Learning vector representation of medical objects via EMR-driven nonnegative restricted Boltzmann machines (eNRBM)

Electronic medical record (EMR) offers promises for novel analytics. However, manual feature engineering from EMR is labor intensive because EMR is complex – it contains temporal, mixed-type and multimodal data packed in irregular episodes. We present a computational framework to harness EMR with mi...

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Main Authors: Tran, The Truyen, Nguyen, T., Phung, D., Venkatesh, S.
Format: Journal Article
Published: Academic Press Inc. 2015
Online Access:http://hdl.handle.net/20.500.11937/23215
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author Tran, The Truyen
Nguyen, T.
Phung, D.
Venkatesh, S.
author_facet Tran, The Truyen
Nguyen, T.
Phung, D.
Venkatesh, S.
author_sort Tran, The Truyen
building Curtin Institutional Repository
collection Online Access
description Electronic medical record (EMR) offers promises for novel analytics. However, manual feature engineering from EMR is labor intensive because EMR is complex – it contains temporal, mixed-type and multimodal data packed in irregular episodes. We present a computational framework to harness EMR with minimal human supervision via restricted Boltzmann machine (RBM). The framework derives a new representation of medical objects by embedding them in a low-dimensional vector space. This new representation facilitates algebraic and statistical manipulations such as projection onto 2D plane (thereby offering intuitive visualization), object grouping (hence enabling automated phenotyping), and risk stratification. To enhance model interpretability, we introduced two constraints into model parameters: (a) nonnegative coefficients, and (b) structural smoothness. These result in a novel model called eNRBM (EMR-driven nonnegative RBM). We demonstrate the capability of the eNRBM on a cohort of 7578 mental health patients under suicide risk assessment. The derived representation not only shows clinically meaningful feature grouping but also facilitates short-term risk stratification. The F-scores, 0.21 for moderate-risk and 0.36 for high-risk, are significantly higher than those obtained by clinicians and competitive with the results obtained by support vector machines.
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spelling curtin-20.500.11937-232152017-09-13T13:58:22Z Learning vector representation of medical objects via EMR-driven nonnegative restricted Boltzmann machines (eNRBM) Tran, The Truyen Nguyen, T. Phung, D. Venkatesh, S. Electronic medical record (EMR) offers promises for novel analytics. However, manual feature engineering from EMR is labor intensive because EMR is complex – it contains temporal, mixed-type and multimodal data packed in irregular episodes. We present a computational framework to harness EMR with minimal human supervision via restricted Boltzmann machine (RBM). The framework derives a new representation of medical objects by embedding them in a low-dimensional vector space. This new representation facilitates algebraic and statistical manipulations such as projection onto 2D plane (thereby offering intuitive visualization), object grouping (hence enabling automated phenotyping), and risk stratification. To enhance model interpretability, we introduced two constraints into model parameters: (a) nonnegative coefficients, and (b) structural smoothness. These result in a novel model called eNRBM (EMR-driven nonnegative RBM). We demonstrate the capability of the eNRBM on a cohort of 7578 mental health patients under suicide risk assessment. The derived representation not only shows clinically meaningful feature grouping but also facilitates short-term risk stratification. The F-scores, 0.21 for moderate-risk and 0.36 for high-risk, are significantly higher than those obtained by clinicians and competitive with the results obtained by support vector machines. 2015 Journal Article http://hdl.handle.net/20.500.11937/23215 10.1016/j.jbi.2015.01.012 Academic Press Inc. fulltext
spellingShingle Tran, The Truyen
Nguyen, T.
Phung, D.
Venkatesh, S.
Learning vector representation of medical objects via EMR-driven nonnegative restricted Boltzmann machines (eNRBM)
title Learning vector representation of medical objects via EMR-driven nonnegative restricted Boltzmann machines (eNRBM)
title_full Learning vector representation of medical objects via EMR-driven nonnegative restricted Boltzmann machines (eNRBM)
title_fullStr Learning vector representation of medical objects via EMR-driven nonnegative restricted Boltzmann machines (eNRBM)
title_full_unstemmed Learning vector representation of medical objects via EMR-driven nonnegative restricted Boltzmann machines (eNRBM)
title_short Learning vector representation of medical objects via EMR-driven nonnegative restricted Boltzmann machines (eNRBM)
title_sort learning vector representation of medical objects via emr-driven nonnegative restricted boltzmann machines (enrbm)
url http://hdl.handle.net/20.500.11937/23215