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A Dynamic Model for Early Prediction of Alzheimer's Disease by Leveraging Graph Convolutional Networks and Tensor Algebra. 利用图卷积网络和张量代数的阿尔茨海默病早期预测动态模型。
Cagri Ozdemir, Mohammad Al Olaimat, Serdar Bozdag

Alzheimer's disease (AD) is a neurocognitive disorder that deteriorates memory and impairs cognitive functions. Mild Cognitive Impairment (MCI) is generally considered as an intermediate phase between normal cognitive aging and more severe conditions such as AD. Although not all individuals with MCI will develop AD, they are at an increased risk of developing AD. Diagnosing AD once strong symptoms are already present is of limited value, as AD leads to irreversible cognitive decline and brain damage. Thus, it is crucial to develop methods for the early prediction of AD in individuals with MCI. Recurrent Neural Networks (RNN)-based methods have been effectively used to predict the progression from MCI to AD by analyzing electronic health records (EHR). However, despite their widespread use, existing RNN-based tools may introduce increased model complexity and often face difficulties in capturing long-term dependencies. In this study, we introduced a novel Dynamic deep learning model for Early Prediction of AD (DyEPAD) to predict MCI subjects' progression to AD utilizing EHR data. In the first phase of DyEPAD, embeddings for each time step or visit are captured through Graph Convolutional Networks (GCN) and aggregation functions. In the final phase, DyEPAD employs tensor algebraic operations for frequency domain analysis of these embeddings, capturing the full scope of evolutionary patterns across all time steps. Our experiments on the Alzheimer's Disease Neuroimaging Initiative (ADNI) and National Alzheimer's Coordinating Center (NACC) datasets demonstrate that our proposed model outperforms or is in par with the state-of-the-art and baseline methods.

阿尔茨海默病(AD)是一种神经认知障碍,会使记忆恶化,损害认知功能。轻度认知损伤(Mild Cognitive Impairment, MCI)通常被认为是介于正常认知老化和AD等更严重疾病之间的中间阶段。虽然并非所有轻度认知障碍患者都会发展为AD,但他们患AD的风险增加了。一旦出现强烈症状,诊断阿尔茨海默病的价值就有限了,因为阿尔茨海默病会导致不可逆转的认知能力下降和脑损伤。因此,开发早期预测MCI患者AD的方法至关重要。基于递归神经网络(RNN)的方法已被有效地用于通过分析电子健康记录(EHR)来预测从MCI到AD的进展。然而,尽管它们被广泛使用,现有的基于rnn的工具可能会引入增加的模型复杂性,并且在捕获长期依赖关系方面经常面临困难。在这项研究中,我们引入了一种新的AD早期预测动态深度学习模型(DyEPAD),利用电子病历数据预测MCI受试者向AD的进展。在染料pad的第一阶段,通过图卷积网络(GCN)和聚合函数捕获每个时间步或访问的嵌入。在最后阶段,染料pad采用张量代数运算对这些嵌入进行频域分析,捕捉所有时间步长的进化模式的全部范围。我们在阿尔茨海默病神经影像学倡议(ADNI)和国家阿尔茨海默病协调中心(NACC)数据集上的实验表明,我们提出的模型优于或与最先进的基线方法相当。
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引用次数: 0
The Impact of Ancestry on Genome-Wide Association Studies. 祖先对全基因组关联研究的影响。
Steven Christopher Jones, Katie M Cardone, Yuki Bradford, Sarah A Tishkoff, Marylyn D Ritchie

