Riasi Atiye, Delrobaei Mehdi, Salari Mehri
Department of Biomedical Engineering, Faculty of Electrical Engineering, K. N. Toosi University of Technology, Tehran, Iran.
Department of Mechatronics, Faculty of Electrical Engineering, K. N. Toosi University of Technology, Tehran, Iran.
Sci Rep. 2025 May 30;15(1):19074. doi: 10.1038/s41598-025-04217-8.
Managing Parkinson's disease (PD) through medication can be challenging due to varying symptoms and disease duration. This study aims to demonstrate the potential of sequence-by-sequence algorithms in recommending personalized medication combinations for patients with PD based on their previous visits. Our proposed method employs a gated recurrent unit model to predict accurate combinations of critical medication types for PD based on each patient's motor symptoms and prescribed medication from previous visits. We built a multi-label model with gated recurrent units on two data architectures: (1) personalized input using each patient's previous visits as a sample and (2) non-personalized input treating each visit as an independent sample. The 10-fold cross-validation results showed that the personalized architecture model outperforms the non-personalized model in accuracy (0.92), precision (0.94), recall (0.94), F1-score (0.94), Hamming loss (0.03), and macro average area under the receiver operating characteristic (0.94). To interpret the model's predictions, we employed SHapley Additive exPlanations (SHAP) values, which provide insights into the importance of variables both globally (across the entire model) and at the individual patient level. The results contribute to the sequential-based decision support system potentially enhancing the remote management of PD pharmacologic issues.
由于帕金森病(PD)症状各异且病程不同,通过药物治疗来管理该病具有挑战性。本研究旨在证明序列到序列算法在根据帕金森病患者的既往就诊情况推荐个性化药物组合方面的潜力。我们提出的方法采用门控循环单元模型,根据每位患者的运动症状和既往就诊时开具的药物,预测帕金森病关键药物类型的准确组合。我们在两种数据架构上构建了带有门控循环单元的多标签模型:(1)使用每位患者的既往就诊情况作为样本的个性化输入,以及(2)将每次就诊视为独立样本的非个性化输入。10倍交叉验证结果表明,个性化架构模型在准确率(0.92)、精确率(0.94)、召回率(0.94)、F1分数(0.94)、汉明损失(0.03)以及接收器操作特征曲线下的宏平均面积(0.94)方面均优于非个性化模型。为了解释模型的预测结果,我们采用了夏普利值(SHapley Additive exPlanations,SHAP),它能从全局(整个模型)和个体患者层面深入了解变量的重要性。这些结果有助于基于序列的决策支持系统潜在地加强帕金森病药物问题的远程管理。
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