J Med Syst - Comparison of AI techniques for prediction of liver fibrosis in hepatitis patients.

Tópicos

{ decis(3086) make(1611) patient(1517) }
{ model(2341) predict(2261) use(1141) }
{ extract(1171) text(1153) clinic(932) }
{ method(2212) result(1239) propos(1039) }
{ model(2220) cell(1177) simul(1124) }
{ implement(1333) system(1263) develop(1122) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ case(1353) use(1143) diagnosi(1136) }
{ studi(1119) effect(1106) posit(819) }
{ cost(1906) reduc(1198) effect(832) }
{ first(2504) two(1366) second(1323) }
{ error(1145) method(1030) estim(1020) }
{ blood(1257) pressur(1144) flow(957) }
{ gene(2352) biolog(1181) express(1162) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ featur(3375) classif(2383) classifi(1994) }
{ network(2748) neural(1063) input(814) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ structur(1116) can(940) graph(676) }
{ data(1737) use(1416) pattern(1282) }
{ method(1219) similar(1157) match(930) }
{ imag(2675) segment(2577) method(1081) }
{ assess(1506) score(1403) qualiti(1306) }
{ framework(1458) process(801) describ(734) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ control(1307) perform(991) simul(935) }
{ general(901) number(790) one(736) }
{ featur(1941) imag(1645) propos(1176) }
{ howev(809) still(633) remain(590) }
{ health(3367) inform(1360) care(1135) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ age(1611) year(1155) adult(843) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ can(981) present(881) function(850) }
{ result(1111) use(1088) new(759) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ imag(2830) propos(1344) filter(1198) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ problem(2511) optim(1539) algorithm(950) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Globally one in twelve people have the Hepatitis B or Hepatitis C virus. Diagnosis and treatment of this disease is guided by liver biopsies where a small amount of tissue is removed by a surgeon and examined by a pathologist to determine the fibrosis stage from F(0) (no damage) to F(4) (cirrhosis). Biopsies are costly and carry some risk for the patient. Non-invasive techniques for determining fibrosis stage have been developed and evaluated since 2003. Non-invasive methods have utilized serum markers, imaging test, and genetic studies. The accuracy of these non-invasive techniques has not achieved sufficient acceptance and so the invasive biopsy is still considered the gold standard.Clinical decision support systems (CDSS) use decision support system theory and technology to assist clinicians in the evaluation and treatment process. Using historical clinical data and the relationship processed by Artificial Intelligence (AI) techniques to aid physicians in their decision making process is the goal of CDSS. The CDSS provides a large number of medical support functions to help clinicians make the most reasonable diagnosis and choose the best treatment measures.This paper applies four artificial intelligence predictive techniques to publicly available data on 424 Hepatitis B and Hepatitis C patients. Demographic and standard serum markers are utilized to predict fibrosis stage and compare these predictions to known biopsy results. A final decision tree evaluation is applied to make a final prediction. We have also developed a publically available web application that can be used as a prototype for presenting AI predictive results in a CDSS environment based on these models. This technique along with others could mitigate the need for some liver biopsies in the more than 500 million Hepatitis B and C patients worldwide with additional validation and verification.

Resumo Limpo

global one twelv peopl hepat b hepat c virus diagnosi treatment diseas guid liver biopsi small amount tissu remov surgeon examin pathologist determin fibrosi stage f damag f cirrhosi biopsi cost carri risk patient noninvas techniqu determin fibrosi stage develop evalu sinc noninvas method util serum marker imag test genet studi accuraci noninvas techniqu achiev suffici accept invas biopsi still consid gold standardclin decis support system cdss use decis support system theori technolog assist clinician evalu treatment process use histor clinic data relationship process artifici intellig ai techniqu aid physician decis make process goal cdss cdss provid larg number medic support function help clinician make reason diagnosi choos best treatment measuresthi paper appli four artifici intellig predict techniqu public avail data hepat b hepat c patient demograph standard serum marker util predict fibrosi stage compar predict known biopsi result final decis tree evalu appli make final predict also develop public avail web applic can use prototyp present ai predict result cdss environ base model techniqu along other mitig need liver biopsi million hepat b c patient worldwid addit valid verif

Resumos Similares

