2,298 research outputs found

    Natural Language Processing – Finding the Missing Link for Oncologic Data, 2022

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    Oncology like most medical specialties, is undergoing a data revolution at the center of which lie vast and growing amounts of clinical data in unstructured, semi-structured and structed formats. Artificial intelligence approaches are widely employed in research endeavors in an attempt to harness electronic medical records data to advance patient outcomes. The use of clinical oncologic data, although collected on large scale, particularly with the increased implementation of electronic medical records, remains limited due to missing, incorrect or manually entered data in registries and the lack of resource allocation to data curation in real world settings. Natural Language Processing (NLP) may provide an avenue to extract data from electronic medical records and as a result has grown considerably in medicine to be employed for documentation, outcome analysis, phenotyping and clinical trial eligibility. Barriers to NLP persist with inability to aggregate findings across studies due to use of different methods and significant heterogeneity at all levels with important parameters such as patient comorbidities and performance status lacking implementation in AI approaches. The goal of this review is to provide an updated overview of natural language processing (NLP) and the current state of its application in oncology for clinicians and researchers that wish to implement NLP to augment registries and/or advance research projects

    Data Models in Neuroinformatics

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    Advancements in integrated neuroscience are often characterized with data-driven approaches for discovery; these progressions are the result of continuous efforts aimed at developing integrated frameworks for the investigation of neuronal dynamics at increasing resolution and in varying scales. Since insights from integrated neuronal models frequently rely on both experimental and computational approaches, simulations and data modeling have inimitable roles. Moreover, data sharing across the neuroscientific community has become an essential component of data-driven approaches to neuroscience as is evident from the number and scale of ongoing national and multinational projects, engaging scientists from diverse branches of knowledge. In this heterogeneous environment, the need to share neuroscientific data as well as to utilize it across different simulation environments drove the momentum for standardizing data models for neuronal morphologies, biophysical properties, and connectivity schemes. Here, I review existing data models in neuroinformatics, ranging from flat to hybrid object-hierarchical approaches, and suggest a framework with which these models can be linked to experimental data, as well as to established records from existing databases. Linking neuronal models and experimental results with data on relevant articles, genes, proteins, disease, etc., might open a new dimension for data-driven neuroscience

    A Learning Health System for Radiation Oncology

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    The proposed research aims to address the challenges faced by clinical data science researchers in radiation oncology accessing, integrating, and analyzing heterogeneous data from various sources. The research presents a scalable intelligent infrastructure, called the Health Information Gateway and Exchange (HINGE), which captures and structures data from multiple sources into a knowledge base with semantically interlinked entities. This infrastructure enables researchers to mine novel associations and gather relevant knowledge for personalized clinical outcomes. The dissertation discusses the design framework and implementation of HINGE, which abstracts structured data from treatment planning systems, treatment management systems, and electronic health records. It utilizes disease-specific smart templates for capturing clinical information in a discrete manner. HINGE performs data extraction, aggregation, and quality and outcome assessment functions automatically, connecting seamlessly with local IT/medical infrastructure. Furthermore, the research presents a knowledge graph-based approach to map radiotherapy data to an ontology-based data repository using FAIR (Findable, Accessible, Interoperable, Reusable) concepts. This approach ensures that the data is easily discoverable and accessible for clinical decision support systems. The dissertation explores the ETL (Extract, Transform, Load) process, data model frameworks, ontologies, and provides a real-world clinical use case for this data mapping. To improve the efficiency of retrieving information from large clinical datasets, a search engine based on ontology-based keyword searching and synonym-based term matching tool was developed. The hierarchical nature of ontologies is leveraged to retrieve patient records based on parent and children classes. Additionally, patient similarity analysis is conducted using vector embedding models (Word2Vec, Doc2Vec, GloVe, and FastText) to identify similar patients based on text corpus creation methods. Results from the analysis using these models are presented. The implementation of a learning health system for predicting radiation pneumonitis following stereotactic body radiotherapy is also discussed. 3D convolutional neural networks (CNNs) are utilized with radiographic and dosimetric datasets to predict the likelihood of radiation pneumonitis. DenseNet-121 and ResNet-50 models are employed for this study, along with integrated gradient techniques to identify salient regions within the input 3D image dataset. The predictive performance of the 3D CNN models is evaluated based on clinical outcomes. Overall, the proposed Learning Health System provides a comprehensive solution for capturing, integrating, and analyzing heterogeneous data in a knowledge base. It offers researchers the ability to extract valuable insights and associations from diverse sources, ultimately leading to improved clinical outcomes. This work can serve as a model for implementing LHS in other medical specialties, advancing personalized and data-driven medicine

    A Survey of Multimodal Information Fusion for Smart Healthcare: Mapping the Journey from Data to Wisdom

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    Multimodal medical data fusion has emerged as a transformative approach in smart healthcare, enabling a comprehensive understanding of patient health and personalized treatment plans. In this paper, a journey from data to information to knowledge to wisdom (DIKW) is explored through multimodal fusion for smart healthcare. We present a comprehensive review of multimodal medical data fusion focused on the integration of various data modalities. The review explores different approaches such as feature selection, rule-based systems, machine learning, deep learning, and natural language processing, for fusing and analyzing multimodal data. This paper also highlights the challenges associated with multimodal fusion in healthcare. By synthesizing the reviewed frameworks and theories, it proposes a generic framework for multimodal medical data fusion that aligns with the DIKW model. Moreover, it discusses future directions related to the four pillars of healthcare: Predictive, Preventive, Personalized, and Participatory approaches. The components of the comprehensive survey presented in this paper form the foundation for more successful implementation of multimodal fusion in smart healthcare. Our findings can guide researchers and practitioners in leveraging the power of multimodal fusion with the state-of-the-art approaches to revolutionize healthcare and improve patient outcomes.Comment: This work has been submitted to the ELSEVIER for possible publication. Copyright may be transferred without notice, after which this version may no longer be accessibl

