User-centered visual analysis using a hybrid reasoning architecture for intensive care units

One problem pertaining to Intensive Care Unit information systems is that, in some cases, a very dense display of data can result. To ensure the overview and readability of the increasing volumes of data, some special features are required (e.g., data prioritization, clustering, and selection mechanisms) with the application of analytical methods (e.g., temporal data abstraction, principal component analysis, and detection of events). This paper addresses the problem of improving the integration of the visual and analytical methods applied to medical monitoring systems. We present a knowledge- and machine learning-based approach to support the knowledge discovery process with appropriate analytical and visual methods. Its potential benefit to the development of user interfaces for intelligent monitors that can assist with the detection and explanation of new, potentially threatening medical events. The proposed hybrid reasoning architecture provides an interactive graphical user interface to adjust the parameters of the analytical methods based on the users' task at hand. The action sequences performed on the graphical user interface by the user are consolidated in a dynamic knowledge base with specific hybrid reasoning that integrates symbolic and connectionist approaches. These sequences of expert knowledge acquisition can be very efficient for making easier knowledge emergence during a similar experience and positively impact the monitoring of critical situations. The provided graphical user interface incorporating a user-centered visual analysis is exploited to facilitate the natural and effective representation of clinical information for patient care

Association Rules Mining Based Clinical Observations

Healthcare institutes enrich the repository of patients' disease related information in an increasing manner which could have been more useful by carrying out relational analysis. Data mining algorithms are proven to be quite useful in exploring useful correlations from larger data repositories. In this paper we have implemented Association Rules mining based a novel idea for finding co-occurrences of diseases carried by a patient using the healthcare repository. We have developed a system-prototype for Clinical State Correlation Prediction (CSCP) which extracts data from patients' healthcare database, transforms the OLTP data into a Data Warehouse by generating association rules. The CSCP system helps reveal relations among the diseases. The CSCP system predicts the correlation(s) among primary disease (the disease for which the patient visits the doctor) and secondary disease/s (which is/are other associated disease/s carried by the same patient having the primary disease).Comment: 5 pages, MEDINFO 2010, C. Safran et al. (Eds.), IOS Pres

ART Neural Networks: Distributed Coding and ARTMAP Applications

ART (Adaptive Resonance Theory) neural networks for fast, stable learning and prediction have been applied in a variety of areas. Applications include airplane design and manufacturing, automatic target recognition, financial forecasting, machine tool monitoring, digital circuit design, chemical analysis, and robot vision. Supervised ART architectures, called ARTMAP systems, feature internal control mechanisms that create stable recognition categories of optimal size by maximizing code compression while minimizing predictive error in an on-line setting. Special-purpose requirements of various application domains have led to a number of ARTMAP variants, including fuzzy ARTMAP, ART-EMAP, Gaussian ARTMAP, and distributed ARTMAP. ARTMAP has been used for a variety of applications, including computer-assisted medical diagnosis. Medical databases present many of the challenges found in general information management settings where speed, efficiency, ease of use, and accuracy are at a premium. A direct goal of improved computer-assisted medicine is to help deliver quality emergency care in situations that may be less than ideal. Working with these problems has stimulated a number of ART architecture developments, including ARTMAP-IC [1]. This paper describes a recent collaborative effort, using a new cardiac care database for system development, has brought together medical statisticians and clinicians at the New England Medical Center with researchers developing expert systems and neural networks, in order to create a hybrid method for medical diagnosis. The paper also considers new neural network architectures, including distributed ART {dART), a real-time model of parallel distributed pattern learning that permits fast as well as slow adaptation, without catastrophic forgetting. Local synaptic computations in the dART model quantitatively match the paradoxical phenomenon of Markram-Tsodyks [2] redistribution of synaptic efficacy, as a consequence of global system hypotheses.Office of Naval Research (N00014-95-1-0409, N00014-95-1-0657

Knowledge will Propel Machine Understanding of Content: Extrapolating from Current Examples

Machine Learning has been a big success story during the AI resurgence. One particular stand out success relates to learning from a massive amount of data. In spite of early assertions of the unreasonable effectiveness of data, there is increasing recognition for utilizing knowledge whenever it is available or can be created purposefully. In this paper, we discuss the indispensable role of knowledge for deeper understanding of content where (i) large amounts of training data are unavailable, (ii) the objects to be recognized are complex, (e.g., implicit entities and highly subjective content), and (iii) applications need to use complementary or related data in multiple modalities/media. What brings us to the cusp of rapid progress is our ability to (a) create relevant and reliable knowledge and (b) carefully exploit knowledge to enhance ML/NLP techniques. Using diverse examples, we seek to foretell unprecedented progress in our ability for deeper understanding and exploitation of multimodal data and continued incorporation of knowledge in learning techniques.Comment: Pre-print of the paper accepted at 2017 IEEE/WIC/ACM International Conference on Web Intelligence (WI). arXiv admin note: substantial text overlap with arXiv:1610.0770

Integration of Temporal Abstraction and Dynamic Bayesian Networks in Clinical Systems. A preliminary approach

Abstraction of temporal data (TA) aims to abstract time-points into higher-level interval concepts and to detect significant trends in both low-level data and abstract concepts. TA methods are used for summarizing and interpreting clinical data. Dynamic Bayesian Networks (DBNs) are temporal probabilistic graphical models which can be used to represent knowledge about uncertain temporal relationships between events and state changes during time. In clinical systems, they were introduced to encode and use the domain knowledge acquired from human experts to perform decision support. A hypothesis that this study plans to investigate is whether temporal abstraction methods can be effectively integrated with DBNs in the context of medical decision-support systems. A preliminary approach is presented where a DBN model is constructed for prognosis of the risk for coronary artery disease (CAD) based on its risk factors and using as test bed a dataset that was collected after monitoring patients who had positive history of cardiovascular disease. The technical objectives of this study are to examine how DBNs will represent the abstracted data in order to construct the prognostic model and whether the retrieved rules from the model can be used for generating more complex abstractions

The Requirements for Ontologies in Medical Data Integration: A Case Study

Evidence-based medicine is critically dependent on three sources of information: a medical knowledge base, the patients medical record and knowledge of available resources, including where appropriate, clinical protocols. Patient data is often scattered in a variety of databases and may, in a distributed model, be held across several disparate repositories. Consequently addressing the needs of an evidence-based medicine community presents issues of biomedical data integration, clinical interpretation and knowledge management. This paper outlines how the Health-e-Child project has approached the challenge of requirements specification for (bio-) medical data integration, from the level of cellular data, through disease to that of patient and population. The approach is illuminated through the requirements elicitation and analysis of Juvenile Idiopathic Arthritis (JIA), one of three diseases being studied in the EC-funded Health-e-Child project.Comment: 6 pages, 1 figure. Presented at the 11th International Database Engineering & Applications Symposium (Ideas2007). Banff, Canada September 200