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2022 IEEE 35th International Symposium on Computer-Based Medical Systems (CBMS)最新文献

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Federated Cox Proportional Hazards Model with multicentric privacy-preserving LASSO feature selection for survival analysis from the perspective of personalized medicine 基于多中心隐私保护LASSO特征选择的联邦Cox比例风险模型用于个性化医疗视角下的生存分析
Pub Date : 2022-07-01 DOI: 10.1109/CBMS55023.2022.00012
C. Masciocchi, B. Gottardelli, Mariachiara Savino, L. Boldrini, A. Martino, C. Mazzarella, M. Massaccesi, V. Valentini, A. Damiani
The Cox Proportional Hazards regression is among the most widely used models in clinical and epidemiological research for investigating the association between time-to-event outcomes and multiple predictors, that, in the modern perspective of personalized medicine, tend to belong to ever wider spheres relating to the patient and his medical condition. When the goal is to include a large number of variables in a prediction model, feature selection techniques are often required to ensure a certain level of interpretability of the results and federated learning is necessary to recruit in the study the sufficient number of patients for reliable model outcomes, overcoming the main problems of data privacy and ownership. In this regard, we here propose an adaptation for federated learning of the optimization algorithm of the Cox Proportional Hazards regression model with LASSO regularization as feature selector and we demonstrate the efficacy of our algorithm on real and simulated data sets in a simulated distributed environment with no patient-level data sharing by comparing its model parameter estimation performances with its centralised version.
Cox比例风险回归是临床和流行病学研究中最广泛使用的模型之一,用于调查事件发生时间结果与多个预测因子之间的关系,从现代个性化医疗的角度来看,这些预测因子往往属于与患者及其医疗状况有关的更广泛的领域。当目标是在预测模型中包含大量变量时,通常需要特征选择技术来确保结果具有一定程度的可解释性,并且需要联邦学习来在研究中招募足够数量的患者以获得可靠的模型结果,从而克服数据隐私和所有权的主要问题。在这方面,我们提出了一种适应于Cox比例风险回归模型优化算法的联邦学习,将LASSO正则化作为特征选择器,并通过比较其模型参数估计性能与集中式版本,在模拟分布式环境中,我们的算法在没有患者级数据共享的真实和模拟数据集上的有效性。
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引用次数: 6
A Drug Repositioning Approach Using Drug and Disease Features 利用药物和疾病特征的药物重新定位方法
Pub Date : 2022-07-01 DOI: 10.1109/CBMS55023.2022.00041
Jialan Tang, Baiying Lei, Weilin Chen
Drug repositioning is an important method in drug discovery. Experiment-based drug discovery is time-consuming and expensive. In recent years, methods based on heterogeneous networks have attracted research interest in this area due to the advantages in this task. By adding features fused from different drug networks and disease features mined from biomedical texts, the prediction effect can be improved. This paper proposes a drug repositioning method using the multi-modal deep autoencoder (MDA) method, which obtains better drug features after fusing several drug networks. Then, in order to predict the links between drug and diseases, disease traits are taken from the text data of biomedical information and combined with the known drug-disease combinations. Specifically, after feature fusion using MDA method, we also use a sparse multi-layer autoencoder (SMAE) to obtain low-dimensional and high-quality drug vector representation, and prove the effectiveness of SMAE module in our ablation experiment. Experimental results indicate that this model can outperform existing methods.
