论文标题
AI从临床实践指南中提取知识的知识:将研究转化为实践
AI Driven Knowledge Extraction from Clinical Practice Guidelines: Turning Research into Practice
论文作者
论文摘要
背景和目标:临床实践指南(CPG)代表了与医生在医疗保健领域共享最先进的研究结果的最重要方法,以限制实践变化,降低临床成本,提高护理质量,并提供基于证据的治疗。但是,从已负担重大的医疗保健专业人员中提取相关知识是不可行的,从而导致临床发现与真实实践之间的差距很大。因此,必须使用最先进的计算研究,尤其是机器学习来提供基于人工智能的解决方案,以从CPG中提取知识并减少医疗保健研究/准则和实践之间的差距。方法:本研究提出了一种从CPG中提取知识的新方法,以减少差距并将最新的研究结果转化为临床实践。首先,我们的系统将CPG句子分为四个类,例如根据句子中提出的信息,诸如条件行动,条件结果,动作和不适用的句子。我们将深入学习与最先进的单词嵌入,改进的单词向量技术在分类过程中。其次,它标识了分类句子中的预选赛术语,这些句子有助于识别句子中的条件和行动短语。最后,如果条件和动作格式,则处理条件和动作短语并将其转换为普通规则。结果:我们评估了三种不同领域指南的方法,包括高血压,鼻孔炎和哮喘。深度学习模型以95%的精度对CPG句子进行了分类。尽管规则提取是通过以用户为中心的方法验证的,但通过三个人类专家提取规则,该方法分别达到了JACCARD系数为0.6、0.7和0.4。
Background and Objectives: Clinical Practice Guidelines (CPGs) represent the foremost methodology for sharing state-of-the-art research findings in the healthcare domain with medical practitioners to limit practice variations, reduce clinical cost, improve the quality of care, and provide evidence based treatment. However, extracting relevant knowledge from the plethora of CPGs is not feasible for already burdened healthcare professionals, leading to large gaps between clinical findings and real practices. It is therefore imperative that state-of-the-art Computing research, especially machine learning is used to provide artificial intelligence based solution for extracting the knowledge from CPGs and reducing the gap between healthcare research/guidelines and practice. Methods: This research presents a novel methodology for knowledge extraction from CPGs to reduce the gap and turn the latest research findings into clinical practice. First, our system classifies the CPG sentences into four classes such as condition-action, condition-consequences, action, and not-applicable based on the information presented in a sentence. We use deep learning with state-of-the-art word embedding, improved word vectors technique in classification process. Second, it identifies qualifier terms in the classified sentences, which assist in recognizing the condition and action phrases in a sentence. Finally, the condition and action phrase are processed and transformed into plain rule If Condition(s) Then Action format. Results: We evaluate the methodology on three different domains guidelines including Hypertension, Rhinosinusitis, and Asthma. The deep learning model classifies the CPG sentences with an accuracy of 95%. While rule extraction was validated by user-centric approach, which achieved a Jaccard coefficient of 0.6, 0.7, and 0.4 with three human experts extracted rules, respectively.