Enhancing Clinical Decision Support Systems with Public Knowledge Bases

With vast amount of biomedical literature available online, doctors have the benefits of consulting the literature before making clinical decisions, but they are facing the daunting task of finding needles in haystacks. In this situation, it would help doctors if an effective clinical decision support system could generate accurate queries and return a manageable size of highly useful articles. Existing studies showed the useful-ness of patients’ diagnosis information in such scenario, but diagnosis is often missing in most cases. Furthermore, existing diagnosis prediction systems mainly focus on predicting a small range of diseases with well-formatted features, and it is still a great challenge to perform large-scale automatic diagnosis predictions based on noisy pa-tient medical records. In this paper, we propose automatic diagnosis prediction meth-ods for enhancing the retrieval in a clinical decision support system, where the predic-tion is based on evidences automatically collected from publicly accessible online knowledge bases such as Wikipedia and Semantic MEDLINE Database (SemMedDB). The assumption is that relevant diseases and their corresponding symptoms co-occur more frequently in these knowledge bases. Our methods perfor-mance was evaluated using test collections from the Clinical Decision Support (CDS) track in TREC 2014, 2015 and 2016. The results show that our best method can au-tomatically predict diagnosis with about 65.56% usefulness, and such predictions can significantly improve the biomedical literatures retrieval. Our methods can generate comparable retrieval results to the state-of-art methods, which utilize much more complicated methods and some manually crafted medical knowledge. One possible future work is to apply these methods in collaboration with real doctors

Utilizing Knowledge Bases In Information Retrieval For Clinical Decision Support And Precision Medicine

Accurately answering queries that describe a clinical case and aim at finding articles in a collection of medical literature requires utilizing knowledge bases in capturing many explicit and latent aspects of such queries. Proper representation of these aspects needs knowledge-based query understanding methods that identify the most important query concepts as well as knowledge-based query reformulation methods that add new concepts to a query. In the tasks of Clinical Decision Support (CDS) and Precision Medicine (PM), the query and collection documents may have a complex structure with different components, such as disease and genetic variants that should be transformed to enable an effective information retrieval. In this work, we propose methods for representing domain-specific queries based on weighted concepts of different types whether exist in the query itself or extracted from the knowledge bases and top retrieved documents. Besides, we propose an optimization framework, which allows unifying query analysis and expansion by jointly determining the importance weights for the query and expansion concepts depending on their type and source. We also propose a probabilistic model to reformulate the query given genetic information in the query and collection documents. We observe significant improvement of retrieval accuracy will be obtained for our proposed methods over state-of-the-art baselines for the tasks of clinical decision support and precision medicine