用无监督方法自动区分手术紧急程度,提升医疗资源调度效率。
Unsupervised Neural Network for Automated Classification of Surgical Urgency Levels in Medical Transcriptions
- 基于BioClinicalBERT提取手术转录文本语义特征,用DEC聚类分三类。
- 模型在交叉验证中达94.3%准确率,对未见数据泛化能力强。
- 无需标注数据,适合临床实时优先级判断,可扩展至多场景。
高效分类手术的紧急程度对于优化患者护理和医疗资源配置至关重要。本文提出一种无监督神经网络方法,自动将手术转录文本分为立即、紧急和择期三类。利用领域专用语言模型BioClinicalBERT,将手术转录文本转换为高维语义嵌入,并采用K-means与深度嵌入聚类(DEC)算法进行聚类,其中DEC表现更优,形成结构清晰、分离良好的簇。通过改良德尔菲法(Modified Delphi Method)进行专家评审与修正,确保结果的临床有效性。随后构建融合双向LSTM与BioClinicalBERT嵌入的神经网络模型,用于分类任务。通过交叉验证及准确率、精确率、召回率、F1分数等指标评估,模型表现稳健,具备强泛化能力。该无监督框架有效缓解标注数据稀缺问题,提供可扩展、可靠的实时手术优先级解决方案,显著提升动态医疗环境下的运营效率与患者预后。
原文摘要 · Abstract (English)
Efficient classification of surgical procedures by urgency is paramount to optimize patient care and resource allocation within healthcare systems. This study introduces an unsupervised neural network approach to automatically categorize surgical transcriptions into three urgency levels: immediate, urgent, and elective. Leveraging BioClinicalBERT, a domain-specific language model, surgical transcripts are transformed into high-dimensional embeddings that capture their semantic nuances. These embeddings are subsequently clustered using both K-means and Deep Embedding Clustering (DEC) algorithms, in which DEC demonstrates superior performance in the formation of cohesive and well-separated clusters. To ensure clinical relevance and accuracy, the clustering results undergo validation through the Modified Delphi Method, which involves expert review and refinement. Following validation, a neural network that integrates Bidirectional Long Short-Term Memory (BiLSTM) layers with BioClinicalBERT embeddings is developed for classification tasks. The model is rigorously evaluated using cross-validation and metrics such as accuracy, precision, recall, and F1-score, which achieve robust performance and demonstrate strong generalization capabilities on unseen data. This unsupervised framework not only addresses the challenge of limited labeled data but also provides a scalable and reliable solution for real-time surgical prioritization, which ultimately enhances operational efficiency and patient outcomes in dynamic medical environments.
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