Multimodal Machine Learning for Automated ICD Coding

This study presents a multimodal machine learning model to predict ICD-10 diagnostic codes. We developed separate machine learning models that can handle data from different modalities, including unstructured text, semi-structured text and structured tabular data. We further employed an ensemble method to integrate all modality-specific models to generate ICD-10 codes. Key evidence was also extracted to make our prediction more convincing and explainable. We used the Medical Information Mart for Intensive Care III (MIMIC -III) dataset to validate our approach. For ICD code prediction, our best-performing model (micro-F1 = 0.7633, micro-AUC = 0.9541) significantly outperforms other baseline models including TF-IDF (micro-F1 = 0.6721, micro-AUC = 0.7879) and Text-CNN model (micro-F1 = 0.6569, micro-AUC = 0.9235). For interpretability, our approach achieves a Jaccard Similarity Coefficient (JSC) of 0.1806 on text data and 0.3105 on tabular data, where well-trained physicians achieve 0.2780 and 0.5002 respectively.Comment: Machine Learning for Healthcare 201

The Grammar of Interactive Explanatory Model Analysis

The growing need for in-depth analysis of predictive models leads to a series of new methods for explaining their local and global properties. Which of these methods is the best? It turns out that this is an ill-posed question. One cannot sufficiently explain a black-box machine learning model using a single method that gives only one perspective. Isolated explanations are prone to misunderstanding, which inevitably leads to wrong or simplistic reasoning. This problem is known as the Rashomon effect and refers to diverse, even contradictory interpretations of the same phenomenon. Surprisingly, the majority of methods developed for explainable machine learning focus on a single aspect of the model behavior. In contrast, we showcase the problem of explainability as an interactive and sequential analysis of a model. This paper presents how different Explanatory Model Analysis (EMA) methods complement each other and why it is essential to juxtapose them together. The introduced process of Interactive EMA (IEMA) derives from the algorithmic side of explainable machine learning and aims to embrace ideas developed in cognitive sciences. We formalize the grammar of IEMA to describe potential human-model dialogues. IEMA is implemented in the human-centered framework that adopts interactivity, customizability and automation as its main traits. Combined, these methods enhance the responsible approach to predictive modeling.Comment: 17 pages, 10 figures, 3 table

An Interpretable Machine Vision Approach to Human Activity Recognition using Photoplethysmograph Sensor Data

The current gold standard for human activity recognition (HAR) is based on the use of cameras. However, the poor scalability of camera systems renders them impractical in pursuit of the goal of wider adoption of HAR in mobile computing contexts. Consequently, researchers instead rely on wearable sensors and in particular inertial sensors. A particularly prevalent wearable is the smart watch which due to its integrated inertial and optical sensing capabilities holds great potential for realising better HAR in a non-obtrusive way. This paper seeks to simplify the wearable approach to HAR through determining if the wrist-mounted optical sensor alone typically found in a smartwatch or similar device can be used as a useful source of data for activity recognition. The approach has the potential to eliminate the need for the inertial sensing element which would in turn reduce the cost of and complexity of smartwatches and fitness trackers. This could potentially commoditise the hardware requirements for HAR while retaining the functionality of both heart rate monitoring and activity capture all from a single optical sensor. Our approach relies on the adoption of machine vision for activity recognition based on suitably scaled plots of the optical signals. We take this approach so as to produce classifications that are easily explainable and interpretable by non-technical users. More specifically, images of photoplethysmography signal time series are used to retrain the penultimate layer of a convolutional neural network which has initially been trained on the ImageNet database. We then use the 2048 dimensional features from the penultimate layer as input to a support vector machine. Results from the experiment yielded an average classification accuracy of 92.3%. This result outperforms that of an optical and inertial sensor combined (78%) and illustrates the capability of HAR systems using...Comment: 26th AIAI Irish Conference on Artificial Intelligence and Cognitive Scienc