BMC Med Inform Decis Mak - Data mining of audiology patient records: factors influencing the choice of hearing aid type. ( 0,726883598386977 )
J Biomed Inform - Evolutionary strategy to develop learning-based decision systems. Application to breast cancer and liver fibrosis stadialization. ( 0,720189548509273 )
Med Decis Making - Contributions of Second Opinions, Outcome Forecasts, and Testimonials to Patient Decisions about Knee Replacement Surgery. ( 0,712927042880967 )
AMIA Annu Symp Proc - Revisiting the EBM decision model to formalize non-compliance with computerized CPGs: results in the management of breast cancer with OncoDoc2. ( 0,709762254411758 )
BMC Med Inform Decis Mak - Development and initial evaluation of a treatment decision dashboard. ( 0,708725442611283 )
Healthc (Amst) - Incentivizing shared decision making in the USA--where are we now? ( 0,704756151581858 )
BMC Med Inform Decis Mak - Basing information on comprehensive, critically appraised, and up-to-date syntheses of the scientific evidence: a quality dimension of the International Patient Decision Aid Standards. ( 0,702520350376646 )
BMC Med Inform Decis Mak - Developing and user-testing Decision boxes to facilitate shared decision making in primary care--a study protocol. ( 0,701039806261985 )
BMC Med Inform Decis Mak - Clarifying values: an updated review. ( 0,700118369303883 )
AMIA Annu Symp Proc - Supporting shared decision making within the MobiGuide project. ( 0,69859736437519 )
BMC Med Inform Decis Mak - Development of a tool to improve the quality of decision making in atrial fibrillation. ( 0,697609047801874 )
J Med Syst - The reliability of an epilepsy treatment clinical decision support system. ( 0,696398055508663 )
Med Decis Making - When decisions should be shared: a study of social norms in medical decision making using a factorial survey approach. ( 0,694907204832618 )
BMC Med Inform Decis Mak - Visual AIDS for multimodal treatment options to support decision making of patients with colorectal cancer. ( 0,694077418281936 )
Med Decis Making - Are medical outcomes fungible? A survey of voters, medical administrators, and physicians. ( 0,692643889638374 )
BMC Med Inform Decis Mak - The design of a low literacy decision aid about rheumatoid arthritis medications developed in three languages for use during the clinical encounter. ( 0,689855171844514 )
BMC Med Inform Decis Mak - Genders of patients and clinicians and their effect on shared decision making: a participant-level meta-analysis. ( 0,688078331541182 )
BMC Med Inform Decis Mak - Launching a virtual decision lab: development and field-testing of a web-based patient decision support research platform. ( 0,683830733761289 )
AMIA Annu Symp Proc - Patient clinical profiles associated with physician non-compliance despite the use of a guideline-based decision support system: a case study with OncoDoc2 using data mining techniques. ( 0,680152400164399 )
BMC Med Inform Decis Mak - Assessing the information desire of patients with advanced cancer by providing information with a decision aid, which is evaluated in a randomized trial: a study protocol. ( 0,677673630334898 )
BMC Med Inform Decis Mak - Congruence between patients' preferred and perceived participation in medical decision-making: a review of the literature. ( 0,673789330668362 )
BMC Med Inform Decis Mak - Refining a brief decision aid in stable CAD: cognitive interviews. ( 0,66953115496766 )
Med Decis Making - Choice set size and decision making: the case of Medicare Part D prescription drug plans. ( 0,668025904802111 )
Med Decis Making - Breast cancer patients' treatment expectations after exposure to the decision aid program adjuvant online: the influence of numeracy. ( 0,666985411600068 )
AMIA Annu Symp Proc - A method to compute treatment suggestions from local order entry data. ( 0,666706376247424 )
IEEE J Biomed Health Inform - A Prediction Model for Functional Outcomes in Spinal Cord DisorderPatients using Gaussian Process Regression. ( 0,663285407937155 )
Med Decis Making - What is known about parents' treatment decisions? A narrative review of pediatric decision making. ( 0,658456157445729 )
AMIA Annu Symp Proc - An information-centric framework for designing patient-centered medical decision aids and risk communication. ( 0,655705120967519 )
Med Decis Making - Content coding for contextualization of care: evaluating physician performance at patient-centered decision making. ( 0,654807543943316 )
Med Decis Making - Investing in deliberation: a definition and classification of decision support interventions for people facing difficult health decisions. ( 0,654628210120418 )
Med Decis Making - The impact of a novel computer-based decision aid on shared decision making for colorectal cancer screening: a randomized trial. ( 0,653584265252007 )
Med Decis Making - Preferences and perceived involvement in treatment decision making among Chinese patients with chronic hepatitis. ( 0,652751286050519 )
Med Decis Making - Theoretical foundation of patient v. population preferences in calculating QALYs. ( 0,650814026618286 )
