Step-by-Step Guidance to Differential Anemia Diagnosis with Real-World Data and Deep Reinforcement Learning

Fuente: arXiv
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Auteurs principaux: Muyama, Lillian, Lu, Estelle, Cheminet, Geoffrey, Pouchot, Jacques, Rance, Bastien, Tropeano, Anne-Isabelle, Neuraz, Antoine, Coulet, Adrien
Format: Preprint
Publié: 2024
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author Muyama, Lillian
Lu, Estelle
Cheminet, Geoffrey
Pouchot, Jacques
Rance, Bastien
Tropeano, Anne-Isabelle
Neuraz, Antoine
Coulet, Adrien
author_facet Muyama, Lillian
Lu, Estelle
Cheminet, Geoffrey
Pouchot, Jacques
Rance, Bastien
Tropeano, Anne-Isabelle
Neuraz, Antoine
Coulet, Adrien
contents Clinical diagnostic guidelines outline the key questions to answer to reach a diagnosis. Inspired by guidelines, we aim to develop a model that learns from electronic health records to determine the optimal sequence of actions for accurate diagnosis. Focusing on anemia and its sub-types, we employ deep reinforcement learning (DRL) algorithms and evaluate their performance on both a synthetic dataset, which is based on expert-defined diagnostic pathways, and a real-world dataset. We investigate the performance of these algorithms across various scenarios. Our experimental results demonstrate that DRL algorithms perform competitively with state-of-the-art methods while offering the significant advantage of progressively generating pathways to the suggested diagnosis, providing a transparent decision-making process that can guide and explain diagnostic reasoning.
format Preprint
id arxiv_https___arxiv_org_abs_2412_02273
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Step-by-Step Guidance to Differential Anemia Diagnosis with Real-World Data and Deep Reinforcement Learning
Muyama, Lillian
Lu, Estelle
Cheminet, Geoffrey
Pouchot, Jacques
Rance, Bastien
Tropeano, Anne-Isabelle
Neuraz, Antoine
Coulet, Adrien
Machine Learning
Clinical diagnostic guidelines outline the key questions to answer to reach a diagnosis. Inspired by guidelines, we aim to develop a model that learns from electronic health records to determine the optimal sequence of actions for accurate diagnosis. Focusing on anemia and its sub-types, we employ deep reinforcement learning (DRL) algorithms and evaluate their performance on both a synthetic dataset, which is based on expert-defined diagnostic pathways, and a real-world dataset. We investigate the performance of these algorithms across various scenarios. Our experimental results demonstrate that DRL algorithms perform competitively with state-of-the-art methods while offering the significant advantage of progressively generating pathways to the suggested diagnosis, providing a transparent decision-making process that can guide and explain diagnostic reasoning.
title Step-by-Step Guidance to Differential Anemia Diagnosis with Real-World Data and Deep Reinforcement Learning
topic Machine Learning
url https://arxiv.org/abs/2412.02273