arXiv:2411.11048cs.LGcs.CY2024-11

用社交媒体数据自动生成医学筛查问卷,提升诊断辅助工具的效率。

Generating medical screening questionnaires through analysis of social media data

  • 从患者社交帖子中提取症状模式,构建决策树区分患病与非患病群体。
  • 生成的问卷在三位医生评分上相关性达0.27至0.58,证明可行性。
  • 适合医疗算法研究者和临床工具开发者参考,尤其关注真实世界数据应用。

筛查问卷在医学中作为诊断辅助工具。传统制作过程耗时且成本高,可能通过分析诊断前的社交媒体症状与行为帖子得到改善。本文初步探讨了从社交媒体帖子生成特定疾病筛查问卷的可行性。方法首先通过患者群组和对照组用户的帖子识别相关人群,提取诊断前的发帖内容,聚类症状并训练决策树以区分两组。通过与医生对模拟病例的评分进行皮尔逊相关性验证,结果表明该方法可行。我们以数百名Reddit用户数据为基础,为子宫内膜异位症、红斑狼疮和痛风生成了筛查问卷。医生评分与规则得分的相关系数分别为0.58(子宫内膜异位症)、0.40(红斑狼疮)和0.27(痛风)。结果表明,问卷生成可部分自动化。当前方法基于真实经验,但尚难以捕捉症状的背景、持续时间和出现时机。

原文摘要 · Abstract (English)

Screening questionnaires are used in medicine as a diagnostic aid. Creating them is a long and expensive process, which could potentially be improved through analysis of social media posts related to symptoms and behaviors prior to diagnosis. Here we show a preliminary investigation into the feasibility of generating screening questionnaires for a given medical condition from social media postings. The method first identifies a cohort of relevant users through their posts in dedicated patient groups and a control group of users who reported similar symptoms but did not report being diagnosed with the condition of interest. Posts made prior to diagnosis are used to generate decision rules to differentiate between the different groups, by clustering symptoms mentioned by these users and training a decision tree to differentiate between the two groups. We validate the generated rules by correlating them with scores given by medical doctors to matching hypothetical cases. We demonstrate the proposed method by creating questionnaires for three conditions (endometriosis, lupus, and gout) using the data of several hundreds of users from Reddit. These questionnaires were then validated by medical doctors. The average Pearson's correlation between the latter's scores and the decision rules were 0.58 (endometriosis), 0.40 (lupus) and 0.27 (gout). Our results suggest that the process of questionnaire generation can be, at least partly, automated. These questionnaires are advantageous in that they are based on real-world experience but are currently lacking in their ability to capture the context, duration, and timing of symptoms.

医疗问答社交媒体自动生成决策树

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