Abstract
The automatic diagnosis of a medical condition provided the symptoms exhibited by a patient is at the basis of systems for clinical decision support, as well as for applications such as symptom checkers. Existing methods have not fully exploited medical knowledge: this likely hinders their effectiveness. In this work, we propose a knowledge-aware diagnosis ranking framework based on medical knowledge graph (KG) and graph convolutional neural network (GCN). The medical KG is used to model hierarchy and causality relationships between diseases and symptoms. We have evaluated our proposed method using realistic patient cases. The empirical results show that our knowledge-aware diagnosis ranking framework can improve the effectiveness of medical diagnosis.
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Notes
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Note that the relation causes in SemmedDB is rather coarse and encompasses relations that would normally be treated as separate in other medical KGs, including relations such as has_complication, has_symptom.
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References
Amato, F., López, A., Peña-Méndez, E.M., Vaňhara, P., Hampl, A., Havel, J.: Artificial neural networks in medical diagnosis (2013)
Aronson, A.R., Lang, F.: An overview of metamap: historical perspective and recent advances. J. Am. Med. Inform. Assoc. 17(3), 229–236 (2010)
Bodenreider, O.: The unified medical language system (UMLS): integrating biomedical terminology. Nucleic Acid Res. 32(suppl–1), D267–D270 (2004)
Bruna, J., Zaremba, W., Szlam, A., LeCun, Y.: Spectral networks and locally connected networks on graphs. In: Bengio, Y., LeCun, Y. (eds.) 2nd International Conference on Learning Representations, ICLR 2014, Banff, AB, Canada, April 14–16, 2014, Conference Track Proceedings (2014)
Choi, E., Bahadori, M.T., Song, L., Stewart, W.F., Sun, J.: GRAM: graph-based attention model for healthcare representation learning. In: Proceedings of the 23rd ACM SIGKDD International Conference on Knowledge Discovery and Data Mining, Halifax, NS, Canada, August 13–17, 2017, pp. 787–795. ACM (2017)
Choi, E., Xiao, C., Stewart, W.F., Sun, J.: Mime: multilevel medical embedding of electronic health records for predictive healthcare. In: Bengio, S., Wallach, H.M., Larochelle, H., Grauman, K., Cesa-Bianchi, N., Garnett, R. (eds.) Advances in Neural Information Processing Systems 31: Annual Conference on Neural Information Processing Systems 2018, NeurIPS 2018, 3–8 December 2018, Canada, Montréal, pp. 4552–4562 (2018)
Ernst, P., Siu, A., Weikum, G.: Knowlife: a versatile approach for constructing a large knowledge graph for biomedical sciences. BMC Bioinform. 16, 157:1–157:13 (2015)
Ernst, P., Siu, A., Weikum, G.: Highlife: higher-arity fact harvesting. In: Champin, P., Gandon, F.L., Lalmas, M., Ipeirotis, P.G. (eds.) Proceedings of the 2018 World Wide Web Conference on World Wide Web, WWW 2018, Lyon, France, April 23–27, 2018, pp. 1013–1022. ACM (2018)
Gilmer, J., Schoenholz, S.S., Riley, P.F., Vinyals, O., Dahl, G.E.: Neural message passing for quantum chemistry. In: Precup, D., Teh, Y.W. (eds.) Proceedings of the 34th International Conference on Machine Learning, ICML 2017, Sydney, NSW, Australia, 6–11 August 2017. Proceedings of Machine Learning Research, PMLR, vol. 70, pp. 1263–1272 (2017)
Huang, J., Zhao, W.X., Dou, H., Wen, J., Chang, E.Y.: Improving sequential recommendation with knowledge-enhanced memory networks. In: Collins-Thompson, K., Mei, Q., Davison, B.D., Liu, Y., Yilmaz, E. (eds.) The 41st International ACM SIGIR Conference on Research & Development in Information Retrieval, SIGIR 2018, Ann Arbor, MI, USA, July 08–12, 2018, pp. 505–514. ACM (2018)
Huang, P., He, X., Gao, J., Deng, L., Acero, A., Heck, L.P.: Learning deep structured semantic models for web search using clickthrough data. In: He, Q., Iyengar, A., Nejdl, W., Pei, J., Rastogi, R. (eds.) 22nd ACM International Conference on Information and Knowledge Management, CIKM 2013, San Francisco, CA, USA, 27 October–1 November 2013, pp. 2333–2338. ACM (2013)
