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Adaptively Weighted Top-N Recommendation for Organ Matching 器官匹配的自适应加权Top-N推荐
Pub Date : 2021-07-23 DOI: 10.1145/3469657
Parshin Shojaee, Xiaoyu Chen, R. Jin
Reducing the shortage of organ donations to meet the demands of patients on the waiting list has being a major challenge in organ transplantation. Because of the shortage, organ matching decision is the most critical decision to assign the limited viable organs to the most “suitable” patients. Currently, organ matching decisions are only made by matching scores calculated via scoring models, which are built by the first principles. However, these models may disagree with the actual post-transplantation matching performance (e.g., patient's post-transplant quality of life (QoL) or graft failure measurements). In this paper, we formulate the organ matching decision-making as a top-N recommendation problem and propose an Adaptively Weighted Top-N Recommendation (AWTR) method. AWTR improves performance of the current scoring models by using limited actual matching performance in historical datasets as well as the collected covariates from organ donors and patients. AWTR sacrifices the overall recommendation accuracy by emphasizing the recommendation and ranking accuracy for top-N matched patients. The proposed method is validated in a simulation study, where KAS [60] is used to simulate the organ-patient recommendation response. The results show that our proposed method outperforms seven state-of-the-art top-N recommendation benchmark methods.
减少器官捐献的短缺,以满足等待名单上的病人的需求,一直是器官移植的主要挑战。由于器官短缺,将有限的可存活器官分配给最“合适”的患者是器官匹配决策的关键。目前,器官匹配决策只能通过评分模型计算的匹配分数来做出,而评分模型是根据第一原则建立的。然而,这些模型可能与移植后的实际匹配性能不一致(例如,患者的移植后生活质量(QoL)或移植失败测量)。本文将器官匹配决策描述为top-N推荐问题,提出了一种自适应加权top-N推荐(AWTR)方法。AWTR通过使用历史数据集有限的实际匹配性能以及从器官捐赠者和患者收集的协变量来改进当前评分模型的性能。AWTR通过强调前n名匹配患者的推荐和排名准确性来牺牲整体推荐准确性。该方法在一项模拟研究中得到了验证,其中使用KAS[60]来模拟器官-患者推荐反应。结果表明,我们提出的方法优于7种最先进的top-N推荐基准方法。
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引用次数: 0
PhyMask: Robust Sensing of Brain Activity and Physiological Signals During Sleep with an All-textile Eye Mask PhyMask:全纺织眼罩在睡眠中对大脑活动和生理信号的强大感知
Pub Date : 2021-06-13 DOI: 10.1145/3513023
Soha Rostaminia, S. Z. Homayounfar, A. Kiaghadi, Trisha L. Andrew, Deepak Ganesan
Clinical-grade wearable sleep monitoring is a challenging problem since it requires concurrently monitoring brain activity, eye movement, muscle activity, cardio-respiratory features, and gross body movements. This requires multiple sensors to be worn at different locations as well as uncomfortable adhesives and discrete electronic components to be placed on the head. As a result, existing wearables either compromise comfort or compromise accuracy in tracking sleep variables. We propose PhyMask, an all-textile sleep monitoring solution that is practical and comfortable for continuous use and that acquires all signals of interest to sleep solely using comfortable textile sensors placed on the head. We show that PhyMask can be used to accurately measure all the signals required for precise sleep stage tracking and to extract advanced sleep markers such as spindles and K-complexes robustly in the real-world setting. We validate PhyMask against polysomnography (PSG) and show that it significantly outperforms two commercially-available sleep tracking wearables—Fitbit and Oura Ring.
临床级可穿戴睡眠监测是一个具有挑战性的问题,因为它需要同时监测大脑活动、眼球运动、肌肉活动、心肺功能和全身运动。这需要在不同的位置佩戴多个传感器,以及在头上放置不舒服的粘合剂和分立的电子元件。因此,现有的可穿戴设备要么降低了舒适度,要么降低了跟踪睡眠变量的准确性。我们提出了PhyMask,这是一种全纺织品睡眠监测解决方案,它实用且舒适,适合连续使用,并且仅使用放置在头上的舒适纺织品传感器即可获取所有感兴趣的睡眠信号。我们表明,PhyMask可以用来精确测量精确睡眠阶段跟踪所需的所有信号,并在现实世界中提取先进的睡眠标记,如纺锤波和k -复合物。我们针对多导睡眠图(PSG)验证了PhyMask,并表明它明显优于两款商用睡眠跟踪可穿戴设备——fitbit和Oura Ring。
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引用次数: 9
Domain-Specific Language Model Pretraining for Biomedical Natural Language Processing 面向生物医学自然语言处理的领域特定语言模型预训练
Pub Date : 2020-07-31 DOI: 10.1145/3458754
Yu Gu, Robert Tinn, Hao Cheng, Michael R. Lucas, Naoto Usuyama, Xiaodong Liu, Tristan Naumann, Jianfeng Gao, Hoifung Poon
Pretraining large neural language models, such as BERT, has led to impressive gains on many natural language processing (NLP) tasks. However, most pretraining efforts focus on general domain corpora, such as newswire and Web. A prevailing assumption is that even domain-specific pretraining can benefit by starting from general-domain language models. In this article, we challenge this assumption by showing that for domains with abundant unlabeled text, such as biomedicine, pretraining language models from scratch results in substantial gains over continual pretraining of general-domain language models. To facilitate this investigation, we compile a comprehensive biomedical NLP benchmark from publicly available datasets. Our experiments show that domain-specific pretraining serves as a solid foundation for a wide range of biomedical NLP tasks, leading to new state-of-the-art results across the board. Further, in conducting a thorough evaluation of modeling choices, both for pretraining and task-specific fine-tuning, we discover that some common practices are unnecessary with BERT models, such as using complex tagging schemes in named entity recognition. To help accelerate research in biomedical NLP, we have released our state-of-the-art pretrained and task-specific models for the community, and created a leaderboard featuring our BLURB benchmark (short for Biomedical Language Understanding & Reasoning Benchmark) at https://aka.ms/BLURB.
