deep learning algorithms were limited in terms of prediction accuracy due to the data insufficiency or model simplicity. In this paper, we proposed an idea of using patients' multimodal longitudinal and longitudinal EHR data to predict multiple sclerosis disease severity at the hospital visit. This work has two important contributions. First, we describe a pilot effort to leverage structured EHR data, neuroimaging data and clinical notes to build a multi-modal deep learning framework to predict patient's MS disease severity. The proposed pipeline demonstrates up to 25% increase in terms of the area under the Area Under the Receiver Operating Characteristic curve (AUROC) compared to models using single-modal data. Second, the study also provides insights regarding the amount useful signal embedded in each data modality with respect to MS disease prediction, which may improve data collection processes.

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。

↑