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author:

Tan, Yanchao (Tan, Yanchao.) [1] (Scholars:檀彦超) | Zhang, Hengyu (Zhang, Hengyu.) [2] | Zhou, Zihao (Zhou, Zihao.) [3] | Ma, Guofang (Ma, Guofang.) [4] | Wang, Fan (Wang, Fan.) [5] | Liu, Weiming (Liu, Weiming.) [6] | Liao, Xinting (Liao, Xinting.) [7] | Hertzberg, Vicki S. (Hertzberg, Vicki S..) [8] | Yang, Carl (Yang, Carl.) [9]

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Abstract:

Progressive diagnosis prediction in healthcare is a promising yet challenging task. Existing studies usually assume a pre-defined prior for generating patient distributions (e.g., Gaussian). However, the inferred approximate posterior can deviate from the real-world distribution, which further affects the modeling of continuous disease progression over time. To alleviate such inference bias, we propose an enhanced progressive diagnostic prediction model (i.e., ProCNF), which integrates continuous normalizing flows (CNF) and neural ordinary differential equations (ODEs) to achieve more accurate approximations of patient health trajectories while capturing the continuity underlying disease progression. We first learn patient embeddings with CNF to construct a complex posterior approximation of patient distributions. Then, we devise a CNF-enhanced neural ODE module for progressive diagnostic prediction, which aims to improve the modeling of disease progression for individual patients. Extensive experiments on two real-world longitudinal EHR datasets show significant performance gains brought by our method over state-of-the-art competitors. © 2024 Copyright held by the owner/author(s). Publication rights licensed to ACM.

Keyword:

Diagnosis Forecasting Health care Knowledge management Ordinary differential equations

Community:

  • [ 1 ] [Tan, Yanchao]College of Computer and Data Science, Fuzhou University, China
  • [ 2 ] [Zhang, Hengyu]College of Computer Science, Zhejiang University, China
  • [ 3 ] [Zhou, Zihao]College of Computer and Data Science, Fuzhou University, China
  • [ 4 ] [Ma, Guofang]School of Computer Science, Zhejiang Gongshang University, China
  • [ 5 ] [Wang, Fan]College of Computer Science, Zhejiang University, China
  • [ 6 ] [Liu, Weiming]College of Computer Science, Zhejiang University, China
  • [ 7 ] [Liao, Xinting]College of Computer Science, Zhejiang University, China
  • [ 8 ] [Hertzberg, Vicki S.]Nell Hodgson Woodruff School of Nursing, Emory University, United States
  • [ 9 ] [Yang, Carl]Department of Computer Science, Emory University, United States

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Year: 2024

Page: 1166-1169

Language: English

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ESI Highly Cited Papers on the List: 0 Unfold All

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30 Days PV: 1

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