TCM-SD: A Benchmark for Probing Syndrome Differentiation via Natural Language Processing

Traditional Chinese Medicine (TCM) is a natural, safe, and effective therapy that has spread and been applied worldwide. The unique TCM diagnosis and treatment system requires a comprehensive analysis of a patient's symptoms hidden in the clinical record written in free text. Prior studies have shown that this system can be informationized and intelligentized with the aid of artificial intelligence (AI) technology, such as natural language processing (NLP). However, existing datasets are not of sufficient quality nor quantity to support the further development of data-driven AI technology in TCM. Therefore, in this paper, we focus on the core task of the TCM diagnosis and treatment system -- syndrome differentiation (SD) -- and we introduce the first public large-scale dataset for SD, called TCM-SD. Our dataset contains 54,152 real-world clinical records covering 148 syndromes. Furthermore, we collect a large-scale unlabelled textual corpus in the field of TCM and propose a domain-specific pre-trained language model, called ZY-BERT. We conducted experiments using deep neural networks to establish a strong performance baseline, reveal various challenges in SD, and prove the potential of domain-specific pre-trained language model. Our study and analysis reveal opportunities for incorporating computer science and linguistics knowledge to explore the empirical validity of TCM theories.Comment: 10 main pages + 2 reference pages, to appear at CCL202

Deep Representation Learning of Electronic Health Records to Unlock Patient Stratification at Scale

Deriving disease subtypes from electronic health records (EHRs) can guide next-generation personalized medicine. However, challenges in summarizing and representing patient data prevent widespread practice of scalable EHR-based stratification analysis. Here we present an unsupervised framework based on deep learning to process heterogeneous EHRs and derive patient representations that can efficiently and effectively enable patient stratification at scale. We considered EHRs of 1,608,741 patients from a diverse hospital cohort comprising of a total of 57,464 clinical concepts. We introduce a representation learning model based on word embeddings, convolutional neural networks, and autoencoders (i.e., ConvAE) to transform patient trajectories into low-dimensional latent vectors. We evaluated these representations as broadly enabling patient stratification by applying hierarchical clustering to different multi-disease and disease-specific patient cohorts. ConvAE significantly outperformed several baselines in a clustering task to identify patients with different complex conditions, with 2.61 entropy and 0.31 purity average scores. When applied to stratify patients within a certain condition, ConvAE led to various clinically relevant subtypes for different disorders, including type 2 diabetes, Parkinson's disease and Alzheimer's disease, largely related to comorbidities, disease progression, and symptom severity. With these results, we demonstrate that ConvAE can generate patient representations that lead to clinically meaningful insights. This scalable framework can help better understand varying etiologies in heterogeneous sub-populations and unlock patterns for EHR-based research in the realm of personalized medicine.Comment: C.F. and R.M. share senior authorshi

Application of Artificial Intelligence in Modern Healthcare System

Artificial intelligence (AI) has the potential of detecting significant interactions in a dataset and also it is widely used in several clinical conditions to expect the results, treat, and diagnose. Artificial intelligence (AI) is being used or trialed for a variety of healthcare and research purposes, including detection of disease, management of chronic conditions, delivery of health services, and drug discovery. In this chapter, we will discuss the application of artificial intelligence (AI) in modern healthcare system and the challenges of this system in detail. Different types of artificial intelligence devices are described in this chapter with the help of working mechanism discussion. Alginate, a naturally available polymer found in the cell wall of the brown algae, is used in tissue engineering because of its biocompatibility, low cost, and easy gelation. It is composed of α-L-guluronic and β-D-manuronic acid. To improve the cell-material interaction and erratic degradation, alginate is blended with other polymers. Here, we discuss the relationship of artificial intelligence with alginate in tissue engineering fields

