论文标题
基于机器学习的基于机器学习的决策支持系统,用于中风康复评估
Opportunities of a Machine Learning-based Decision Support System for Stroke Rehabilitation Assessment
论文作者
论文摘要
康复评估对于确定患者的适当干预至关重要。但是,当前评估的做法主要依赖治疗师的经验,并且由于治疗师的可用性有限,因此很少执行评估。在本文中,我们确定了治疗师评估患者功能能力的需求(例如,对患者运动运动的定量信息进行评估的替代观点)。结果,我们开发了一个智能决策支持系统,该系统可以使用强化学习来确定评估的显着特征,以评估运动质量并总结患者的特定分析。我们使用15名患者进行三项练习的数据集对七位治疗师进行了评估。评估表明,我们的系统优先于传统系统,而无需分析,同时提供了更多有用的信息,并大大将治疗师评估的协议从0.6600提高到0.7108 F1分数($ P <0.05 $)。我们讨论提供上下文相关和显着信息以及适应以开发人与机器协作决策系统的重要性。
Rehabilitation assessment is critical to determine an adequate intervention for a patient. However, the current practices of assessment mainly rely on therapist's experience, and assessment is infrequently executed due to the limited availability of a therapist. In this paper, we identified the needs of therapists to assess patient's functional abilities (e.g. alternative perspective on assessment with quantitative information on patient's exercise motions). As a result, we developed an intelligent decision support system that can identify salient features of assessment using reinforcement learning to assess the quality of motion and summarize patient specific analysis. We evaluated this system with seven therapists using the dataset from 15 patient performing three exercises. The evaluation demonstrates that our system is preferred over a traditional system without analysis while presenting more useful information and significantly increasing the agreement over therapists' evaluation from 0.6600 to 0.7108 F1-scores ($p <0.05$). We discuss the importance of presenting contextually relevant and salient information and adaptation to develop a human and machine collaborative decision making system.