药物重新定位是药物发现的重要方法。基于实验的药物发现既耗时又昂贵。近年来,基于异构网络的方法由于其在任务中的优势而引起了该领域的研究兴趣。通过加入不同药物网络融合的特征和从生物医学文本中挖掘的疾病特征,可以提高预测效果。本文提出了一种基于多模态深度自编码器(MDA)方法的药物重新定位方法,该方法在融合多个药物网络后获得更好的药物特征。然后,从生物医学信息的文本数据中提取疾病特征,并结合已知的药物-疾病组合,预测药物与疾病之间的联系。具体来说,在使用MDA方法进行特征融合后,我们还使用稀疏多层自编码器(SMAE)获得低维高质量的药物向量表示,并在消融实验中证明了SMAE模块的有效性。实验结果表明,该模型优于现有的方法。
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引用次数: 0
Deep learning to extract Breast Cancer diagnosis concepts 深度学习提取乳腺癌诊断概念
Pub Date : 2022-07-01 DOI: 10.1109/CBMS55023.2022.00010
O. S. Pabón, M. Torrente, Alvaro Garcia-Barragán, M. Provencio, Ernestina Menasalvas Ruiz, Víctor Robles
The wide adoption of electronic health records (EHRs) provides a potential source to support clinical research. The Bidirectional Encoder Representations from Transformers (BERT) has shown promising results in extracting information in the biomedical domain, including the cancer field. However, one of the challenges in the cancer domain is annotating resources to support information extraction. In this paper, we will show how models trained in a lung cancer corpus can be used to extract cancer concepts even in other cancer types. In particular, we will show the performance of BERT models on breast cancer data that was not used to train the models. Results are very promising as they show the possibility of applying deep learning-based models to predict cancer concepts in a different dataset to the one they were trained on, representing a considerable save of time and resources.
电子健康记录(EHRs)的广泛采用为支持临床研究提供了一个潜在的来源。变形器的双向编码器表示(BERT)在生物医学领域,包括癌症领域的信息提取方面显示出了很好的结果。然而,癌症领域的挑战之一是注释资源以支持信息提取。在本文中,我们将展示在肺癌语料库中训练的模型如何用于提取其他癌症类型的癌症概念。特别是,我们将展示BERT模型在未用于训练模型的乳腺癌数据上的性能。结果非常有希望,因为它们显示了应用基于深度学习的模型在不同的数据集中预测癌症概念的可能性,这代表了相当多的时间和资源节省。
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引用次数: 2
Analysing Out-patient Demand and Forecasting Theatre Requirements in a Teaching Hospital 某教学医院门诊需求分析与手术室需求预测
Pub Date : 2022-07-01 DOI: 10.1109/CBMS55023.2022.00049
Ian Darbey, B. Kane
Understanding demand on healthcare services is critical to inform resourcing decisions for service demands. We ask two questions: 1) Can out-patient (OPD) demand for the plastic and reconstructive services be forecast? 2) Can we predict theatre requirements in terms of volume, type or complexity? The use of Time Series Analysis (TSA), simulation modelling, data-driven methods including data mining are reviewed to address the questions. Starting with a knowledge-discovery in databases methodology, Autoregressive integrated moving average (ARIMA) TSA is applied to forecast OPD referral demand. Monte Carlo simulation (MCs) is used to forecast the theatre requirements in terms of type, complexity, volume, and duration. The ARIMA modelling forecasts 4,151 OPD referrals in the coming 12 months, which results in the requirement for 499 theatre sessions with intensive care facilities (total of 671 surgical intervention procedures); 301 minor theatre sessions (total of 1,836 procedures) and 206 theatre sessions (total of 761 procedures). Surgical intervention (procedure) types and theatre requirements form the research output that predicts an increase in theatre capacity is required to keep pace with demand in the short term. The insight provided into issues allows informed strategy development and decision-making. Our methodology can be easily adapted and applied to other surgical specialities with similar datasets.
