Processing of clinical notes for efficient diagnosis with feedback attention-based BiLSTM.

IF 2.6 4区 医学 Q2 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Medical & Biological Engineering & Computing Pub Date : 2024-10-01 Epub Date: 2024-05-27 DOI:10.1007/s11517-024-03126-8
Nitalaksheswara Rao Kolukula, Sreekanth Puli, Chandaka Babi, Rajendra Prasad Kalapala, Gandhi Ongole, Venkata Murali Krishna Chinta
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Abstract

Predicting a patient's future health state through the analysis of their clinical records is an emerging area in the field of intelligent medicine. It has the potential to assist healthcare professionals in prescribing treatments safely, making more accurate diagnoses, and improving patient care. However, clinical notes have been underutilized due to their complexity, high dimensionality, and sparsity. Nevertheless, these clinical records hold significant promise for enhancing clinical decision. To tackle these problems, a novel feedback attention-based bidirectional long short-term memory (FABiLSTM) model has been proposed for more effective diagnosis using clinical records. This model incorporates PubMedBERT for filtering irrelevant information, enhances global vector word embeddings for numerical representations and K-means clustering, and performs to explore term frequency and inverse document frequency intricacies. The proposed approach excels in capturing information, aiding accurate disease prediction. The predictive capability is further enhanced with the help of a billiards-inspired optimization algorithm. The effectiveness of the FABiLSTM method has been assessed with the MIMIC-III dataset, yielding impressive results in accuracy, precision, F1 score, and recall score of 98.52%, 98%, 98.2%, and 98.2% individually. These results reveal ways in which the proposed technique excels in comparison with current practices.

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利用基于反馈注意力的 BiLSTM 处理临床笔记,实现高效诊断。
通过分析病人的临床记录来预测病人未来的健康状况是智能医学领域的一个新兴领域。它有可能帮助医疗专业人员安全地开出治疗处方、做出更准确的诊断并改善病人护理。然而,由于临床记录的复杂性、高维性和稀疏性,它们一直未得到充分利用。尽管如此,这些临床记录在增强临床决策方面仍大有可为。为了解决这些问题,我们提出了一种新颖的基于反馈注意力的双向长短期记忆(FABiLSTM)模型,以便利用临床记录进行更有效的诊断。该模型结合了用于过滤无关信息的 PubMedBERT,增强了用于数字表示和 K-means 聚类的全局向量词嵌入,并能探索术语频率和反向文档频率的复杂性。所提出的方法在捕捉信息方面表现出色,有助于准确预测疾病。受台球启发的优化算法进一步增强了预测能力。我们利用 MIMIC-III 数据集对 FABiLSTM 方法的有效性进行了评估,结果令人印象深刻,准确率、精确度、F1 分数和召回分数分别达到 98.52%、98%、98.2% 和 98.2%。这些结果揭示了所提出的技术与当前做法相比的优势所在。
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来源期刊
Medical & Biological Engineering & Computing
Medical & Biological Engineering & Computing 医学-工程:生物医学
CiteScore
6.00
自引率
3.10%
发文量
249
审稿时长
3.5 months
期刊介绍: Founded in 1963, Medical & Biological Engineering & Computing (MBEC) continues to serve the biomedical engineering community, covering the entire spectrum of biomedical and clinical engineering. The journal presents exciting and vital experimental and theoretical developments in biomedical science and technology, and reports on advances in computer-based methodologies in these multidisciplinary subjects. The journal also incorporates new and evolving technologies including cellular engineering and molecular imaging. MBEC publishes original research articles as well as reviews and technical notes. Its Rapid Communications category focuses on material of immediate value to the readership, while the Controversies section provides a forum to exchange views on selected issues, stimulating a vigorous and informed debate in this exciting and high profile field. MBEC is an official journal of the International Federation of Medical and Biological Engineering (IFMBE).
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