自动从真实癌症数据生成可隐私保护的合成患者数据
Automatic Extraction of Rules for Generating Synthetic Patient Data From Real-World Population Data Using Glioblastoma as an Example
- 基于真实癌症报告数据自动提取规则,生成Synthea可用的合成患者模型
- 生成的合成数据保留了原始数据的主要统计特征和疾病发展规律
- 适合医学研究者用于隐私保护下的数据模拟与原型开发
合成数据生成技术可在保障隐私的前提下促进医疗数据的二次利用。当前主流方法是基于规则的Synthea生成器,其通过描述合成患者一生中疾病发生概率的规则生成数据,这些规则通常仅包含统计信息,无需特殊数据保护措施。然而,制定有意义的规则需专家知识和真实样本数据,过程复杂。本文提出一种自动从表格型癌症报告数据中提取统计信息并生成Synthea规则的方法,以胶质母细胞瘤为例,基于真实世界数据构建了对应的Synthea模块,并生成合成数据集。与原始数据相比,合成数据再现了已知疾病进程,基本保持了统计特性。总体而言,合成患者数据在隐私保护研究中潜力巨大,可用于假设生成和原型开发,但医学解读时应关注其固有局限性。
原文摘要 · Abstract (English)
The generation of synthetic data is a promising technology to make medical data available for secondary use in a privacy-compliant manner. A popular method for creating realistic patient data is the rule-based Synthea data generator. Synthea generates data based on rules describing the lifetime of a synthetic patient. These rules typically express the probability of a condition occurring, such as a disease, depending on factors like age. Since they only contain statistical information, rules usually have no specific data protection requirements. However, creating meaningful rules can be a very complex process that requires expert knowledge and realistic sample data. In this paper, we introduce and evaluate an approach to automatically generate Synthea rules based on statistics from tabular data, which we extracted from cancer reports. As an example use case, we created a Synthea module for glioblastoma from a real-world dataset and used it to generate a synthetic dataset. Compared to the original dataset, the synthetic data reproduced known disease courses and mostly retained the statistical properties. Overall, synthetic patient data holds great potential for privacy-preserving research. The data can be used to formulate hypotheses and to develop prototypes, but medical interpretation should consider the specific limitations as with any currently available approach.
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