Artif Intell Med - Sequential decision tree using the analytic hierarchy process for decision support in rectal cancer. ( 0,650691188407245 )
J Am Med Inform Assoc - Workshop on using natural language processing applications for enhancing clinical decision making: an executive summary. ( 0,649579734865776 )
Med Decis Making - All stories are not alike: a purpose-, content-, and valence-based taxonomy of patient narratives in decision aids. ( 0,649126514063297 )
Med Decis Making - Framing Options as Choice or Opportunity: Does the Frame Influence Decisions? ( 0,646319370904537 )
AMIA Annu Symp Proc - Role of physicians' reactance in e-iatrogenesis: a case study with ASTI guiding mode on the management of hypertension. ( 0,646299327392022 )
J. Med. Internet Res. - Supporting informed decision making online in 20 minutes: an observational web-log study of a PSA test decision aid. ( 0,64537476048086 )
Int J Health Geogr - Mass casualty modelling: a spatial tool to support triage decision making. ( 0,639335047205364 )
Telemed J E Health - Patient data access and online sleep apnea communities. ( 0,639176124217474 )
Med Decis Making - A model to support shared decision making in electronic health records systems. ( 0,638878286078403 )
J Med Syst - Mining medical data: a case study of endometriosis. ( 0,634765980046888 )
Med Decis Making - Decision coaching to prepare patients for making health decisions: a systematic review of decision coaching in trials of patient decision AIDS. ( 0,634458770161216 )
Med Decis Making - The DECISIONS study: a nationwide survey of United States adults regarding 9 common medical decisions. ( 0,63375639917028 )
Med Decis Making - Factors Associated with Informed Decisions and Participation in Bowel Cancer Screening among Adults with Lower Education and Literacy. ( 0,633101313175966 )
Med Decis Making - Adherence and decision AIDS: a model and a narrative review. ( 0,632441867941007 )
J Am Med Inform Assoc - Imaging informatics for consumer health: towards a radiology patient portal. ( 0,63231890341557 )
Comput Methods Programs Biomed - AngioLab--a software tool for morphological analysis and endovascular treatment planning of intracranial aneurysms. ( 0,631173302461578 )
BMC Med Inform Decis Mak - Barriers and facilitators to implementing Decision Boxes in primary healthcare teams to facilitate shared decisionmaking: a study protocol. ( 0,62904342192889 )
BMC Med Inform Decis Mak - A randomized study of telephonic care support in populations at risk for musculoskeletal preference-sensitive surgeries. ( 0,626704478186606 )
BMC Med Inform Decis Mak - Disclosing conflicts of interest in patient decision aids. ( 0,626239842731017 )
Med Decis Making - Can Streamlined Multicriteria Decision Analysis Be Used to Implement Shared Decision Making for Colorectal Cancer Screening? ( 0,625701254191301 )
BMC Med Inform Decis Mak - A preliminary exploration of the feasibility of offering men information about potential prostate cancer treatment options before they know their biopsy results. ( 0,625526135907406 )
Inform Health Soc Care - Capturing intra-operative safety information using surgical wikis. ( 0,624648003694058 )
Med Decis Making - What makes a tumor diagnosis a call to action? On the preference for action versus inaction. ( 0,624092323354626 )
BMC Med Inform Decis Mak - A hybrid decision support model to discover informative knowledge in diagnosing acute appendicitis. ( 0,622460934215793 )
BMC Med Inform Decis Mak - Event-based knowledge elicitation of operating room management decision-making using scenarios adapted from information systems data. ( 0,621656146558173 )
J Telemed Telecare - Approaches to economic evaluation in telemedicine. ( 0,620898618516919 )
J Med Syst - VIKOR method with enhanced accuracy for multiple criteria decision making in healthcare management. ( 0,620607059337839 )
Med Decis Making - The context of available options affects health care decisions: a generalization study. ( 0,618762663782997 )
Int J Med Inform - Pharmacist-conducted medication reconciliation at hospital admission using information technology in Taiwan. ( 0,618657127195273 )
BMC Med Inform Decis Mak - Shared decision-making and health for First Nations, M?tis and Inuit women: a study protocol. ( 0,612945426802629 )
BMC Med Inform Decis Mak - Risk assessment and decision making about in-labour transfer from rural maternity care: a social judgment and signal detection analysis. ( 0,61270324433674 )
BMC Med Inform Decis Mak - Development of a decision aid to inform patients' and families' renal replacement therapy selection decisions. ( 0,612350886997903 )
Med Biol Eng Comput - Prediction of persistence of combined evidence-based cardiovascular medications in patients with acute coronary syndrome after hospital discharge using neural networks. ( 0,611806502550304 )