了解对医疗保健服务的需求对于为服务需求的资源决策提供信息至关重要。我们提出了两个问题:1)能否预测整形和重建服务的门诊需求?2)我们能否预测剧院在数量、类型或复杂性方面的需求?本文回顾了时间序列分析(TSA)、仿真建模、数据驱动方法(包括数据挖掘)的使用来解决这些问题。从数据库中的知识发现方法开始,应用自回归综合移动平均(ARIMA) TSA预测门诊转诊需求。蒙特卡罗模拟(MCs)用于预测剧院在类型、复杂性、体积和持续时间方面的需求。ARIMA模型预测,未来12个月将有4,151名门诊医生转诊,这就需要499个带有重症监护设施的手术室(总共671次外科干预手术);301次小手术(总共1836个手术)和206次手术(总共761个手术)。手术干预(程序)类型和手术室要求构成了研究成果,预测在短期内需要增加手术室容量以满足需求。对问题提供的洞察力允许明智的战略发展和决策。我们的方法可以很容易地适应并应用于其他具有类似数据集的外科专业。
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引用次数: 0
Combining heterogeneous patient-level data into tranSMART to support multicentre studies 将异质患者级数据整合到tranSMART以支持多中心研究
Pub Date : 2022-07-01 DOI: 10.1109/CBMS55023.2022.00018
João Rafael Almeida, Luís Bastião Silva, A. Pazos, J. L. Oliveira
Many medical studies have been conducted aiming for better understanding of the causes of diseases and to assist in treatments and protective factors. In some cases, these studies do not produce impactful findings due to the small number of participants. Some initiatives already invested efforts in conducting multicentre studies, which raises other technical challenges due to the heterogeneity of datasets. The analysis of such data sources implies dealing with different data structures, terminologies, concepts, languages, and most importantly, the knowledge behind the data. In this paper, we present a methodology to centralise different datasets into the tranSMART application, using a harmonising strategy based on standard data schema. This methodology can help researchers to generate evidence from a wider variety of data sources. This proposal was validated using Alzheimer's Disease cohorts from several countries, combining at the end 6,669 subjects and 172 clinical concepts. The harmonised datasets can provide multi-cohort queries and analysis. The software package is available, under the MIT license, at https://github.com/bioinformatics-ua/tranSMART-migrator.
已经进行了许多医学研究,目的是更好地了解疾病的原因,并协助治疗和保护因素。在某些情况下,由于参与者数量少,这些研究没有产生有影响力的结果。一些倡议已经在开展多中心研究方面投入了努力,由于数据集的异质性,这引发了其他技术挑战。对这些数据源的分析意味着要处理不同的数据结构、术语、概念、语言,最重要的是要处理数据背后的知识。在本文中,我们提出了一种方法,将不同的数据集集中到tranSMART应用程序中,使用基于标准数据模式的协调策略。这种方法可以帮助研究人员从更广泛的数据来源中产生证据。该建议通过来自多个国家的阿尔茨海默病队列验证,最终合并了6,669名受试者和172个临床概念。统一的数据集可以提供多队列查询和分析。该软件包可在MIT许可下从https://github.com/bioinformatics-ua/tranSMART-migrator获得。
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引用次数: 0
Touchless Authentication for Health Professionals: Analyzing the Risks and Proposing Alternatives to Dirty Interfaces 卫生专业人员的非接触式认证:分析风险并提出脏接口的替代方案
Pub Date : 2022-07-01 DOI: 10.1109/CBMS55023.2022.00088
Chiarelli Araújo Vale, Frederico Schardong, M. Barros, Ricardo Felipe Custódio
One of the most significant challenges for electronic services is ensuring that the person using a service is who they claim to be with an adequate level of trust. The user identity is confirmed through authentication. However, depending on the authentication method used, this process may not provide the expected security and is often bureaucratic. The authentication of healthcare professionals imposes additional challenges. For instance, they should not be exposed to touching peripherals nor remove their masks. This article presents: (i) a risk assessment of fraudulent authentication of health professionals; (ii) a pro-posal of authentication assurance levels for health professionals; (iii) a discussion of touchless authentication factors for health nrofessionals: and (iv) an emnirical evaluation of the nronosals.
