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DDxNet: a deep learning model for automatic interpretation of electronic health records, electrocardiograms and electroencephalograms

Effective patient care mandates rapid, yet accurate, diagnosis. With the abundance of non-invasive diagnostic measurements and electronic health records (EHR), manual interpretation for differential diagnosis has become time-consuming and challenging. This has led to wide-spread adoption of AI-power...

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Autores principales: Thiagarajan, Jayaraman J., Rajan, Deepta, Katoch, Sameeksha, Spanias, Andreas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7532141/
https://www.ncbi.nlm.nih.gov/pubmed/33009423
http://dx.doi.org/10.1038/s41598-020-73126-9
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author Thiagarajan, Jayaraman J.
Rajan, Deepta
Katoch, Sameeksha
Spanias, Andreas
author_facet Thiagarajan, Jayaraman J.
Rajan, Deepta
Katoch, Sameeksha
Spanias, Andreas
author_sort Thiagarajan, Jayaraman J.
collection PubMed
description Effective patient care mandates rapid, yet accurate, diagnosis. With the abundance of non-invasive diagnostic measurements and electronic health records (EHR), manual interpretation for differential diagnosis has become time-consuming and challenging. This has led to wide-spread adoption of AI-powered tools, in pursuit of improving accuracy and efficiency of this process. While the unique challenges presented by each modality and clinical task demand customized tools, the cumbersome process of making problem-specific choices has triggered the critical need for a generic solution to enable rapid development of models in practice. In this spirit, we develop DDxNet, a deep architecture for time-varying clinical data, which we demonstrate to be well-suited for diagnostic tasks involving different modalities (ECG/EEG/EHR), required level of characterization (abnormality detection/phenotyping) and data fidelity (single-lead ECG/22-channel EEG). Using multiple benchmark problems, we show that DDxNet produces high-fidelity predictive models, and sometimes even provides significant performance gains over problem-specific solutions.
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spelling pubmed-75321412020-10-06 DDxNet: a deep learning model for automatic interpretation of electronic health records, electrocardiograms and electroencephalograms Thiagarajan, Jayaraman J. Rajan, Deepta Katoch, Sameeksha Spanias, Andreas Sci Rep Article Effective patient care mandates rapid, yet accurate, diagnosis. With the abundance of non-invasive diagnostic measurements and electronic health records (EHR), manual interpretation for differential diagnosis has become time-consuming and challenging. This has led to wide-spread adoption of AI-powered tools, in pursuit of improving accuracy and efficiency of this process. While the unique challenges presented by each modality and clinical task demand customized tools, the cumbersome process of making problem-specific choices has triggered the critical need for a generic solution to enable rapid development of models in practice. In this spirit, we develop DDxNet, a deep architecture for time-varying clinical data, which we demonstrate to be well-suited for diagnostic tasks involving different modalities (ECG/EEG/EHR), required level of characterization (abnormality detection/phenotyping) and data fidelity (single-lead ECG/22-channel EEG). Using multiple benchmark problems, we show that DDxNet produces high-fidelity predictive models, and sometimes even provides significant performance gains over problem-specific solutions. Nature Publishing Group UK 2020-10-02 /pmc/articles/PMC7532141/ /pubmed/33009423 http://dx.doi.org/10.1038/s41598-020-73126-9 Text en © This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Thiagarajan, Jayaraman J.
Rajan, Deepta
Katoch, Sameeksha
Spanias, Andreas
DDxNet: a deep learning model for automatic interpretation of electronic health records, electrocardiograms and electroencephalograms
title DDxNet: a deep learning model for automatic interpretation of electronic health records, electrocardiograms and electroencephalograms
title_full DDxNet: a deep learning model for automatic interpretation of electronic health records, electrocardiograms and electroencephalograms
title_fullStr DDxNet: a deep learning model for automatic interpretation of electronic health records, electrocardiograms and electroencephalograms
title_full_unstemmed DDxNet: a deep learning model for automatic interpretation of electronic health records, electrocardiograms and electroencephalograms
title_short DDxNet: a deep learning model for automatic interpretation of electronic health records, electrocardiograms and electroencephalograms
title_sort ddxnet: a deep learning model for automatic interpretation of electronic health records, electrocardiograms and electroencephalograms
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7532141/
https://www.ncbi.nlm.nih.gov/pubmed/33009423
http://dx.doi.org/10.1038/s41598-020-73126-9
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