Johnson, A.E., et al.: MIMIC-III, a freely accessible critical care database. Sci. Data 3(1), 1–9 (2016)
Kilicoglu, H., Shin, D., Fiszman, M., Rosemblat, G., Rindflesch, T.C.: SemMedDB: a PubMed-scale repository of biomedical semantic predications. Bioinform. 28(23), 3158–3160 (2012)
Kipf, T.N., Welling, M.: Semi-supervised classification with graph convolutional networks. In: 5th International Conference on Learning Representations, ICLR 2017, Toulon, France, April 24–26, 2017, Conference Track Proceedings. OpenReview.net (2017)
Kononenko, I.: Machine learning for medical diagnosis: history, state of the art and perspective. Artif. Intell. Med. 23(1), 89–109 (2001). https://doi.org/10.1016/S0933-3657(01)00077-X
Kononenko, I.: Machine learning for medical diagnosis: history, state of the art and perspective. Artif. Intell. Med. 23(1), 89–109 (2001)
Li, Y., Tarlow, D., Brockschmidt, M., Zemel, R.S.: Gated graph sequence neural networks. In: Bengio, Y., LeCun, Y. (eds.) 4th International Conference on Learning Representations, ICLR 2016, San Juan, Puerto Rico, May 2–4, 2016, Conference Track Proceedings (2016)
Ma, F., Gao, J., Suo, Q., You, Q., Zhou, J., Zhang, A.: Risk prediction on electronic health records with prior medical knowledge. In: Guo, Y., Farooq, F. (eds.) Proceedings of the 24th ACM SIGKDD International Conference on Knowledge Discovery & Data Mining, KDD 2018, London, UK, August 19–23, 2018, pp. 1910–1919. ACM (2018)
Rotmensch, M., Halpern, Y., Tlimat, A., Horng, S., Sontag, D.: Learning a health knowledge graph from electronic medical records. Sci. Reports 7(1), 1–11 (2017)
Scarselli, F., Gori, M., Tsoi, A.C., Hagenbuchner, M., Monfardini, G.: The graph neural network model. IEEE Trans. Neural Netw. 20(1), 61–80 (2009)
Semigran, H.L., Linder, J.A., Gidengil, C., Mehrotra, A.: Evaluation of symptom checkers for self diagnosis and triage: audit study. bmj 351, h3480 (2015)
Soldaini, L., Goharian, N.: Quickumls: a fast, unsupervised approach for medical concept extraction. In: MedIR workshop, sigir, pp. 1–4 (2016)
Stearns, M.Q., Price, C., Spackman, K.A., Wang, A.Y.: SNOMED clinical terms: overview of the development process and project status. In: AMIA 2001, American Medical Informatics Association Annual Symposium, Washington, DC, USA, November 3–7, 2001. AMIA (2001)
Šter, B., Dobnikar, A.: Neural networks in medical diagnosis: comparison with other methods. In: International Conference on Engineering Applications of Neural Networks, pp. 427–430 (1996)
Stern, S.D.: Symptom To Diagnosis An Evidence-Based Guide. Second Edition, New York (NY): McGraw-Hill Education/Medical (2010)
Voorhees, E.M., Hersh, W.R.: Overview of the TREC 2012 medical records track. In: TREC (2012)
Xia, E., Sun, W., Mei, J., Xu, E., Wang, K., Qin, Y.: Mining disease-symptom relation from massive biomedical literature and its application in severe disease diagnosis. In: AMIA Annual Symposium Proceedings. American Medical Informatics Association, vol. 2018, p. 1118 (2018)
Yin, C., Zhao, R., Qian, B., Lv, X., Zhang, P.: Domain knowledge guided deep learning with electronic health records. In: Wang, J., Shim, K., Wu, X. (eds.) 2019 IEEE International Conference on Data Mining, ICDM 2019, Beijing, China, November 8–11, 2019, pp. 738–747. IEEE (2019)
Acknowledgements
This research is supported by the Shenyang Science and Technology Plan Fund (No. 20-201-4-10), the Member Program of Neusoft Research of Intelligent Healthcare Technology, Co. Ltd. (No. NRMP001901)). A/Prof Guido Zuccon is the recipient of an Australian Research Council DECRA Research Fellowship (DE180101579) and a Google Faculty Award.
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Liu, B., Zuccon, G., Hua, W., Chen, W. (2021). Diagnosis Ranking with Knowledge Graph Convolutional Networks. In: Hiemstra, D., Moens, MF., Mothe, J., Perego, R., Potthast, M., Sebastiani, F. (eds) Advances in Information Retrieval. ECIR 2021. Lecture Notes in Computer Science(), vol 12656. Springer, Cham. https://doi.org/10.1007/978-3-030-72113-8_24
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