对于电子服务来说,最重要的挑战之一是确保使用服务的人是他们声称具有足够信任的人。通过认证确认用户身份。然而,根据所使用的身份验证方法,此过程可能无法提供预期的安全性,并且通常是官僚主义的。医疗保健专业人员的认证带来了额外的挑战。例如,他们不应该接触外围设备,也不应该摘下口罩。本文提出:(i)对卫生专业人员虚假认证的风险评估;(ii)保健专业人员的认证保证水平建议;(三)讨论卫生专业人员的非接触式认证因素;(四)对非接触式认证因素进行实证评估。
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引用次数: 0
Estimating Predictive Uncertainty in Gastrointestinal Polyp Segmentation 估计胃肠道息肉分割的预测不确定性
Pub Date : 2022-07-01 DOI: 10.1109/CBMS55023.2022.00015
Felicia Ly Jacobsen, S. Hicks, Pål Halvorsen, M. Riegler
Deep neural networks have achieved state-of-the-art performance on numerous applications in the medical field, with use-cases ranging from automation of mundane tasks to diagnosis of life-threatening diseases. Despite these achievements, deep neural networks are considered “black boxes” due to their complex structure and general lack of transparency in their decision-making process. These attributes make it challenging to incorporate deep learning into existing clinical workflows as decisions often need more support than blind faith in a statistical model. This paper presents an investigation of uncertainty estimation for the detection of colon polyps using deep convolutional neural networks (CNNs). We experiment with two different approaches to measure uncertainty, Monte Carlo (MC) dropout and deep ensembles, and discuss the advantages and disadvantages of both methods in terms of computational efficiency and performance gain. Furthermore, we apply the two uncertainty methods to two different state-of-the-art CNN-based polyp segmentation architectures. The uncertainty is visualized as heatmaps on the input images and can be used to make more informed decisions on whether or not to trust a model's predictions. The results show that the predictive uncertainties provide a comparison between different models' predictions which can be interpreted as contrastive explanations where the values are largely influenced by the degree of independence between the models in the ensemble. We also reveal that MC dropout is shown to lack at providing contrastive uncertainty values due to the high correlation between the models' in the ensemble.
深度神经网络已经在医疗领域的许多应用中取得了最先进的性能,用例从日常任务的自动化到危及生命的疾病的诊断。尽管取得了这些成就,但由于其复杂的结构和决策过程普遍缺乏透明度,深度神经网络被认为是“黑盒子”。这些属性使得将深度学习纳入现有临床工作流程具有挑战性,因为决策通常需要更多的支持,而不是盲目相信统计模型。提出了一种基于深度卷积神经网络的结肠息肉检测的不确定性估计方法。我们实验了两种不同的测量不确定性的方法,蒙特卡罗(MC) dropout和深度集成,并讨论了两种方法在计算效率和性能增益方面的优缺点。此外,我们将两种不确定性方法应用于两种不同的最先进的基于cnn的息肉分割架构。不确定性以热图的形式显示在输入图像上,可以用来做出更明智的决定,决定是否相信模型的预测。结果表明,预测不确定性提供了不同模型预测之间的比较,这可以解释为对比解释,其中值在很大程度上受集合中模型之间的独立程度的影响。我们还发现,由于集合中模型之间的高度相关性,MC dropout在提供对比不确定性值方面表现不足。
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引用次数: 0
Leveraging Clinical BERT in Multimodal Mortality Prediction Models for COVID-19 利用临床BERT在COVID-19多模式死亡率预测模型中的应用
Pub Date : 2022-07-01 DOI: 10.1109/CBMS55023.2022.00042
Yashodip R. Pawar, Aron Henriksson, Pontus Hedberg, P. Nauclér
Clinical prediction models are often based solely on the use of structured data in electronic health records, e.g. vital parameters and laboratory results, effectively ignoring potentially valuable information recorded in other modalities, such as free-text clinical notes. Here, we report on the development of a multimodal model that combines structured and unstructured data. In particular, we study how best to make use of a clinical language model in a multimodal setup for predicting 30-day all-cause mortality upon hospital admission in patients with COVID-19. We evaluate three strategies for incorporating a domain-specific clinical BERT model in multimodal prediction systems: (i) without fine-tuning, (ii) with unimodal fine-tuning, and (iii) with multimodal fine-tuning. The best-performing model leverages multimodal fine-tuning, in which the clinical BERT model is updated based also on the structured data. This multimodal mortality prediction model is shown to outperform unimodal models that are based on using either only structured data or only unstructured data. The experimental results indicate that clinical prediction models can be improved by including data in other modalities and that multimodal fine-tuning of a clinical language model is an effective strategy for incorporating information from clinical notes in multimodal prediction systems.
