arXiv:2502.21138cs.LGcs.AI2025-02被引 3

用时空知识图谱预测脑动脉瘤患者临床结局,效果优于传统表格数据

Predicting clinical outcomes from patient care pathways represented with temporal knowledge graphs

  • 将患者诊疗路径建模为时空知识图谱,利用GCN进行嵌入表示
  • 图谱方法在预测任务中表现最佳,准确率显著高于表格数据方法
  • 图谱的结构设计和数值属性处理是关键,适合临床预测研究者

背景:随着医疗数据的日益丰富,预测建模在生物医学领域应用广泛,如评估多种疾病的患病风险,从而辅助临床决策。然而,知识图谱数据表示及其嵌入方法在生物医学预测中的潜力尚不明确。方法:我们模拟了脑动脉瘤患者的合成但真实的诊疗数据,针对临床结局预测任务进行了实验,比较了表格数据与图结构表示下各类分类模型的表现。进一步探讨了个体数据与时间数据表示方式的架构选择对预测性能的影响。结果:研究显示,在本案例中,采用图表示及图卷积网络(GCN)嵌入的方法在从观察性数据中进行预测时表现最优。强调了所选图谱架构以及个体数据中显式值处理的重要性。同时,研究也调和了不同时间编码方式对GCN性能的相对影响。

原文摘要 · Abstract (English)

Background: With the increasing availability of healthcare data, predictive modeling finds many applications in the biomedical domain, such as the evaluation of the level of risk for various conditions, which in turn can guide clinical decision making. However, it is unclear how knowledge graph data representations and their embedding, which are competitive in some settings, could be of interest in biomedical predictive modeling. Method: We simulated synthetic but realistic data of patients with intracranial aneurysm and experimented on the task of predicting their clinical outcome. We compared the performance of various classification approaches on tabular data versus a graph-based representation of the same data. Next, we investigated how the adopted schema for representing first individual data and second temporal data impacts predictive performances. Results: Our study illustrates that in our case, a graph representation and Graph Convolutional Network (GCN) embeddings reach the best performance for a predictive task from observational data. We emphasize the importance of the adopted schema and of the consideration of literal values in the representation of individual data. Our study also moderates the relative impact of various time encoding on GCN performance.

临床预测知识图谱GCN时间建模

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