35,197 research outputs found
Processing of Electronic Health Records using Deep Learning: A review
Availability of large amount of clinical data is opening up new research
avenues in a number of fields. An exciting field in this respect is healthcare,
where secondary use of healthcare data is beginning to revolutionize
healthcare. Except for availability of Big Data, both medical data from
healthcare institutions (such as EMR data) and data generated from health and
wellbeing devices (such as personal trackers), a significant contribution to
this trend is also being made by recent advances on machine learning,
specifically deep learning algorithms
Network analysis of unstructured EHR data for clinical research.
In biomedical research, network analysis provides a conceptual framework for interpreting data from high-throughput experiments. For example, protein-protein interaction networks have been successfully used to identify candidate disease genes. Recently, advances in clinical text processing and the increasing availability of clinical data have enabled analogous analyses on data from electronic medical records. We constructed networks of diseases, drugs, medical devices and procedures using concepts recognized in clinical notes from the Stanford clinical data warehouse. We demonstrate the use of the resulting networks for clinical research informatics in two ways-cohort construction and outcomes analysis-by examining the safety of cilostazol in peripheral artery disease patients as a use case. We show that the network-based approaches can be used for constructing patient cohorts as well as for analyzing differences in outcomes by comparing with standard methods, and discuss the advantages offered by network-based approaches
Named Entity Recognition in Electronic Health Records Using Transfer Learning Bootstrapped Neural Networks
Neural networks (NNs) have become the state of the art in many machine
learning applications, especially in image and sound processing [1]. The same,
although to a lesser extent [2,3], could be said in natural language processing
(NLP) tasks, such as named entity recognition. However, the success of NNs
remains dependent on the availability of large labelled datasets, which is a
significant hurdle in many important applications. One such case are electronic
health records (EHRs), which are arguably the largest source of medical data,
most of which lies hidden in natural text [4,5]. Data access is difficult due
to data privacy concerns, and therefore annotated datasets are scarce. With
scarce data, NNs will likely not be able to extract this hidden information
with practical accuracy. In our study, we develop an approach that solves these
problems for named entity recognition, obtaining 94.6 F1 score in I2B2 2009
Medical Extraction Challenge [6], 4.3 above the architecture that won the
competition. Beyond the official I2B2 challenge, we further achieve 82.4 F1 on
extracting relationships between medical terms. To reach this state-of-the-art
accuracy, our approach applies transfer learning to leverage on datasets
annotated for other I2B2 tasks, and designs and trains embeddings that
specially benefit from such transfer.Comment: 11 pages, 4 figures, 8 table
- …