Institute of Medical Intelligence, School of Computer and Information Technology, Beijing Jiaotong University, Beijing 100044, China.
BNRIST/Department of Automation, Tsinghua University, Beijing 100084, China.
Biomed Res Int. 2022 Feb 17;2022:4845726. doi: 10.1155/2022/4845726. eCollection 2022.
Traditional Chinese medicine (TCM) has played an indispensable role in clinical diagnosis and treatment. Based on a patient's symptom phenotypes, computation-based prescription recommendation methods can recommend personalized TCM prescription using machine learning and artificial intelligence technologies. However, owing to the complexity and individuation of a patient's clinical phenotypes, current prescription recommendation methods cannot obtain good performance. Meanwhile, it is very difficult to conduct effective representation for unrecorded symptom terms in an existing knowledge base. In this study, we proposed a subnetwork-based symptom term mapping method (SSTM) and constructed a SSTM-based TCM prescription recommendation method (termed TCMPR). Our SSTM can extract the subnetwork structure between symptoms from a knowledge network to effectively represent the embedding features of clinical symptom terms (especially the unrecorded terms). The experimental results showed that our method performs better than state-of-the-art methods. In addition, the comprehensive experiments of TCMPR with different hyperparameters (i.e., feature embedding, feature dimension, subnetwork filter threshold, and feature fusion) demonstrate that our method has high performance on TCM prescription recommendation and potentially promote clinical diagnosis and treatment of TCM precision medicine.
中医(TCM)在临床诊断和治疗中发挥了不可或缺的作用。基于患者的症状表型,基于计算的处方推荐方法可以使用机器学习和人工智能技术推荐个性化的 TCM 处方。然而,由于患者临床表型的复杂性和个性化,当前的处方推荐方法无法获得良好的性能。同时,在现有知识库中有效地表示未记录的症状术语非常困难。在这项研究中,我们提出了一种基于子网的症状术语映射方法(SSTM),并构建了一种基于 SSTM 的 TCM 处方推荐方法(称为 TCMPR)。我们的 SSTM 可以从知识网络中提取症状之间的子网结构,以有效地表示临床症状术语的嵌入特征(特别是未记录的术语)。实验结果表明,我们的方法优于最先进的方法。此外,TCMPR 与不同超参数(即特征嵌入、特征维度、子网滤波器阈值和特征融合)的综合实验表明,我们的方法在 TCM 处方推荐方面具有高性能,并且有可能促进 TCM 精准医学的临床诊断和治疗。