Genome-wide association studies (GWAS) are an important tool for the study of complex disease genetics. Decisions regarding the quality control (QC) procedures employed as part of a GWAS can have important implications on the results and their biological interpretation. Many GWAS have been conducted predominantly in cohorts of European ancestry, but many initiatives aim to increase the representation of diverse ancestries in genetic studies. The question of how these data should be combined and the consequences that genetic variation across ancestry groups might have on GWAS results warrants further investigation. In this study, we focus on several commonly used methods for combining genetic data across diverse ancestry groups and the impact these decisions have on the outcome of GWAS summary statistics. We ran GWAS on two binary phenotypes using ancestry-specific, multi-ancestry mega-analysis, and meta-analysis approaches. We found that while multi-ancestry mega-analysis and meta-analysis approaches can aid in identifying signals shared across ancestries, they can diminish the signal of ancestry-specific associations and modify their effect sizes. These results demonstrate the potential impact on downstream post-GWAS analyses and follow-up studies. Decisions regarding how the genetic data are combined has the potential to mask important findings that might serve individuals of ancestries that have been historically underrepresented in genetic studies. New methods that consider ancestry-specific variants in conjunction with the shared variants need to be developed.

全基因组关联研究(GWAS)是研究复杂疾病遗传学的重要工具。作为GWAS的一部分,关于质量控制(QC)程序的决定可能对结果及其生物学解释具有重要影响。许多GWAS主要是在欧洲血统的人群中进行的,但许多倡议旨在增加遗传研究中不同祖先的代表性。如何将这些数据结合起来,以及不同祖先群体的遗传变异可能对GWAS结果产生的影响,这些问题值得进一步研究。在这项研究中,我们关注几种常用的方法来组合不同祖先群体的遗传数据,以及这些决定对GWAS汇总统计结果的影响。我们使用祖先特异性、多祖先大型分析和荟萃分析方法对两种二元表型进行了GWAS。我们发现,虽然多祖先大分析和荟萃分析方法可以帮助识别跨祖先共享的信号,但它们可以减少特定祖先关联的信号并修改其效应大小。这些结果显示了对下游gwas后分析和后续研究的潜在影响。关于基因数据如何组合的决定有可能掩盖重要的发现,这些发现可能服务于历史上在基因研究中代表性不足的祖先个体。需要开发将特定于祖先的变体与共享变体结合起来考虑的新方法。
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引用次数: 0
Uncovering Important Diagnostic Features for Alzheimer's, Parkinson's and Other Dementias Using Interpretable Association Mining Methods. 利用可解释的关联挖掘方法揭示阿尔茨海默病、帕金森病和其他痴呆症的重要诊断特征。
Kazi Noshin, Mary Regina Boland, Bojian Hou, Victoria Lu, Carol Manning, Li Shen, Aidong Zhang

Alzheimer's Disease and Related Dementias (ADRD) afflict almost 7 million people in the USA alone. The majority of research in ADRD is conducted using post-mortem samples of brain tissue or carefully recruited clinical trial patients. While these resources are excellent, they suffer from lack of sex/gender, and racial/ethnic inclusiveness. Electronic Health Records (EHR) data has the potential to bridge this gap by including real-world ADRD patients treated during routine clinical care. In this study, we utilize EHR data from a cohort of 70,420 ADRD patients diagnosed and treated at Penn Medicine. Our goal is to uncover important risk features leading to three types of Neuro-Degenerative Disorders (NDD), including Alzheimer's Disease (AD), Parkinson's Disease (PD) and Other Dementias (OD). We employ a variety of Machine Learning (ML) Methods, including uni-variate and multivariate ML approaches and compare accuracies across the ML methods. We also investigate the types of features identified by each method, the overlapping features and the unique features to highlight important advantages and disadvantages of each approach specific for certain NDD types. Our study is important for those interested in studying ADRD and NDD in EHRs as it highlights the strengths and limitations of popular approaches employed in the ML community. We found that the uni-variate approach was able to uncover features that were important and rare for specific types of NDD (AD, PD, OD), which is important from a clinical perspective. Features that were found across all methods represent features that are the most robust.

