移植后死因分析的多任务学习:肝脏移植案例研究。

AMIA ... Annual Symposium proceedings. AMIA Symposium Pub Date : 2024-01-11 eCollection Date: 2023-01-01
Sirui Ding, Qiaoyu Tan, Chia-Yuan Chang, Na Zou, Kai Zhang, Nathan R Hoot, Xiaoqian Jiang, Xia Hu
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引用次数: 0

摘要

器官移植是肝衰竭等一些终末期疾病的基本治疗方法。分析器官移植后的死因(CoD)为临床决策,包括个性化治疗和器官分配提供了强有力的工具。然而,由于数据和模型相关的两大挑战,末期肝病模型(MELD)评分和传统的机器学习(ML)方法等传统方法在死因分析中受到了限制。为解决这一问题,我们提出了一种名为 CoD-MTL 的新型框架,它利用多任务学习来联合为各种 CoD 预测任务之间的语义关系建模。具体来说,我们为多任务学习开发了一种新颖的树形蒸馏策略,它结合了树形模型和多任务学习的优势。实验结果表明,我们的框架能精确、可靠地预测 CoD。我们还进行了一项案例研究,以证明我们的方法在肝脏移植中的临床重要性。
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Multi-Task Learning for Post-transplant Cause of Death Analysis: A Case Study on Liver Transplant.

Organ transplant is the essential treatment method for some end-stage diseases, such as liver failure. Analyzing the post-transplant cause of death (CoD) after organ transplant provides a powerful tool for clinical decision making, including personalized treatment and organ allocation. However, traditional methods like Model for End-stage Liver Disease (MELD) score and conventional machine learning (ML) methods are limited in CoD analysis due to two major data and model-related challenges. To address this, we propose a novel framework called CoD-MTL leveraging multi-task learning to model the semantic relationships between various CoD prediction tasks jointly. Specifically, we develop a novel tree distillation strategy for multi-task learning, which combines the strength of both the tree model and multi-task learning. Experimental results are presented to show the precise and reliable CoD predictions of our framework. A case study is conducted to demonstrate the clinical importance of our method in the liver transplant.

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