RAM-EHR:检索增强满足电子健康记录的临床预测

Ran Xu, Wenqi Shi, Yue Yu, Yuchen Zhuang, Bowen Jin, May D. Wang, Joyce C. Ho, Carl Yang
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引用次数: 0

摘要

我们介绍的 RAM-EHR 是一种检索增强管道(Retrieval AugMentation pipeline),用于改进电子健康记录(EHR)上的临床预测。RAM-EHR 首先收集多个知识源,将其转换为文本格式,然后使用密集检索来获取与医学概念相关的信息。然后,RAM-EHR 增强了与一致性正则化共同训练的本地 EHR 预测模型,以捕捉来自患者就诊和总结知识的补充信息。在两个电子病历数据集上进行的实验表明,RAM-EHR 比以前的知识增强基线模型更有效(AUROC 提高了 3.4%,AUPR 提高了 7.2%),强调了 RAM-EHR 总结的知识在临床预测任务中的有效性。代码将发布在 \url{https://github.com/ritaranx/RAM-EHR} 上。
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RAM-EHR: Retrieval Augmentation Meets Clinical Predictions on Electronic Health Records
We present RAM-EHR, a Retrieval AugMentation pipeline to improve clinical predictions on Electronic Health Records (EHRs). RAM-EHR first collects multiple knowledge sources, converts them into text format, and uses dense retrieval to obtain information related to medical concepts. This strategy addresses the difficulties associated with complex names for the concepts. RAM-EHR then augments the local EHR predictive model co-trained with consistency regularization to capture complementary information from patient visits and summarized knowledge. Experiments on two EHR datasets show the efficacy of RAM-EHR over previous knowledge-enhanced baselines (3.4% gain in AUROC and 7.2% gain in AUPR), emphasizing the effectiveness of the summarized knowledge from RAM-EHR for clinical prediction tasks. The code will be published at \url{https://github.com/ritaranx/RAM-EHR}.
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