Modeling patient disease progression using Electronic Health Records (EHRs) is critical to assist clinical decision making. Long-Short Term Memory (LSTM) is an effective model to handle sequential data, such as EHRs, but it encounters two major limitations when applied to EHRs: it is unable to interpret the prediction results and it ignores the irregular time intervals between consecutive events. To tackle these limitations, we propose an attention-based time-aware LSTM Networks (ATTAIN), to improve the interpretability of LSTM and to identify the critical previous events for current diagnosis by modeling the inherent time irregularity. We validate ATTAIN on modeling the progression of an extremely challenging disease, septic shock, by using real-world EHRs. Our results demonstrate that the proposed framework outperforms the state-of-the-art models such as RETAIN and T-LSTM. Also, the generated interpretative time-aware attention weights shed some lights on the progression behaviors of septic shock.
Time-Aware Subgroup Matrix Decomposition: Imputing Missing Data Using Forecasting Events
Deep neural network models, especially Long Short Term Memory (LSTM), have shown great success in analyzing Electronic Health Records (EHRs) due to their ability to capture temporal dependencies in time series data. When applying the deep learning models to EHRs, we are generally confronted with two major challenges: high rate of missingness and time irregularity. Motivated by the original PACIFIER framework which utilized matrix decomposition for data imputation, we applied and further extended it by including three components: forecasting future events, a time-aware mechanism, and a subgroup basis approach. We evaluated the proposed framework with real-world EHRs which consists of 52,919 visits and 4,224,567 events on a task of early prediction of septic shock. We compared our work against multiple baselines including the original PACIFIER using both LSTM and Time-aware LSTM (T-LSTM). Experimental results showed that our proposed framework significantly outperformed all competitive baseline approaches. More importantly, the extracted interpretative latent patterns from subgroups could shed some lights for clinicians to discover the progression of septic shock patients.
- Award ID(s):
- 1651909
- Publication Date:
- NSF-PAR ID:
- 10136459
- Journal Name:
- IEEE International Conference on Big Data
- ISSN:
- 2639-1589
- Sponsoring Org:
- National Science Foundation
More Like this
-
-
Age-related macular degeneration (AMD) is the leading cause of irreversible blindness in developed countries. Identifying patients at high risk of progression to late AMD, the sight-threatening stage, is critical for clinical actions, including medical interventions and timely monitoring. Recently, deep-learning-based models have been developed and achieved superior performance for late AMD pre- diction. However, most existing methods are limited to the color fundus photography (CFP) from the last ophthalmic visit and do not include the longitudinal CFP history and AMD progression during the previous years’ visits. Patients in different AMD subphenotypes might have various speeds of progression in different stages of AMD disease. Capturing the progression information during the previous years’ visits might be useful for the prediction of AMD pro- gression. In this work, we propose a Contrastive-Attention-based Time-aware Long Short-Term Memory network (CAT-LSTM) to predict AMD progression. First, we adopt a convolutional neural network (CNN) model with a contrastive attention module (CA) to extract abnormal features from CFPs. Then we utilize a time-aware LSTM (T-LSTM) to model the patients’ history and consider the AMD progression information. The combination of disease pro- gression, genotype information, demographics, and CFP features are sent to T-LSTM. Moreover, we leverage an auto-encoder tomore »
-
Accurate predictions of water temperature are the foundation for many decisions and regulations, with direct impacts on water quality, fishery yields, and power production. Building accurate broad-scale models for lake temperature prediction remains challenging in practice due to the variability in the data distribution across different lake systems monitored by static and time-series data. In this paper, to tackle the above challenges, we propose a novel machine learning based approach for integrating static and time-series data in deep recurrent models, which we call Invertibility-Aware-Long Short-Term Memory(IA-LSTM), and demonstrate its effectiveness in predicting lake temperature. Our proposed method integrates components of the Invertible Network and LSTM to better predict temperature profiles (forward modeling) and infer the static features (i.e., inverse modeling) that can eventually enhance the prediction when static variables are missing. We evaluate our method on predicting the temperature profile of 450 lakes in the Midwestern U.S. and report a relative improvement of 4\% to capture data heterogeneity and simultaneously outperform baseline predictions by 12\% when static features are unavailable.
-
Obeid, Iyad Selesnick (Ed.)Electroencephalography (EEG) is a popular clinical monitoring tool used for diagnosing brain-related disorders such as epilepsy [1]. As monitoring EEGs in a critical-care setting is an expensive and tedious task, there is a great interest in developing real-time EEG monitoring tools to improve patient care quality and efficiency [2]. However, clinicians require automatic seizure detection tools that provide decisions with at least 75% sensitivity and less than 1 false alarm (FA) per 24 hours [3]. Some commercial tools recently claim to reach such performance levels, including the Olympic Brainz Monitor [4] and Persyst 14 [5]. In this abstract, we describe our efforts to transform a high-performance offline seizure detection system [3] into a low latency real-time or online seizure detection system. An overview of the system is shown in Figure 1. The main difference between an online versus offline system is that an online system should always be causal and has minimum latency which is often defined by domain experts. The offline system, shown in Figure 2, uses two phases of deep learning models with postprocessing [3]. The channel-based long short term memory (LSTM) model (Phase 1 or P1) processes linear frequency cepstral coefficients (LFCC) [6] features from each EEGmore »
-
Abstract Advances in visual perceptual tasks have been mainly driven by the amount, and types, of annotations of large-scale datasets. Researchers have focused on fully-supervised settings to train models using offline epoch-based schemes. Despite the evident advancements, limitations and cost of manually annotated datasets have hindered further development for event perceptual tasks, such as detection and localization of objects and events in videos. The problem is more apparent in zoological applications due to the scarcity of annotations and length of videos-most videos are at most ten minutes long. Inspired by cognitive theories, we present a self-supervised perceptual prediction framework to tackle the problem of temporal event segmentation by building a stable representation of event-related objects. The approach is simple but effective. We rely on LSTM predictions of high-level features computed by a standard deep learning backbone. For spatial segmentation, the stable representation of the object is used by an attention mechanism to filter the input features before the prediction step. The self-learned attention maps effectively localize the object as a side effect of perceptual prediction. We demonstrate our approach on long videos from continuous wildlife video monitoring, spanning multiple days at 25 FPS. We aim to facilitate automated ethogramming bymore »
- Free Publicly Accessible Full Text
-
Accepted Manuscript1.0
- Publisher's Version of Record
- The DOI is not currently available
