arXiv:2603.19299cs.LG2026-03被引 1

PRIME-CVD生成5万例心血管风险模拟数据,用于教学而不泄露隐私。

PRIME-CVD: A Parametrically Rendered Informatics Medical Environment for Education in Cardiovascular Risk Modelling

  • 基于因果图和公开流行病学数据生成合成医疗数据
  • 提供可分析的队列与类EMR数据库,支持教学训练
  • 适合医学教育、算法开发及风险建模教学使用

近年来,医疗信息学与机器学习的发展得益于公开基准数据集的可用性。然而,由于隐私、治理和再识别风险,患者级电子病历(EMR)数据极少可用于教学或方法开发,限制了心血管风险建模的可重复性、透明度和实践训练。本文提出PRIME-CVD,一个专为医学教育设计的参数化合成医疗环境。该环境包含两个公开可用的合成数据资产,模拟50,000名接受心血管疾病一级预防的成年人。数据完全基于用户指定的因果有向无环图,结合公开的澳大利亚人口统计与流行病学效应估计生成,而非来自真实患者数据或训练生成模型。数据资产1提供清洁、可直接分析的队列,适用于探索性分析、分层与生存建模;数据资产2将同一队列重构为具有真实结构与词汇异质性的关系型EMR数据库。二者共同支持数据清洗、标准化、因果推理与政策相关风险建模的教学。所有个体与事件均为全新生成,保留真实子群不平衡与风险梯度,同时确保极低披露风险。PRIME-CVD采用知识共享署名4.0许可发布,以支持可重复研究与可扩展医学教育。

原文摘要 · Abstract (English)

In recent years, progress in medical informatics and machine learning has been accelerated by the availability of openly accessible benchmark datasets. However, patient-level electronic medical record (EMR) data are rarely available for teaching or methodological development due to privacy, governance, and re-identification risks. This has limited reproducibility, transparency, and hands-on training in cardiovascular risk modelling. Here we introduce PRIME-CVD, a parametrically rendered informatics medical environment designed explicitly for medical education. PRIME-CVD comprises two openly accessible synthetic data assets representing a cohort of 50,000 adults undergoing primary prevention for cardiovascular disease. The datasets are generated entirely from a user-specified causal directed acyclic graph parameterised using publicly available Australian population statistics and published epidemiologic effect estimates, rather than from patient-level EMR data or trained generative models. Data Asset 1 provides a clean, analysis-ready cohort suitable for exploratory analysis, stratification, and survival modelling, while Data Asset 2 restructures the same cohort into a relational, EMR-style database with realistic structural and lexical heterogeneity. Together, these assets enable instruction in data cleaning, harmonisation, causal reasoning, and policy-relevant risk modelling without exposing sensitive information. Because all individuals and events are generated de novo, PRIME-CVD preserves realistic subgroup imbalance and risk gradients while ensuring negligible disclosure risk. PRIME-CVD is released under a Creative Commons Attribution 4.0 licence to support reproducible research and scalable medical education.

医学教育合成数据心血管风险因果建模

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