Adaptive semi-supervised recursive tree partitioning: The ART towards large scale patient indexing in personalized healthcare.

With the rapid development of information technologies, tremendous amount of data became readily available in various application domains. This big data era presents challenges to many conventional data analytics research directions including data capture, storage, search, sharing, analysis, and visualization. It is no surprise to see that the success of next-generation healthcare systems heavily relies on the effective utilization of gigantic amounts of medical data. The ability of analyzing big data in modern healthcare systems plays a vital role in the improvement of the quality of care delivery. Specifically, patient similarity evaluation aims at estimating the clinical affinity and diagnostic proximity of patients. As one of the successful data driven techniques adopted in healthcare systems, patient similarity evaluation plays a fundamental role in many healthcare research areas such as prognosis, risk assessment, and comparative effectiveness analysis. However, existing algorithms for patient similarity evaluation are inefficient in handling massive patient data. In this paper, we propose an Adaptive Semi-Supervised Recursive Tree Partitioning (ART) framework for large scale patient indexing such that the patients with similar clinical or diagnostic patterns can be correctly and efficiently retrieved. The framework is designed for semi-supervised settings since it is crucial to leverage experts' supervision knowledge in medical scenario, which are fairly limited compared to the available data. Starting from the proposed ART framework, we will discuss several specific instantiations and validate them on both benchmark and real world healthcare data. Our results show that with the ART framework, the patients can be efficiently and effectively indexed in the sense that (1) similarity patients can be retrieved in a very short time; (2) the retrieval performance can beat the state-of-the art indexing methods.