BMC Med Inform Decis Mak - A targeted decision aid for the elderly to decide whether to undergo colorectal cancer screening: development and results of an uncontrolled trial. ( 0,611742409697949 )
J Am Med Inform Assoc - From vital signs to clinical outcomes for patients with sepsis: a machine learning basis for a clinical decision support system. ( 0,610603236802237 )
BMC Med Inform Decis Mak - Applying the theory of planned behaviour to multiple sclerosis patients' decisions on disease modifying therapy--questionnaire concept and validation. ( 0,610549482481922 )
BMC Med Inform Decis Mak - A genetic fuzzy system for unstable angina risk assessment. ( 0,609093836384524 )
Med Decis Making - Perceptions of shared decision making and decision aids among rural primary care clinicians. ( 0,607297804669655 )
BMC Med Inform Decis Mak - Coaching and guidance with patient decision aids: A review of theoretical and empirical evidence. ( 0,606636818072939 )
Med Decis Making - Why do patients derogate physicians who use a computer-based diagnostic support system? ( 0,604272754185817 )
IEEE J Biomed Health Inform - Leveraging social supports for improving personal expertise on ACL reconstruction and rehabilitation. ( 0,602371892757973 )
J Biomed Inform - Opportunistic decision making and complexity in emergency care. ( 0,598305878971643 )
Comput Methods Programs Biomed - S-PC: an e-treatment application for management of smoke-quitting patients. ( 0,597216321570057 )
BMC Med Inform Decis Mak - Measuring decision quality: psychometric evaluation of a new instrument for breast cancer chemotherapy. ( 0,596739593831896 )
AMIA Annu Symp Proc - Machine learning for risk prediction of acute coronary syndrome. ( 0,596704215715485 )
BMC Med Inform Decis Mak - Delivering patient decision aids on the Internet: definitions, theories, current evidence, and emerging research areas. ( 0,595121251517598 )
BMC Med Inform Decis Mak - Development and pilot testing of an online case-based approach to shared decision making skills training for clinicians. ( 0,594308717910225 )
J. Med. Internet Res. - The effect of patient narratives on information search in a web-based breast cancer decision aid: an eye-tracking study. ( 0,593959034100106 )
BMC Med Inform Decis Mak - Incorporating patient and family preferences into evidence-based medicine. ( 0,592910099299669 )
J Med Syst - Development of a decision support engine to assist patients with hospital selection. ( 0,591818252394255 )
Med Decis Making - The value of heterogeneity for cost-effectiveness subgroup analysis: conceptual framework and application. ( 0,589197643214141 )
Med Decis Making - The impact of explicit values clarification exercises in a patient decision aid emerges after the decision is actually made: evidence from a randomized controlled trial. ( 0,586475984548207 )
J Med Syst - Implementing an integrative multi-agent clinical decision support system with open source software. ( 0,584435868103872 )
BMC Med Inform Decis Mak - A regret theory approach to decision curve analysis: a novel method for eliciting decision makers' preferences and decision-making. ( 0,581358690400054 )
Comput Methods Programs Biomed - Implementation and evaluation of an Asbru-based decision support system for adjuvant treatment in breast cancer. ( 0,580392479029083 )
Med Decis Making - Cost-effectiveness on a local level: whether and when to adopt a new technology. ( 0,579936708352736 )
J. Med. Internet Res. - Cool but counterproductive: interactive, Web-based risk communications can backfire. ( 0,579203747345729 )
J Med Syst - Integration of an OWL-DL knowledge base with an EHR prototype and providing customized information. ( 0,578177051541196 )
BMC Med Inform Decis Mak - Prediction of axillary lymph node metastasis in primary breast cancer patients using a decision tree-based model. ( 0,577690060890451 )
J Am Med Inform Assoc - Capturing patient information at nursing shift changes: methodological evaluation of speech recognition and information extraction. ( 0,575173874877228 )
Med Decis Making - An emerging field of research: challenges in pediatric decision making. ( 0,574360123498201 )
Methods Inf Med - Automated volumes-of-interest identification for classical and atypical Parkinsonian syndrome differentiation using T2' MR imaging. ( 0,573186232441151 )
Med Decis Making - How to aggregate health? Separability and the effect of framing. ( 0,572336557194418 )
J Telemed Telecare - Use of telehealth for patients referred to a retrieval service: timing, destination, mode of transport, escort level and patient care. ( 0,571301526590946 )
Med Decis Making - Interpreting patient decisional conflict scores: behavior and emotions in decisions about treatment. ( 0,571081658454869 )
BMC Med Inform Decis Mak - Do personal stories make patient decision aids more effective? A critical review of theory and evidence. ( 0,570954658271932 )
J Biomed Inform - Decision-making model for early diagnosis of congestive heart failure using rough set and decision tree approaches. ( 0,569930423673918 )