阿尔茨海默病和相关痴呆(ADRD)仅在美国就折磨着近700万人。大多数关于ADRD的研究都是使用死后脑组织样本或精心招募的临床试验患者进行的。虽然这些资源很好,但它们缺乏性别/性别和种族/民族包容性。电子健康记录(EHR)数据有可能通过包括常规临床护理期间治疗的真实ADRD患者来弥合这一差距。在这项研究中,我们利用了宾夕法尼亚大学医学院诊断和治疗的70420名ADRD患者的电子病历数据。我们的目标是揭示导致三种神经退行性疾病(NDD)的重要风险特征,包括阿尔茨海默病(AD),帕金森病(PD)和其他痴呆症(OD)。我们采用各种机器学习(ML)方法,包括单变量和多变量ML方法,并比较ML方法的准确性。我们还研究了每种方法所识别的特征类型、重叠特征和独特特征,以突出每种方法针对特定NDD类型的重要优点和缺点。我们的研究对于那些对研究电子病历中的ADRD和NDD感兴趣的人很重要,因为它突出了ML社区采用的流行方法的优势和局限性。我们发现单变量方法能够揭示特定类型NDD (AD, PD, OD)的重要且罕见的特征,这从临床角度来看是重要的。在所有方法中发现的特征代表了最健壮的特征。
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引用次数: 0
Command line to pipeLine: Cross-biobank analyses with Nextflow. 命令行到管道:跨生物银行分析与Nextflow。
Anurag Verma, Zachary Rodriguez, Lindsay Guare, Katie Cardone, Christopher Carson

Biobanks hold immense potential for genomic research, but fragmented data and incompatible tools slow progress. This workshop equipped participants with Nextflow, a powerful workflow language to streamline bioinformatic analyses across biobanks. We taught participants to write code in their preferred language and demonstrated how Nextflow handles the complexities, ensuring consistent, reproducible results across different platforms. This interactive session was ideal for beginner-to-intermediate researchers who want to (1) Leverage biobank data for genomic discoveries, (2) Build portable and scalable analysis pipelines, (3) Ensure reproducibility in their findings, (4) Gain hands-on experience through presentations, demonstrations, tutorials, and discussions with bioinformatics experts.

生物银行在基因组研究方面拥有巨大的潜力,但零散的数据和不兼容的工具阻碍了进展。本次研讨会为参与者提供了Nextflow,这是一种功能强大的工作流程语言,可以简化跨生物库的生物信息分析。我们教参与者用他们喜欢的语言编写代码,并演示Nextflow如何处理复杂性,确保跨不同平台的一致,可重复的结果。这个互动会议非常适合初学者到中级研究人员,他们希望(1)利用生物银行数据进行基因组发现,(2)建立便携式和可扩展的分析管道,(3)确保其发现的可重复性,(4)通过演示,演示,教程和与生物信息学专家的讨论获得实践经验。
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引用次数: 0
Electronic Health Record Analysis for Personalized Medicine: Predicting Malnutrition-Related Health Outcomes and Secondary Neuropsychiatric Health Concerns. 用于个性化医疗的电子健康记录分析:预测与营养不良相关的健康结果和继发性神经精神健康问题。
Pinar Gurkas, Gunnur Karakurt

Malnutrition poses risks regarding cognitive, behavioral, and physical well-being. The aim of this study was to investigate the prevalent health issues associated with malnutrition by utilizing electronic health records (EHR) data. The IBM Watson Health, Explorys platform was used to access the EHR data. Two cohorts were created by two queries; patients with a history of malnutrition (n=5180) and patients without a history of malnutrition diagnosis (n= 413890). The log odds ratio and χ2 statistic were used to identify the statistically significant differences between these two cohorts. We found that there were 35 terms that were more common among the cohort with the malnutrition diagnosis. These terms were categorized under developmental anomalies, infectious agents, respiratory system issues, digestive system issues, pregnancy/prenatal problems, mental, behavioral, or neurodevelopmental disorders, diseases of the ear or mastoid process, diseases of the visual system, and chromosomal anomalies. The management of malnutrition in children is a complex problem that can be addressed with a multifactorial approach. Based on the key themes emerging from among the commonly prevalent terms identified in our study, infection prevention, education in appropriate nutritional solutions for digestive health issues, supportive services to address neurodevelopmental needs, and quality prenatal healthcare would constitute beneficial prevention efforts. Improving our understanding of malnutrition is necessary to develop new interventions for prevention and treatment.