    Beyond Organizational Boundaries: The Role of Techno-Legal Configurations

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    In this paper, we explore how techno-legal configurations shape the evolution of an information infrastructure (II) by focusing on data as its critical components. We define techno-legal configurations as assemblages, which are technologically determined by the functionalities for data storage, processing, sharing and usage, and legally determined by the basis for data processing, such as consent, data-processing agreements or laws. To study II’s evolution we conduct an 11-year study of a regional II in Norway as electronic patient record data and patient-generated healthcare data were shared within and across hospital organizations. We show how the considerations of data as internal and external to organizations are continuously renegotiated across techno-legal configurations, which we define as harmonized space and disparate space. We contribute to the II literature by raising the importance of the law in shaping the boundaries across which data can be produced, shared and used

    Information technology aspects of large-scale implementation of automated surveillance of healthcare-associated infections

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    PRAISE network: Maaike S. M. van Mourik, Stephanie M.van Rooden, Mohamed Abbas, Olov Aspevall, Pascal Astagneau, Marc J. M. Bonten, Elena Carrara, Aina Gomila-Grange, Sabine C. de Greeff , Sophie Gubbels, Wendy Harrison, Hilary Humphreys, Anders Johansson, Mayke B. G. Koek, Brian Kristensen, Alain Lepape, Jean-Christophe Lucet, Siddharth Mookerjee, Pontus Naucler, Zaira R. Palacios-Baena, Elisabeth Presterl, Miquel Pujol, Jacqui Reilly, Christopher Roberts, Evelina Tacconelli, Daniel Teixeira, Thomas Tängdén, John Karlsson Valik, Michael Behnke, PetraGastmeier.[Introduction] Healthcare-associated infections (HAI) are a major public health concern. Monitoring of HAI rates, with feedback, is a core component of infection prevention and control programmes. Digitalization of healthcare data has created novel opportunities for automating the HAI surveillance process to varying degrees. However, methods are not standardized and vary widely between different healthcare facilities. Most current automated surveillance (AS) systems have been confined to local settings, and practical guidance on how to implement large-scale AS is needed.[Methods] This document was written by a task force formed in March 2019 within the PRAISE network (Providing a Roadmap for Automated Infection Surveillance in Europe), gathering experts in HAI surveillance from ten European countries.[Results] The document provides an overview of the key e-health aspects of implementing an AS system of HAI in a clinical environment to support both the infection prevention and control team and information technology (IT) departments. The focus is on understanding the basic principles of storage and structure of healthcare data, as well as the general organization of IT infrastructure in surveillance networks and participating healthcare facilities. The fundamentals of data standardization, interoperability and algorithms in relation to HAI surveillance are covered. Finally, technical aspects and practical examples of accessing, storing and sharing healthcare data within a HAI surveillance network, as well as maintenance and quality control of such a system, are discussed.[Conclusions] With the guidance given in this document, along with the PRAISE roadmap and governance documents, readers will find comprehensive support to implement large-scale AS in a surveillance network.This network has been supported under the 7th transnational call within the Joint Programming Initiative on Antimicrobial Resistance (JPIAMR), Network Call on Surveillance (2018) and was thereby funded by ZonMw (grant 549007001). This project also received support from the COMBACTE MAGNET EPI-Net project funded by the Innovative Medicines Initiative Joint Undertaking under grant agreement 115523 | 115620 | 115737 | 777362, resources of which are composed of financial contribution from the European Union Seventh Framework Programme (FP7/2007-2013) and EFPIA companies in kind contribution. J.K.V. was supported by grants from Region Stockholm and Vinnova.Peer reviewe

    Developing Accessible Collection and Presentation Methods for Observational Data

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    The processes of collecting, cleaning, and presenting data are critical in ensuring the proper analysis of data at a later date. An opportunity exists to enhance the data collection and presentation process for those who are not data scientists – such as healthcare professionals and businesspeople interested in using data to help them make decisions. In this work, creating an observational data collection and presentation tool is investigated, with a focus on developing a tool prioritizing user-friendliness and context preservation of the data collected. This aim is achieved via the integration of three approaches to data collection and presentation.In the first approach, the collection of observational data is structured and carried out via a trichotomous, tailored, sub-branching scoring (TTSS) system. The system allows for deep levels of data collection while enabling data to be summarized quickly by a user via collapsing details. The system is evaluated against the stated requirements of usability and extensibility, proving the latter by providing examples of various evaluations created using the TTSS framework.Next, this approach is integrated with automated data collection via mobile device sensors, to facilitate the efficient completion of the assessment. Results are presented from a system used to combine the capture of complex data from the built environment and compare the results of the data collection, including how the system uses quantitative measures specifically. This approach is evaluated against other solutions for obtaining data about the accessibility of a built environment, and several assessments taken in the field are compared to illustrate the system’s flexibility. The extension of the system for automated data capture is also discussed.Finally, the use of accessibility information for data context preservation is integrated. This approach is evaluated via investigation of how accessible media entries improve the quality of search for an archival website. Human-generated accessibility information is compared to computer-generated accessibility information, as well as simple reliance on titles/metadata. This is followed by a discussion of how improved accessibility can benefit the understanding of gathered observational data’s context
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