Linewalks, 8F, 5, Teheran-ro 14-gil, Gangnam-gu, Seoul 06235, Korea.
Graduate School of Advanced Imaging Science, Multimedia & Film, Chung-Ang University 84, Heukseok ro, Dongjak-gu, Seoul 06974, Korea.
Int J Environ Res Public Health. 2020 Nov 10;17(22):8303. doi: 10.3390/ijerph17228303.
Electronic health record (EHR) data are widely used to perform early diagnoses and create treatment plans, which are key areas of research. We aimed to increase the efficiency of iteratively applying data-intensive technology and verifying the results for complex and big EHR data. We used a system entailing sequence mining, interpretable deep learning models, and visualization on data extracted from the MIMIC-IIIdatabase for a group of patients diagnosed with heart disease. The results of sequence mining corresponded to specific pathways of interest to medical staff and were used to select patient groups that underwent these pathways. An interactive Sankey diagram representing these pathways and a heat map visually representing the weight of each variable were developed for temporal and quantitative illustration. We applied the proposed system to predict unplanned cardiac surgery using clinical pathways determined by sequence pattern mining to select cardiac surgery from complex EHRs to label subject groups and deep learning models. The proposed system aids in the selection of pathway-based patient groups, simplification of labeling, and exploratory the interpretation of the modeling results. The proposed system can help medical staff explore various pathways that patients have undergone and further facilitate the testing of various clinical hypotheses using big data in the medical domain.
电子健康记录 (EHR) 数据被广泛用于进行早期诊断和制定治疗计划,这是研究的重点领域。我们旨在提高迭代应用数据密集型技术并验证复杂和大型 EHR 数据结果的效率。我们使用了一种系统,该系统涉及从 MIMIC-III 数据库中提取数据的序列挖掘、可解释的深度学习模型和可视化,用于一组诊断为心脏病的患者。序列挖掘的结果对应于医务人员感兴趣的特定途径,并用于选择经历这些途径的患者组。开发了一个交互式 Sankey 图来表示这些途径,以及一个热图来直观地表示每个变量的权重,以便进行时间和定量说明。我们应用所提出的系统使用通过序列模式挖掘确定的临床途径来预测非计划性心脏手术,从复杂的 EHR 中选择心脏手术来标记主题组和深度学习模型。所提出的系统有助于选择基于途径的患者组,简化标签,并探索建模结果的解释。该系统可以帮助医务人员探索患者经历的各种途径,并进一步利用医疗领域的大数据来测试各种临床假设。