营养不良会给认知、行为和身体健康带来风险。本研究的目的是利用电子健康记录(EHR)数据调查与营养不良相关的普遍健康问题。使用IBM Watson Health, Explorys平台访问EHR数据。两个队列由两个查询创建;有营养不良史的患者(n=5180)和无营养不良诊断史的患者(n= 413890)。采用对数比值比和χ2统计分析两组间差异有统计学意义。我们发现有35个术语在诊断为营养不良的队列中更为常见。这些术语被分类为发育异常、传染因子、呼吸系统问题、消化系统问题、怀孕/产前问题、精神、行为或神经发育障碍、耳或乳突疾病、视觉系统疾病和染色体异常。儿童营养不良的管理是一个复杂的问题,可以通过多因素方法来解决。基于在我们的研究中确定的常见术语中出现的关键主题,感染预防,针对消化系统健康问题的适当营养解决方案的教育,解决神经发育需求的支持性服务以及高质量的产前保健将构成有益的预防工作。提高我们对营养不良的认识对于开发新的预防和治疗干预措施是必要的。
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引用次数: 0
A Comprehensive Bibliometric Analysis: Celebrating the Thirtieth Anniversary of the Pacific Symposium on Biocomputing. 综合文献计量学分析:庆祝太平洋生物计算研讨会三十周年。
Rachit Kumar, Rasika Venkatesh, David Y Zhang, Teri E Klein, Marylyn D Ritchie

The 2025 Pacific Symposium on Biocomputing (PSB) represents a remarkable milestone, as it is the thirtieth anniversary of PSB. We use this opportunity to analyze the bibliometric output of 30 years of PSB publications in a wide range of analyses with a focus on various eras that represent important disruptive breakpoints in the field of bioinformatics and biocomputing. These include an analysis of paper topics and keywords, flight emissions produced by travel to PSB by authors, citation and co-authorship networks and metrics, and a broad assessment of diversity and representation in PSB authors. We use the results of these analyses to identify insights that we can carry forward to the upcoming decades of PSB.

2025年太平洋生物计算研讨会(PSB)是一个非凡的里程碑,因为它是PSB的三十周年纪念。我们利用这个机会对30年来PSB出版物的文献计量输出进行了广泛的分析,重点关注了代表生物信息学和生物计算领域重要破坏性断点的各个时代。其中包括对论文主题和关键词的分析,作者前往PSB旅行产生的飞行排放,引用和合著网络和指标,以及对PSB作者多样性和代表性的广泛评估。我们使用这些分析的结果来确定我们可以在未来几十年的PSB中发扬光大的见解。
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引用次数: 0
Connecting intermediate phenotypes to disease using multi-omics in heart failure. 在心力衰竭中使用多组学连接中间表型与疾病。
Anni Moore, Rasika Venkatesh, Michael G Levin, Scott M Damrauer, Nosheen Reza, Thomas P Cappola, Marylyn D Ritchie