预训练大型神经语言模型,如BERT,在许多自然语言处理(NLP)任务上取得了令人印象深刻的进展。然而,大多数预训练工作都集中在一般领域的语料库上,如newswire和Web。一个普遍的假设是,即使是特定领域的预训练也可以从通用领域语言模型开始。在本文中,我们挑战了这一假设,表明对于具有大量未标记文本的领域,如生物医学,从头开始预训练语言模型比持续预训练通用领域语言模型有实质性的收获。为了便于调查,我们从公开的数据集中编写了一个全面的生物医学NLP基准。我们的实验表明,特定领域的预训练为广泛的生物医学NLP任务奠定了坚实的基础,从而全面产生新的最先进的结果。此外,在对预训练和特定任务微调的建模选择进行彻底评估时,我们发现BERT模型的一些常见做法是不必要的,例如在命名实体识别中使用复杂的标记方案。为了帮助加速生物医学NLP的研究,我们为社区发布了最先进的预训练和特定任务模型,并在https://aka.ms/BLURB上创建了一个以我们的BLURB基准(生物医学语言理解和推理基准的缩写)为特色的排行榜。
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引用次数: 884
Explaining Machine Learning Models for Clinical Gait Analysis 解释临床步态分析的机器学习模型
Pub Date : 2019-12-16 DOI: 10.1145/3474121
D. Slijepcevic, Fabian Horst, S. Lapuschkin, B. Horsak, Anna-Maria Raberger, A. Kranzl, W. Samek, C. Breiteneder, W. Schöllhorn, M. Zeppelzauer
Machine Learning (ML) is increasingly used to support decision-making in the healthcare sector. While ML approaches provide promising results with regard to their classification performance, most share a central limitation, their black-box character. This article investigates the usefulness of Explainable Artificial Intelligence (XAI) methods to increase transparency in automated clinical gait classification based on time series. For this purpose, predictions of state-of-the-art classification methods are explained with a XAI method called Layer-wise Relevance Propagation (LRP). Our main contribution is an approach that explains class-specific characteristics learned by ML models that are trained for gait classification. We investigate several gait classification tasks and employ different classification methods, i.e., Convolutional Neural Network, Support Vector Machine, and Multi-layer Perceptron. We propose to evaluate the obtained explanations with two complementary approaches: a statistical analysis of the underlying data using Statistical Parametric Mapping and a qualitative evaluation by two clinical experts. A gait dataset comprising ground reaction force measurements from 132 patients with different lower-body gait disorders and 62 healthy controls is utilized. Our experiments show that explanations obtained by LRP exhibit promising statistical properties concerning inter-class discriminativity and are also in line with clinically relevant biomechanical gait characteristics.
机器学习(ML)越来越多地用于支持医疗保健行业的决策。虽然机器学习方法在分类性能方面提供了有希望的结果,但大多数方法都有一个中心限制,即它们的黑箱特征。本文研究了可解释人工智能(XAI)方法在基于时间序列的自动临床步态分类中增加透明度的有用性。为此,使用称为分层相关传播(LRP)的XAI方法来解释最新分类方法的预测。我们的主要贡献是一种解释通过训练步态分类的ML模型学习到的特定类别特征的方法。我们研究了几种步态分类任务,并采用了不同的分类方法,即卷积神经网络、支持向量机和多层感知器。我们建议用两种互补的方法来评估获得的解释:使用统计参数映射对基础数据进行统计分析和由两位临床专家进行定性评估。步态数据集包括来自132名不同下半身步态障碍患者和62名健康对照的地面反作用力测量数据。我们的实验表明,LRP获得的解释在类间判别性方面表现出有希望的统计特性,并且也符合临床相关的生物力学步态特征。
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引用次数: 26
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ACM Transactions on Computing for Healthcare (HEALTH)
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