Beijing Jiaotong University,China, No.3 Shangyuancun, Haidian District, Beijing, 100044, China.
Institute of Basic Research in Clinical Medicine/National Data Center of Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, No.16 South Street,Dongzhimen,Dongcheng District, Beijing, 100700, China.
BMC Med Inform Decis Mak. 2020 Oct 15;20(1):264. doi: 10.1186/s12911-020-01249-0.
Syndrome differentiation aims at dividing patients into several types according to their clinical symptoms and signs, which is essential for traditional Chinese medicine (TCM). Several previous works were devoted to employing the classical algorithms to classify the syndrome and achieved delightful results. However, the presence of ambiguous symptoms substantially disturbed the performance of syndrome differentiation, This disturbance is always due to the diversity and complexity of the patients' symptoms.
To alleviate this issue, we proposed an algorithm based on the multilayer perceptron model with an attention mechanism (ATT-MLP). In particular, we first introduced an attention mechanism to assign different weights for different symptoms among the symptomatic features. In this manner, the symptoms of major significance were highlighted and ambiguous symptoms were restrained. Subsequently, those weighted features were further fed into an MLP to predict the syndrome type of AIDS.
Experimental results for a real-world AIDS dataset show that our framework achieves significant and consistent improvements compared to other methods. Besides, our model can also capture the key symptoms corresponding to each type of syndrome.
In conclusion, our proposed method can learn these intrinsic correlations between symptoms and types of syndromes. Our model is able to learn the core cluster of symptoms for each type of syndrome from limited data, while assisting medical doctors to diagnose patients efficiently.
辨证论治旨在根据患者的临床症状和体征将患者分为几类,这对中医(TCM)至关重要。以前的几项工作都致力于采用经典算法对证候进行分类,并取得了令人愉快的结果。然而,症状的模糊性极大地干扰了证候分类的性能,这种干扰通常是由于患者症状的多样性和复杂性造成的。
为了解决这个问题,我们提出了一种基于具有注意力机制的多层感知机模型(ATT-MLP)的算法。具体来说,我们首先引入了注意力机制,为症状特征中的不同症状分配不同的权重。通过这种方式,突出了主要的重要症状,抑制了模糊症状。然后,将这些加权特征进一步输入到 MLP 中,以预测艾滋病的证候类型。
对真实世界的艾滋病数据集的实验结果表明,与其他方法相比,我们的框架取得了显著和一致的改进。此外,我们的模型还可以捕捉到每个证候类型对应的关键症状。
总之,我们提出的方法可以学习症状与证候类型之间的这些内在相关性。我们的模型能够从有限的数据中学习每个证候类型的核心症状簇,同时帮助医生有效地诊断患者。