Koutkias Vassilis, Jaulent Marie-Christine
INSERM, U1142, LIMICS, 75006, Paris, France.
Sorbonne Universités, UPMC University Paris 06, UMR_S 1142, LIMICS, 75006, Paris, France.
J Med Syst. 2016 Feb;40(2):37. doi: 10.1007/s10916-015-0378-0. Epub 2015 Nov 21.
Pharmacovigilance is the scientific discipline that copes with the continuous assessment of the safety profile of marketed drugs. This assessment relies on diverse data sources, which are routinely analysed to identify the so-called "signals", i.e. potential associations between drugs and adverse effects, that are unknown or incompletely documented. Various computational methods have been proposed to support domain experts in signal detection. However, recent comparative studies illustrated that current methods exhibit high false-positive rates, significantly variable performance across different datasets used for analysis and events of interest, but also complementarity in their outcomes. In this regard, in order to reinforce accurate and timely signal detection, we elaborated through an agent-based approach towards systematic, joint exploitation of multiple heterogeneous signal detection methods, data sources and other drug-related resources under a common, integrated framework. The approach relies on a multiagent system operating based on a collaborative agent interaction protocol, aiming to implement a comprehensive workflow that comprises of method selection and execution, as well as outcomes' aggregation, filtering, ranking and annotation. This paper presents the design of the proposed multiagent system, discusses implementation issues and demonstrates the applicability of the proposed solution in an example signal detection scenario. This work constitutes a step towards large-scale, integrated and knowledge-intensive computational signal detection.
药物警戒是一门科学学科,致力于持续评估已上市药物的安全性概况。这种评估依赖于多种数据来源,这些数据来源会被定期分析,以识别所谓的“信号”,即药物与不良反应之间潜在的关联,而这些关联是未知的或记录不完整的。已经提出了各种计算方法来支持领域专家进行信号检测。然而,最近的比较研究表明,当前的方法显示出较高的假阳性率,在用于分析的不同数据集和感兴趣的事件中表现差异很大,但在结果上也具有互补性。在这方面,为了加强准确和及时的信号检测,我们通过一种基于智能体的方法进行了详细阐述,以便在一个通用的集成框架下系统地联合利用多种异构信号检测方法、数据来源和其他与药物相关的资源。该方法依赖于一个基于协作智能体交互协议运行的多智能体系统,旨在实现一个全面的工作流程,包括方法选择与执行,以及结果的汇总、过滤、排序和注释。本文介绍了所提出的多智能体系统的设计,讨论了实现问题,并在一个示例信号检测场景中展示了所提出解决方案的适用性。这项工作是朝着大规模、集成化和知识密集型计算信号检测迈出的一步。