将患者病历信息融入知识图谱,提升精准医疗预测准确率
HypKG: Hypergraph-based Knowledge Graph Contextualization for Precision Healthcare
- 用超图模型融合病历数据与通用知识图谱,实现上下文感知的知识表示
- 在多个真实医疗数据集上,预测性能显著优于基线方法
- 适合需要个性化医疗推理的研究者与临床辅助系统开发者
知识图谱(KGs)是语义网络的重要成果,广泛应用于多个领域。医疗领域尤为依赖,因数据高度关联且对准确性要求高。然而,存储通用事实的KG常缺乏对特定患者上下文(如病史、用药)的建模能力。电子健康记录(EHRs)包含丰富的个体化数据,可为通用KG提供自然上下文。本文提出HypKG框架,通过实体链接技术将患者信息与通用知识图谱关联,再利用超图模型对知识进行上下文化处理,并采用由下游任务引导的超图变换器,联合学习知识图谱与患者的上下文表示。在大型生物医学知识图谱及两个真实世界EHR数据集上的实验表明,该方法在多种医疗预测任务中均有显著提升。此外,通过引入外部上下文,模型能动态调整实体和关系的表示,增强知识图谱的质量与实际应用价值。
原文摘要 · Abstract (English)
Knowledge graphs (KGs) are important products of the semantic web, which are widely used in various application domains. Healthcare is one of such domains where KGs are intensively used, due to the high requirement for knowledge accuracy and interconnected nature of healthcare data. However, KGs storing general factual information often lack the ability to account for important contexts of the knowledge such as the status of specific patients, which are crucial in precision healthcare. Meanwhile, electronic health records (EHRs) provide rich personal data, including various diagnoses and medications, which provide natural contexts for general KGs. In this paper, we propose HypKG, a framework that integrates patient information from EHRs into KGs to generate contextualized knowledge representations for accurate healthcare predictions. Using advanced entity-linking techniques, we connect relevant knowledge from general KGs with patient information from EHRs, and then utilize a hypergraph model to "contextualize" the knowledge with the patient information. Finally, we employ hypergraph transformers guided by downstream prediction tasks to jointly learn proper contextualized representations for both KGs and patients, fully leveraging existing knowledge in KGs and patient contexts in EHRs. In experiments using a large biomedical KG and two real-world EHR datasets, HypKG demonstrates significant improvements in healthcare prediction tasks across multiple evaluation metrics. Additionally, by integrating external contexts, HypKG can learn to adjust the representations of entities and relations in KG, potentially improving the quality and real-world utility of knowledge.
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