Retinal image quality assessment using deep convolutional neural networks

Dissertação de mestrado integrado em Engenharia Biomédica (área de especialização em Informática Médica)Diabetic Retinopathy (DR) and diabetic macular edema (DME) are the damages caused to the retina and are complications that can affect the diabetic population. Diabetic retinopathy (DR), is the most common disease due to the presence of exudates and has three levels of severity, such as mild, moderate and severe, depending on the exudates distribution in the retina. For screening of diabetic retinopathy or a population-based clinical study, a large number of digital fundus images are captured and to be possible to recognize the signs of DR and DME, it is necessary that the images have quality, because low-quality images may force the patient to return for a second examination, wasting time and possibly delaying treatment. These images are evaluated by trained human experts, which can be a time-consuming and expensive task due to the number of images that need to be examined. Therefore, this is a field that would be hugely benefited with the development of an automated eye fundus quality assessment and analysis systems. It can potentially facilitate health care in remote regions and in developing countries where reading skills are scarce. Deep Learning is a kind of Machine Learning method that involves learning multi-level representations that begin with raw data entry and gradually moves to more abstract levels through non-linear transformations. With enough training data and sufficiently deep architectures, neural networks, such as Convolutional Neural Networks (CNN), can learn very complex functions and discover complex structures in the data. Thus, Deep Learning emerges as a powerful tool for medical image analysis and evaluation of retinal image quality using computer-aided diagnosis. Therefore, the aim of this study is to automatically assess all the three quality parameters alone (focus, illumination and color), and then an overall quality of fundus images assessment, classifying the images into the classes “accept” or “reject with a Deep Learning approach using convolutional neural networks (CNN). For the overall classification, the following results were obtained: test accuracy=97.89%, SN=97.9%, AUC=0.98 and 1-score=97.91%.A retinopatia diabética (RD) e o edema macular diabético (EMD) são patologias da retina e são uma complicação que pode afetar a população diabética. A retinopatia diabética é a doença mais comum devido à presença de exsudatos e possui três níveis de gravidade, como leve, moderado e grave, dependendo da distribuição dos exsudatos na retina. Para triagem da retinopatia diabética ou estudo clínico de base populacional, um grande número de imagens digitais de fundo do olho são capturadas e para ser possível reconhecer os sinais da RD e EMD, é necessário que as imagens tenham qualidade, pois imagens de baixa qualidade podem forçar o paciente a retornar para um segundo exame, perdendo tempo e, possivelmente, retardando o tratamento. Essas imagens são avaliadas por especialistas humanos treinados, o que pode ser uma tarefa demorada e cara devido ao número de imagens que precisam de ser examinadas. Portanto, este é um campo que seria enormemente beneficiado com o desenvolvimento de sistemas automatizados de avaliação e análise da qualidade da imagem do fundo de olho. Pode potencialmente facilitar a assistência médica em regiões remotas e em países em desenvolvimento, onde as habilidades de leitura são escassas. Deep Learning é um tipo de método de Machine Learning que envolve a aprendizagem de representações em vários níveis que começam com a entrada de dados brutos e gradualmente se transformam para níveis mais abstratos através de transformações não lineares, para se obterem as previsões. Com dados de treino suficientes e arquiteturas suficientemente profundas, as redes neuronais, como as Convolutional Neural Networks (CNN), podem aprender funções muito complexas e descobrir estruturas complexas nos dados. Assim, o Deep Learning surge como uma ferramenta poderosa para analisar imagens médicas para avaliação da qualidade da retina, usando diagnóstico auxiliado por computador a partir do fundo do olho. Portanto, o objetivo deste estudo é avaliar automaticamente a qualidade geral das imagens do fundo, classificando as imagens em “aceites” ou “rejeitadas”, com base em três parâmetros principais, como o foco, a iluminação e cor com abordagem de Deep Learning usando convolutional neural networks (CNN). Para a classificação geral da qualidade das imagens, obtiveram-se os seguintes resultados: acurácia do teste = 97,89%, SN = 97,9%, AUC = 0,98 e 1-score=97.91%

Computational Intelligence in Healthcare

This book is a printed edition of the Special Issue Computational Intelligence in Healthcare that was published in Electronic

Computational Intelligence in Healthcare

The number of patient health data has been estimated to have reached 2314 exabytes by 2020. Traditional data analysis techniques are unsuitable to extract useful information from such a vast quantity of data. Thus, intelligent data analysis methods combining human expertise and computational models for accurate and in-depth data analysis are necessary. The technological revolution and medical advances made by combining vast quantities of available data, cloud computing services, and AI-based solutions can provide expert insight and analysis on a mass scale and at a relatively low cost. Computational intelligence (CI) methods, such as fuzzy models, artificial neural networks, evolutionary algorithms, and probabilistic methods, have recently emerged as promising tools for the development and application of intelligent systems in healthcare practice. CI-based systems can learn from data and evolve according to changes in the environments by taking into account the uncertainty characterizing health data, including omics data, clinical data, sensor, and imaging data. The use of CI in healthcare can improve the processing of such data to develop intelligent solutions for prevention, diagnosis, treatment, and follow-up, as well as for the analysis of administrative processes. The present Special Issue on computational intelligence for healthcare is intended to show the potential and the practical impacts of CI techniques in challenging healthcare applications