Heart failure (HF) is one of the most common, complex, heterogeneous diseases in the world, with over 1-3% of the global population living with the condition. Progression of HF can be tracked via MRI measures of structural and functional changes to the heart, namely left ventricle (LV), including ejection fraction, mass, end-diastolic volume, and LV end-systolic volume. Moreover, while genome-wide association studies (GWAS) have been a useful tool to identify candidate variants involved in HF risk, they lack crucial tissue-specific and mechanistic information which can be gained from incorporating additional data modalities. This study addresses this gap by incorporating transcriptome-wide and proteome-wide association studies (TWAS and PWAS) to gain insights into genetically-regulated changes in gene expression and protein abundance in precursors to HF measured using MRI-derived cardiac measures as well as full-stage all-cause HF. We identified several gene and protein overlaps between LV ejection fraction and end-systolic volume measures. Many of the overlaps identified in MRI-derived measurements through TWAS and PWAS appear to be shared with all-cause HF. We implicate many putative pathways relevant in HF associated with these genes and proteins via gene-set enrichment and protein-protein interaction network approaches. The results of this study (1) highlight the benefit of using multi-omics to better understand genetics and (2) provide novel insights as to how changes in heart structure and function may relate to HF.

心力衰竭(HF)是世界上最常见、最复杂、最异质性的疾病之一,全球有超过1-3%的人口患有此病。心衰的进展可以通过MRI测量心脏,即左心室(LV)的结构和功能变化来跟踪,包括射血分数、质量、舒张末期容积和左心室收缩末期容积。此外,尽管全基因组关联研究(GWAS)是识别与HF风险相关的候选变异的有用工具,但它们缺乏关键的组织特异性和机制信息,而这些信息可以通过合并其他数据模式获得。本研究通过结合转录组和蛋白质组关联研究(TWAS和PWAS)来解决这一空白,以深入了解使用mri衍生的心脏测量以及全期全因HF测量的HF前体中基因表达和蛋白质丰度的遗传调控变化。我们发现在左室射血分数和收缩末期容积测量之间有几个基因和蛋白质重叠。通过TWAS和PWAS在mri衍生的测量中发现的许多重叠似乎与全因HF共有。我们通过基因集富集和蛋白-蛋白相互作用网络方法暗示了许多与HF相关的假定途径与这些基因和蛋白质相关。这项研究的结果(1)强调了使用多组学来更好地理解遗传学的好处;(2)为心脏结构和功能的变化如何与HF相关提供了新的见解。
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引用次数: 0
Polygenic risk scores for cardiometabolic traits demonstrate importance of ancestry for predictive precision medicine. 心脏代谢特征的多基因风险评分显示了祖先对于预测性精准医疗的重要性。
Rachel L Kember, Shefali S Verma, Anurag Verma, Brenda Xiao, Anastasia Lucas, Colleen M Kripke, Renae Judy, Jinbo Chen, Scott M Damrauer, Daniel J Rader, Marylyn D Ritchie

Polygenic risk scores (PRS) have predominantly been derived from genome-wide association studies (GWAS) conducted in European ancestry (EUR) individuals. In this study, we present an in-depth evaluation of PRS based on multi-ancestry GWAS for five cardiometabolic phenotypes in the Penn Medicine BioBank (PMBB) followed by a phenome-wide association study (PheWAS). We examine the PRS performance across all individuals and separately in African ancestry (AFR) and EUR ancestry groups. For AFR individuals, PRS derived using the multi-ancestry LD panel showed a higher effect size for four out of five PRSs (DBP, SBP, T2D, and BMI) than those derived from the AFR LD panel. In contrast, for EUR individuals, the multi-ancestry LD panel PRS demonstrated a higher effect size for two out of five PRSs (SBP and T2D) compared to the EUR LD panel. These findings underscore the potential benefits of utilizing a multi-ancestry LD panel for PRS derivation in diverse genetic backgrounds and demonstrate overall robustness in all individuals. Our results also revealed significant associations between PRS and various phenotypic categories. For instance, CAD PRS was linked with 18 phenotypes in AFR and 82 in EUR, while T2D PRS correlated with 84 phenotypes in AFR and 78 in EUR. Notably, associations like hyperlipidemia, renal failure, atrial fibrillation, coronary atherosclerosis, obesity, and hypertension were observed across different PRSs in both AFR and EUR groups, with varying effect sizes and significance levels. However, in AFR individuals, the strength and number of PRS associations with other phenotypes were generally reduced compared to EUR individuals. Our study underscores the need for future research to prioritize 1) conducting GWAS in diverse ancestry groups and 2) creating a cosmopolitan PRS methodology that is universally applicable across all genetic backgrounds. Such advances will foster a more equitable and personalized approach to precision medicine.

