Toward medical test recommendation from optimal attribute selection perspectives: a backward reasoning approach

Abstract Medical tests are crucial for treatment decision making. However, over-testing can often occur in any medical speciality or level of expertise. Since over-testing usually results in a financial burden for patients and is also a waste of medical resources, this naturally leads to the questio...

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Main Authors: Nengjun Zhu, Jieyun Huang, Jian Cao, Liang Hu, Siji Zhu
Format: Article
Language:English
Published: Springer 2024-11-01
Series:Complex & Intelligent Systems
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Online Access:https://doi.org/10.1007/s40747-024-01629-3
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author Nengjun Zhu
Jieyun Huang
Jian Cao
Liang Hu
Siji Zhu
author_facet Nengjun Zhu
Jieyun Huang
Jian Cao
Liang Hu
Siji Zhu
author_sort Nengjun Zhu
collection DOAJ
description Abstract Medical tests are crucial for treatment decision making. However, over-testing can often occur in any medical speciality or level of expertise. Since over-testing usually results in a financial burden for patients and is also a waste of medical resources, this naturally leads to the question: which medical test items (MTIs) are necessary and should be prioritized for the target patients? It is a nontrivial task to identify the right MTIs due to the diversified health status of patients and the complicated prerequisites of therapies. To this end, in this paper, we propose a data-driven approach to evaluate the priority which should be given to MTIs by modeling the relationships between MTIs and therapies. Specifically, we first develop a dual hierarchical topic model (DHTM), which views the adopted hierarchical therapies as labeled topics and the MTI reports, i.e., the set of hierarchical attribute-value pairs (AVPs), as documents. Then, with the therapy-AVP distribution and the partial MTI reports of the target patient, we can scope the candidate therapies, which are further utilized to evaluate the accumulated gain of MTIs to be tested. Moreover, the next MTI recommendation is conducted based on the gains. Finally, extensive experiments on real-world medical data validate the effectiveness of our approach, and some interesting observations are also provided.
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spelling doaj-art-bf64c468a37f4ee8bd837bea26cfb5252025-02-02T12:49:18ZengSpringerComplex & Intelligent Systems2199-45362198-60532024-11-0111111710.1007/s40747-024-01629-3Toward medical test recommendation from optimal attribute selection perspectives: a backward reasoning approachNengjun Zhu0Jieyun Huang1Jian Cao2Liang Hu3Siji Zhu4School of Computer Engineering and Science, Shanghai UniversitySchool of Computer Engineering and Science, Shanghai UniversityDepartment of Computer Science and Engineering, Shanghai Jiao Tong UniversityCollege of Electronic and Information Engineering, Tongji UniversityRuijin Hospital, Shanghai Jiao Tong University School of MedicineAbstract Medical tests are crucial for treatment decision making. However, over-testing can often occur in any medical speciality or level of expertise. Since over-testing usually results in a financial burden for patients and is also a waste of medical resources, this naturally leads to the question: which medical test items (MTIs) are necessary and should be prioritized for the target patients? It is a nontrivial task to identify the right MTIs due to the diversified health status of patients and the complicated prerequisites of therapies. To this end, in this paper, we propose a data-driven approach to evaluate the priority which should be given to MTIs by modeling the relationships between MTIs and therapies. Specifically, we first develop a dual hierarchical topic model (DHTM), which views the adopted hierarchical therapies as labeled topics and the MTI reports, i.e., the set of hierarchical attribute-value pairs (AVPs), as documents. Then, with the therapy-AVP distribution and the partial MTI reports of the target patient, we can scope the candidate therapies, which are further utilized to evaluate the accumulated gain of MTIs to be tested. Moreover, the next MTI recommendation is conducted based on the gains. Finally, extensive experiments on real-world medical data validate the effectiveness of our approach, and some interesting observations are also provided.https://doi.org/10.1007/s40747-024-01629-3Medical testRecommender systemHierarchical topic modelAttribute selection
spellingShingle Nengjun Zhu
Jieyun Huang
Jian Cao
Liang Hu
Siji Zhu
Toward medical test recommendation from optimal attribute selection perspectives: a backward reasoning approach
Complex & Intelligent Systems
Medical test
Recommender system
Hierarchical topic model
Attribute selection
title Toward medical test recommendation from optimal attribute selection perspectives: a backward reasoning approach
title_full Toward medical test recommendation from optimal attribute selection perspectives: a backward reasoning approach
title_fullStr Toward medical test recommendation from optimal attribute selection perspectives: a backward reasoning approach
title_full_unstemmed Toward medical test recommendation from optimal attribute selection perspectives: a backward reasoning approach
title_short Toward medical test recommendation from optimal attribute selection perspectives: a backward reasoning approach
title_sort toward medical test recommendation from optimal attribute selection perspectives a backward reasoning approach
topic Medical test
Recommender system
Hierarchical topic model
Attribute selection
url https://doi.org/10.1007/s40747-024-01629-3
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AT jiancao towardmedicaltestrecommendationfromoptimalattributeselectionperspectivesabackwardreasoningapproach
AT lianghu towardmedicaltestrecommendationfromoptimalattributeselectionperspectivesabackwardreasoningapproach
AT sijizhu towardmedicaltestrecommendationfromoptimalattributeselectionperspectivesabackwardreasoningapproach