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通过模拟临床诊断过程揭示隐藏的疾病模式。

Uncovering hidden disease patterns by simulating clinical diagnostic processes.

机构信息

Leiden Academic Centre for Drug Research, Faculty of Science, Leiden University, Leiden, The Netherlands.

Department of Physics, University of Neyshabur, Neyshabur, Iran.

出版信息

Sci Rep. 2018 Feb 5;8(1):2436. doi: 10.1038/s41598-018-20826-y.

Abstract

Choosing a sequence of observations (often with stochastic outcomes) which maximizes the information gain from a system of interacting variables is essential for a wide range of problems in science and technology, such as clinical diagnostic problems. Here, we use a probabilistic model of diseases and signs/symptoms to simulate the effects of medical decisions on the quality of diagnosis by maximizing an appropriate objective function of the medical observations. The study provides a systematic way of proposing new medical tests, considering the significance of diseases and cost of the suggested observations. The efficacy of methods and role of the objective functions as well as initial signs/symptoms are examined by numerical simulations of the diagnostic process by exhaustive or Monte Carlo sampling algorithms.

摘要

选择一系列观测值(通常具有随机结果),以使系统中相互作用变量的信息增益最大化,这对于科学和技术的广泛问题(例如临床诊断问题)至关重要。在这里,我们使用疾病和迹象/症状的概率模型来模拟医学决策对诊断质量的影响,方法是通过最大化医学观察的适当目标函数。该研究通过穷举或蒙特卡罗抽样算法对诊断过程进行数值模拟,为提出新的医学检测方法提供了一种系统的方法,同时考虑了疾病的重要性和建议观察的成本。通过对诊断过程进行数值模拟,评估了方法的功效和目标函数的作用以及初始迹象/症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3061/5799257/edff7cac5c5b/41598_2018_20826_Fig1_HTML.jpg

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