多基因风险评分(PRS)主要来源于欧洲血统(EUR)个体的全基因组关联研究(GWAS)。在这项研究中,我们在宾夕法尼亚大学医学生物库(PMBB)中对基于多祖先GWAS的五种心脏代谢表型的PRS进行了深入评估,随后进行了全表型关联研究(PheWAS)。我们检查了所有个体的PRS表现,并分别在非洲血统(AFR)和欧洲血统群体。对于AFR个体,使用多祖先LD面板得出的PRS对5个PRS中的4个(舒张压、收缩压、T2D和BMI)的效应值高于来自AFR LD面板的效应值。相比之下,对于欧洲个体,与欧洲LD面板相比,多祖先LD面板PRS对五分之二的PRS (SBP和T2D)显示出更高的效应量。这些发现强调了在不同遗传背景下利用多祖先LD面板进行PRS衍生的潜在好处,并证明了所有个体的总体稳健性。我们的研究结果还揭示了PRS与各种表型类别之间的显著关联。例如,CAD PRS在AFR中与18种表型相关,在EUR中与82种表型相关,而T2D PRS在AFR中与84种表型相关,在EUR中与78种表型相关。值得注意的是,在AFR组和EUR组的不同PRSs中观察到高脂血症、肾衰竭、心房颤动、冠状动脉粥样硬化、肥胖和高血压等关联,其效应大小和显著性水平各不相同。然而,在AFR个体中,与EUR个体相比,PRS与其他表型的关联强度和数量普遍降低。我们的研究强调了未来的研究需要优先考虑:1)在不同的祖先群体中进行GWAS; 2)创建一个普遍适用于所有遗传背景的世界性PRS方法。这些进步将促进更加公平和个性化的精准医疗方法。
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引用次数: 0
CHARTING THE EVOLUTION AND TRANSFORMATIVE IMPACT OF THE PACIFIC SYMPOSIUM ON BIOCOMPUTING THROUGH A 30-YEAR RETROSPECTIVE ANALYSIS OF COLLABORATIVE NETWORKS AND THEMES USING MODERN COMPUTATIONAL TOOLS. 通过对使用现代计算工具的协作网络和主题的30年回顾性分析,绘制太平洋生物计算研讨会的演变和变革性影响。
Leah Zhang, Sameeksha Garg, Edward Zhang, Sean McOsker, Carly Bobak, Kristine Giffin, Brock Christensen, Joshua Levy

Founded nearly 30 years ago, the Pacific Symposium on Biocomputing (PSB) has continually promoted collaborative research in computational biology, annually highlighting emergent themes that reflect the expanding interdisciplinary nature of the field. This study aimed to explore the collaborative and thematic dynamics at PSB using topic modeling and network analysis methods. We identified 14 central topics that have characterized the discourse at PSB over the past three decades. Our findings demonstrate significant trends in topic relevance, with a growing emphasis on machine learning and integrative analyses. We observed not only an expanding nexus of collaboration but also PSB's crucial role in fostering interdisciplinary collaborations. It remains unclear, however, whether the shift towards interdisciplinarity was driven by the conference itself, external academic trends, or broader societal shifts towards integrated research approaches. Future applications of next-generation analytical methods may offer deeper insights into these dynamics. Additionally, we have developed a web application that leverages retrieval augmented generation and large language models, enabling users to efficiently explore past PSB proceedings.