临床预测模型往往仅仅基于电子健康记录中结构化数据的使用,例如重要参数和实验室结果,有效地忽略了以其他方式记录的潜在有价值的信息,例如自由文本临床说明。在这里,我们报告了结合结构化和非结构化数据的多模态模型的开发。特别是,我们研究了如何在多模式设置中最好地利用临床语言模型来预测COVID-19患者入院后30天的全因死亡率。我们评估了在多模态预测系统中纳入特定领域的临床BERT模型的三种策略:(i)无微调,(ii)单模态微调,(iii)多模态微调。表现最好的模型利用多模态微调,其中临床BERT模型也基于结构化数据更新。这种多模态死亡率预测模型被证明优于仅使用结构化数据或仅使用非结构化数据的单模态模型。实验结果表明,临床预测模型可以通过加入其他模式的数据来改进,并且临床语言模型的多模式微调是将临床笔记信息纳入多模式预测系统的有效策略。
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引用次数: 7
Deep Log-Normal Label Distribution Learning for Pneumoconiosis Staging on Chest Radiographs 胸片上尘肺分期的深度对数正态标签分布学习
Pub Date : 2022-07-01 DOI: 10.1109/CBMS55023.2022.00073
Wenjian Sun, Dongsheng Wu, Yang Luo, Lu Liu, Hongjing Zhang, Shuang Wu, Yan Zhang, Chenglong Wang, Houjun Zheng, Jiang Shen, Chunbo Luo
Pneumoconiosis staging has been a challenging task for deep neural networks due to the stage ambiguity in early pneumoconiosis. In this article, we propose a deep log-normal label distribution learning method named DLN-LDL for pneumo-coniosis staging by exploring the intrinsic stage distribution pat-terns of pneumoconiosis. DLN-LDL effectively prevents the deep network from overfitting features in ambiguous chest radiographs that are irrelevant to the stage to which they belong by replacing the one-hot labels with log-normally distributed vectors. The experiments on our collected pneumoconiosis dataset confirm that the proposed DLN-LDL algorithm outperforms other classical methods in terms of Accuracy, Precision, Sensitivity, Specificity, F1-score and Area Under the Curve.
由于早期尘肺分期的不确定性,对深度神经网络来说,尘肺分期一直是一项具有挑战性的任务。在本文中,我们通过探索尘肺的内在阶段分布模式,提出了一种深度对数正态标签分布学习方法DLN-LDL用于尘肺分期。DLN-LDL通过用对数正态分布向量替换单热标签,有效地防止深度网络过度拟合与它们所属阶段无关的模糊胸片特征。在收集的尘肺数据集上的实验证实,所提出的DLN-LDL算法在准确度、精密度、灵敏度、特异性、f1评分和曲线下面积等方面优于其他经典方法。
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引用次数: 0
Focal Loss Improves Performance of High-Sensitivity C-Reactive Protein Imbalanced Classification 焦损提高高灵敏度c -反应蛋白不平衡分类的性能
Pub Date : 2022-07-01 DOI: 10.1109/CBMS55023.2022.00027
Ryan Sledzik, Mahdieh Zabihimayvan
Chronic inflammation has been shown to be associated with cardiovascular disorders, atherosclerosis, and colorectal adenoma. Using a high-sensitivity assay, we can detect levels of High-Sensitivity C-Reactive Protein (HSCRP), which in turn, yields an understanding of systemic low-grade chronic inflammation. Prediction of HSCRP has historically been performed to determine association with other factors that impact its prediction. To our knowledge, it is generally not performed for prediction itself. Here, we utilize Focal Loss Logistic Regression, a variation of log-loss Logistic Regression to achieve increased performance of HSCRP classification. With the use of this model, one can perform imputation of HSCRP in the case of missing data. It also can be utilized for medical professionals as a screen to determine if an HSCRP test should be performed.
慢性炎症已被证明与心血管疾病、动脉粥样硬化和结直肠腺瘤有关。使用高灵敏度检测,我们可以检测高灵敏度c反应蛋白(HSCRP)的水平,这反过来又产生了对全身性低级别慢性炎症的理解。HSCRP的预测历来是为了确定影响其预测的其他因素之间的关系。据我们所知,它通常不是为了预测本身而进行的。在这里,我们利用焦点损失逻辑回归,对数损失逻辑回归的一种变体来实现HSCRP分类的提高性能。利用该模型,可以在数据缺失的情况下进行HSCRP的imputation。它也可以用于医疗专业人员作为筛选,以确定是否应进行HSCRP测试。
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引用次数: 0
期刊
2022 IEEE 35th International Symposium on Computer-Based Medical Systems (CBMS)
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