Abstract Accurate prediction of postoperative complications can inform shared decisions regarding prognosis, preoperative risk-reduction, and postoperative resource use. We hypothesized that multi-task deep learning models would outperform conventional machine learning models in predicting postoperative complications, and that integrating high-resolution intraoperative physiological time series would result in more granular and personalized health representations that would improve prognostication compared to preoperative predictions. In a longitudinal cohort study of 56,242 patients undergoing 67,481 inpatient surgical procedures at a university medical center, we compared deep learning models with random forests and XGBoost for predicting nine common postoperative complications using preoperative, intraoperative, and perioperative patient data. Our study indicated several significant results across experimental settings that suggest the utility of deep learning for capturing more precise representations of patient health for augmented surgical decision support. Multi-task learning improved efficiency by reducing computational resources without compromising predictive performance. Integrated gradients interpretability mechanisms identified potentially modifiable risk factors for each complication. Monte Carlo dropout methods provided a quantitative measure of prediction uncertainty that has the potential to enhance clinical trust. Multi-task learning, interpretability mechanisms, and uncertainty metrics demonstrated potential to facilitate effective clinical implementation.
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Cardiac Complication Risk Profiling for Cancer Survivors via Multi-View Multi-Task Learning
We have developed a multi-view multi-task network (MuViTaNet) that leverages clinical data to profile multiple complications for patients. The experimental results show that MuViTaNet outperforms existing methods for profiling the development of cardiac complications (such as atrial fibrillation, heart failure, and stroke) in breast cancer survivors. Furthermore, MuViTaNet also provides an effective mechanism for interpreting its predictions in multiple perspectives, thereby helping clinicians discover the underlying mechanism triggering the onset and for making better clinical treatments in real-world scenarios.
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- Award ID(s):
- 2037398
- PAR ID:
- 10312657
- Date Published:
- Journal Name:
- Proceedings ICDM workshops
- ISSN:
- 2375-9259
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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