中国科学院机构知识库网格
Chinese Academy of Sciences Institutional Repositories Grid
CEHMR: Curriculum learning enhanced hierarchical multi-label classification for medication recommendation

文献类型:期刊论文

作者Sun, Mengxuan2,3; Niu, Jinghao2; Yang, Xuebing2; Gu, Yifan2,3; Zhang, Wensheng1,2,3
刊名ARTIFICIAL INTELLIGENCE IN MEDICINE
出版日期2023-09-01
卷号143页码:13
ISSN号0933-3657
关键词Medication recommendation EHR Hierarchical multi-label classification Curriculum learning
DOI10.1016/j.artmed.2023.102613
通讯作者Yang, Xuebing(yangxuebing2013@ia.ac.cn) ; Zhang, Wensheng(zhangwenshengia@hotmail.com)
英文摘要The medication recommendation (MR) or medication combination prediction task aims to predict effective prescriptions given accurate patient representations derived from electronic health records (EHRs), which contributes to improving the quality of clinical decision-making, especially for patients with multi-morbidity. Although in recent years deep learning technology has achieved great success in MR, the performance of current multi-label based MR solutions is unsatisfactory. They mainly focus on improving the patient representation module and modeling the medication label dependencies such as drug-drug interaction (DDI) correlation and co-occurrence relationship. However, the hierarchical dependency among medication labels and diversity of difficulty among MR training examples lack sufficient consideration. In this paper, we propose a framework of Curriculum learning Enhanced Hierarchical multi-label classification for MR (CEHMR). Motivated by the category hierarchy of medications which organizes standard medication codes in a hierarchical structure, we utilize it to provide more trustworthy prior knowledge for modeling label dependency. Specifically, we design a hierarchical multi-label classifier with a learnable gate fusion layer, to simultaneously capture the level-independent (local) and level-dependent (global) hierarchical information in the medication hierarchy. In addition, to overcome the diversity of training example difficulties, and progressively achieve a smoother training process, we introduce a bootstrap-based curriculum learning strategy. Hence, the example difficulty can be measured based on the predictive performance of the MR model, and then all training examples would be retrained from easy to hard under the guidance of a predefined training scheduler. Experiments on the real-world medical MIMIC-III database demonstrate that the proposed framework can achieve state-of-theart performance compared with seven representative baselines, and extensive ablation studies validate the effectiveness of each component of CEHMR.
资助项目National Key R&D Program of China[2021ZD0111005] ; National Key R&D Program of China[61976212] ; National Key R&D Program of China[62006139] ; National Key R&D Program of China[62203437] ; National Key R&D Program of China[61976213]
WOS研究方向Computer Science ; Engineering ; Medical Informatics
语种英语
出版者ELSEVIER
WOS记录号WOS:001061845300001
资助机构National Key R&D Program of China
源URL[http://ir.ia.ac.cn/handle/173211/53170]  
专题多模态人工智能系统全国重点实验室
通讯作者Yang, Xuebing; Zhang, Wensheng
作者单位1.Guangzhou Univ, Guangzhou, Peoples R China
2.Chinese Acad Sci, Inst Automat, State Key Lab Multimodal Artificial Intelligence S, Beijing, Peoples R China
3.Univ Chinese Acad Sci, Beijing, Peoples R China
推荐引用方式
GB/T 7714
Sun, Mengxuan,Niu, Jinghao,Yang, Xuebing,et al. CEHMR: Curriculum learning enhanced hierarchical multi-label classification for medication recommendation[J]. ARTIFICIAL INTELLIGENCE IN MEDICINE,2023,143:13.
APA Sun, Mengxuan,Niu, Jinghao,Yang, Xuebing,Gu, Yifan,&Zhang, Wensheng.(2023).CEHMR: Curriculum learning enhanced hierarchical multi-label classification for medication recommendation.ARTIFICIAL INTELLIGENCE IN MEDICINE,143,13.
MLA Sun, Mengxuan,et al."CEHMR: Curriculum learning enhanced hierarchical multi-label classification for medication recommendation".ARTIFICIAL INTELLIGENCE IN MEDICINE 143(2023):13.

入库方式: OAI收割

来源:自动化研究所

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