论文标题
MS患者轨迹的纵向建模改善了残疾进展的预测
Longitudinal modeling of MS patient trajectories improves predictions of disability progression
论文作者
论文摘要
多发性硬化症(MS)的研究最近专注于从现实世界中的临床数据来源中提取知识。这种类型的数据比在临床试验中产生的数据更丰富,并且有关现实世界中临床实践的信息可能更丰富。但是,这是以策划较少和受控的数据集为代价的。在这项工作中,我们解决了在现实世界中最佳从纵向患者数据中提取信息的任务,并特别关注零星采样问题。使用MSBASE注册表,我们表明,使用适合患者轨迹建模的机器学习方法,例如复发性神经网络和张量分解,我们可以预测患者在两年范围内的残疾进展,而ROC-AUC为0.86,这代表使用排名误差(1-AUC)使用参考方法的降低33%。与文献中可用的模型相比,这项工作使用了MS疾病进展预测的最完整的患者病史。
Research in Multiple Sclerosis (MS) has recently focused on extracting knowledge from real-world clinical data sources. This type of data is more abundant than data produced during clinical trials and potentially more informative about real-world clinical practice. However, this comes at the cost of less curated and controlled data sets. In this work, we address the task of optimally extracting information from longitudinal patient data in the real-world setting with a special focus on the sporadic sampling problem. Using the MSBase registry, we show that with machine learning methods suited for patient trajectories modeling, such as recurrent neural networks and tensor factorization, we can predict disability progression of patients in a two-year horizon with an ROC-AUC of 0.86, which represents a 33% decrease in the ranking pair error (1-AUC) compared to reference methods using static clinical features. Compared to the models available in the literature, this work uses the most complete patient history for MS disease progression prediction.