arXiv:2505.07431cs.IR2025-05被引 1

提出新模型精准推荐患者所需检查项目,提升医疗诊断智能化水平。

Diffusion-driven SpatioTemporal Graph KANsformer for Medical Examination Recommendation

  • 用扩散模型先去噪,再用图神经网络建模时空关系。
  • 在真实数据集上准确率超越现有方法,显著减少误检漏检。
  • 适合医疗AI研发者、临床决策支持系统开发者使用。

基于人工智能的医疗诊断与治疗推荐系统是医疗AI的关键组成部分。尽管已有研究取得进展,但当前系统多聚焦于药物或疾病推荐,对诊断环节中检查项目的选择支持仍不足。为此,本文首次形式化了医学检查推荐任务。相比传统推荐,该任务面临双重挑战:一是历史医疗记录异构冗余,易引入噪声;二是患者病史间时空关联不规则,难以建模。为此,提出一种两阶段学习的扩散驱动时空图KANsformer(DST-GKAN)。第一阶段采用任务自适应扩散模型,从异构数据中提炼出推荐相关的信息,降低噪声影响;第二阶段引入时空图KANsformer,同步捕捉复杂的时空依赖关系。为推动该方向研究,构建了一个综合性数据集。实验表明,所提方法在多个基准上达到领先性能。

原文摘要 · Abstract (English)

Recommendation systems in AI-based medical diagnostics and treatment constitute a critical component of AI in healthcare. Although some studies have explored this area and made notable progress, healthcare recommendation systems remain in their nascent stage. And these researches mainly target the treatment process such as drug or disease recommendations. In addition to the treatment process, the diagnostic process, particularly determining which medical examinations are necessary to evaluate the condition, also urgently requires intelligent decision support. To bridge this gap, we first formalize the task of medical examination recommendations. Compared to traditional recommendations, the medical examination recommendation involves more complex interactions. This complexity arises from two folds: 1) The historical medical records for examination recommendations are heterogeneous and redundant, which makes the recommendation results susceptible to noise. 2) The correlation between the medical history of patients is often irregular, making it challenging to model spatiotemporal dependencies. Motivated by the above observation, we propose a novel Diffusion-driven SpatioTemporal Graph KANsformer for Medical Examination Recommendation (DST-GKAN) with a two-stage learning paradigm to solve the above challenges. In the first stage, we exploit a task-adaptive diffusion model to distill recommendation-oriented information by reducing the noises in heterogeneous medical data. In the second stage, a spatiotemporal graph KANsformer is proposed to simultaneously model the complex spatial and temporal relationships. Moreover, to facilitate the medical examination recommendation research, we introduce a comprehensive dataset. The experimental results demonstrate the state-of-the-art performance of the proposed method compared to various competitive baselines.

医疗推荐图神经网络扩散模型时序建模

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