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Continuous diagnosis and prognosis by controlling the update process of deep neural networks

Continuous diagnosis and prognosis are essential for critical patients. They can provide more opportunities for timely treatment and rational allocation. Although deep-learning techniques have demonstrated superiority in many medical tasks, they frequently forget, overfit, and produce results too la...

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Detalles Bibliográficos
Autores principales: Sun, Chenxi, Li, Hongyan, Song, Moxian, Cai, Derun, Zhang, Baofeng, Hong, Shenda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9982300/
https://www.ncbi.nlm.nih.gov/pubmed/36873902
http://dx.doi.org/10.1016/j.patter.2023.100687
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author Sun, Chenxi
Li, Hongyan
Song, Moxian
Cai, Derun
Zhang, Baofeng
Hong, Shenda
author_facet Sun, Chenxi
Li, Hongyan
Song, Moxian
Cai, Derun
Zhang, Baofeng
Hong, Shenda
author_sort Sun, Chenxi
collection PubMed
description Continuous diagnosis and prognosis are essential for critical patients. They can provide more opportunities for timely treatment and rational allocation. Although deep-learning techniques have demonstrated superiority in many medical tasks, they frequently forget, overfit, and produce results too late when performing continuous diagnosis and prognosis. In this work, we summarize the four requirements; propose a concept, continuous classification of time series (CCTS); and design a training method for deep learning, restricted update strategy (RU). The RU outperforms all baselines and achieves average accuracies of 90%, 97%, and 85% on continuous sepsis prognosis, COVID-19 mortality prediction, and eight disease classifications, respectively. The RU can also endow deep learning with interpretability, exploring disease mechanisms through staging and biomarker discovery. We find four sepsis stages, three COVID-19 stages, and their respective biomarkers. Further, our approach is data and model agnostic. It can be applied to other diseases and even in other fields.
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spelling pubmed-99823002023-03-04 Continuous diagnosis and prognosis by controlling the update process of deep neural networks Sun, Chenxi Li, Hongyan Song, Moxian Cai, Derun Zhang, Baofeng Hong, Shenda Patterns (N Y) Article Continuous diagnosis and prognosis are essential for critical patients. They can provide more opportunities for timely treatment and rational allocation. Although deep-learning techniques have demonstrated superiority in many medical tasks, they frequently forget, overfit, and produce results too late when performing continuous diagnosis and prognosis. In this work, we summarize the four requirements; propose a concept, continuous classification of time series (CCTS); and design a training method for deep learning, restricted update strategy (RU). The RU outperforms all baselines and achieves average accuracies of 90%, 97%, and 85% on continuous sepsis prognosis, COVID-19 mortality prediction, and eight disease classifications, respectively. The RU can also endow deep learning with interpretability, exploring disease mechanisms through staging and biomarker discovery. We find four sepsis stages, three COVID-19 stages, and their respective biomarkers. Further, our approach is data and model agnostic. It can be applied to other diseases and even in other fields. Elsevier 2023-02-03 /pmc/articles/PMC9982300/ /pubmed/36873902 http://dx.doi.org/10.1016/j.patter.2023.100687 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sun, Chenxi
Li, Hongyan
Song, Moxian
Cai, Derun
Zhang, Baofeng
Hong, Shenda
Continuous diagnosis and prognosis by controlling the update process of deep neural networks
title Continuous diagnosis and prognosis by controlling the update process of deep neural networks
title_full Continuous diagnosis and prognosis by controlling the update process of deep neural networks
title_fullStr Continuous diagnosis and prognosis by controlling the update process of deep neural networks
title_full_unstemmed Continuous diagnosis and prognosis by controlling the update process of deep neural networks
title_short Continuous diagnosis and prognosis by controlling the update process of deep neural networks
title_sort continuous diagnosis and prognosis by controlling the update process of deep neural networks
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9982300/
https://www.ncbi.nlm.nih.gov/pubmed/36873902
http://dx.doi.org/10.1016/j.patter.2023.100687
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