太平洋生物计算研讨会(PSB)成立于近30年前,一直在推动计算生物学的合作研究,每年都会突出反映该领域跨学科性质的新兴主题。本研究旨在利用主题建模和网络分析方法,探讨公共事业单位的合作和主题动态。我们确定了过去三十年来PSB论述的14个中心主题。我们的研究结果显示了主题相关性的显著趋势,越来越强调机器学习和综合分析。我们不仅观察到合作关系的扩大,而且还观察到PSB在促进跨学科合作方面的关键作用。然而,目前尚不清楚,向跨学科的转变是由会议本身、外部学术趋势还是更广泛的社会向综合研究方法的转变推动的。下一代分析方法的未来应用可能会对这些动态提供更深入的见解。此外,我们开发了一个web应用程序,利用检索增强生成和大型语言模型,使用户能够有效地探索过去的PSB会议记录。
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引用次数: 0
Investigating the Differential Impact of Psychosocial Factors by Patient Characteristics and Demographics on Veteran Suicide Risk Through Machine Learning Extraction of Cross-Modal Interactions. 通过跨模式交互的机器学习提取,研究患者特征和人口统计学中的社会心理因素对退伍军人自杀风险的不同影响。
Joshua Levy, Monica Dimambro, Alos Diallo, Jiang Gui, Brian Shiner, Maxwell Levis

Accurate prediction of suicide risk is crucial for identifying patients with elevated risk burden, helping ensure these patients receive targeted care. The US Department of Veteran Affairs' suicide prediction model primarily leverages structured electronic health records (EHR) data. This approach largely overlooks unstructured EHR, a data format that could be utilized to enhance predictive accuracy. This study aims to enhance suicide risk models' predictive accuracy by developing a model that incorporates both structured EHR predictors and semantic NLP-derived variables from unstructured EHR. XGBoost models were fit to predict suicide risk- the interactions identified by the model were extracted using SHAP, validated using logistic regression models, added to a ridge regression model, which was subsequently compared to a ridge regression approach without the use of interactions. By introducing a selection parameter, α, to balance the influence of structured (α=1) and unstructured (α=0) data, we found that intermediate α values achieved optimal performance across various risk strata, improved model performance of the ridge regression approach and uncovered significant cross-modal interactions between psychosocial constructs and patient characteristics. These interactions highlight how psychosocial risk factors are influenced by individual patient contexts, potentially informing improved risk prediction methods and personalized interventions. Our findings underscore the importance of incorporating nuanced narrative data into predictive models and set the stage for future research that will expand the use of advanced machine learning techniques, including deep learning, to further refine suicide risk prediction methods.

准确预测自杀风险对于识别风险负担加重的患者至关重要,有助于确保这些患者得到有针对性的治疗。美国退伍军人事务部的自杀预测模型主要利用结构化电子健康记录(EHR)数据。这种方法在很大程度上忽略了非结构化电子病历,而非结构化电子病历是一种可以用来提高预测准确性的数据格式。本研究旨在通过开发一种既包含结构化 EHR 预测因子,又包含从非结构化 EHR 中提取的语义 NLP 变量的模型,来提高自杀风险模型的预测准确性。研究人员拟合了 XGBoost 模型来预测自杀风险--使用 SHAP 提取模型识别出的交互作用,使用逻辑回归模型进行验证,并将其添加到脊回归模型中,随后与不使用交互作用的脊回归方法进行比较。通过引入一个选择参数α来平衡结构化数据(α=1)和非结构化数据(α=0)的影响,我们发现中间的α值在不同的风险分层中实现了最佳性能,改善了脊回归方法的模型性能,并发现了社会心理结构和患者特征之间显著的跨模式交互作用。这些相互作用凸显了社会心理风险因素是如何受患者个体背景影响的,从而为改进风险预测方法和个性化干预措施提供了潜在信息。我们的研究结果强调了将细致入微的叙事数据纳入预测模型的重要性,并为未来的研究奠定了基础,这些研究将扩大先进机器学习技术(包括深度学习)的使用范围,以进一步完善自杀风险预测方法。
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引用次数: 0
期刊
Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing
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