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1.
NPJ Digit Med ; 6(1): 83, 2023 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-37120594

RESUMO

Data-driven medical care delivery must always respect patient privacy-a requirement that is not easily met. This issue has impeded improvements to healthcare software and has delayed the long-predicted prevalence of artificial intelligence in healthcare. Until now, it has been very difficult to share data between healthcare organizations, resulting in poor statistical models due to unrepresentative patient cohorts. Synthetic data, i.e., artificial but realistic electronic health records, could overcome the drought that is troubling the healthcare sector. Deep neural network architectures, in particular, have shown an incredible ability to learn from complex data sets and generate large amounts of unseen data points with the same statistical properties as the training data. Here, we present a generative neural network model that can create synthetic health records with realistic timelines. These clinical trajectories are generated on a per-patient basis and are represented as linear-sequence graphs of clinical events over time. We use a variational graph autoencoder (VGAE) to generate synthetic samples from real-world electronic health records. Our approach generates health records not seen in the training data. We show that these artificial patient trajectories are realistic and preserve patient privacy and can therefore support the safe sharing of data across organizations.

2.
Sci Rep ; 13(1): 5235, 2023 03 31.
Artigo em Inglês | MEDLINE | ID: mdl-37002271

RESUMO

The pandemic of COVID-19 is undoubtedly one of the biggest challenges for modern healthcare. In order to analyze the spatio-temporal aspects of the spread of COVID-19, technology has helped us to track, identify and store information regarding positivity and hospitalization, across different levels of municipal entities. In this work, we present a method for predicting the number of positive and hospitalized cases via a novel multi-scale graph neural network, integrating information from fine-scale geographical zones of a few thousand inhabitants. By leveraging population mobility data and other features, the model utilizes message passing to model interaction between areas. Our proposed model manages to outperform baselines and deep learning models, presenting low errors in both prediction tasks. We specifically point out the importance of our contribution in predicting hospitalization since hospitals became critical infrastructure during the pandemic. To the best of our knowledge, this is the first work to exploit high-resolution spatio-temporal data in a multi-scale manner, incorporating additional knowledge, such as vaccination rates and population mobility data. We believe that our method may improve future estimations of positivity and hospitalization, which is crucial for healthcare planning.


Assuntos
COVID-19 , Humanos , COVID-19/epidemiologia , Hospitalização , Hospitais , Geografia , Redes Neurais de Computação
3.
IEEE Trans Pattern Anal Mach Intell ; 45(4): 5087-5098, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35793300

RESUMO

Graph neural networks (GNNs) have recently emerged as a dominant paradigm for machine learning with graphs. Research on GNNs has mainly focused on the family of message passing neural networks (MPNNs). Similar to the Weisfeiler-Leman (WL) test of isomorphism, these models follow an iterative neighborhood aggregation procedure to update vertex representations, and they next compute graph representations by aggregating the representations of the vertices. Although very successful, MPNNs have been studied intensively in the past few years. Thus, there is a need for novel architectures which will allow research in the field to break away from MPNNs. In this paper, we propose a new graph neural network model, so-called π-GNN which learns a "soft" permutation (i. e., doubly stochastic) matrix for each graph, and thus projects all graphs into a common vector space. The learned matrices impose a "soft" ordering on the vertices of the input graphs, and based on this ordering, the adjacency matrices are mapped into vectors. These vectors can be fed into fully-connected or convolutional layers to deal with supervised learning tasks. In case of large graphs, to make the model more efficient in terms of running time and memory, we further relax the doubly stochastic matrices to row stochastic matrices. We empirically evaluate the model on graph classification and graph regression datasets and show that it achieves performance competitive with state-of-the-art models.

4.
Neural Netw ; 130: 195-205, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32682085

RESUMO

Graph neural networks (GNNs) have emerged recently as a powerful architecture for learning node and graph representations. Standard GNNs have the same expressive power as the Weisfeiler-Lehman test of graph isomorphism in terms of distinguishing non-isomorphic graphs. However, it was recently shown that this test cannot identify fundamental graph properties such as connectivity and triangle freeness. We show that GNNs also suffer from the same limitation. To address this limitation, we propose a more expressive architecture, k-hop GNNs, which updates a node's representation by aggregating information not only from its direct neighbors, but from its k-hop neighborhood. We show that the proposed architecture can identify fundamental graph properties. We evaluate the proposed architecture on standard node classification and graph classification datasets. Our experimental evaluation confirms our theoretical findings since the proposed model achieves performance better or comparable to standard GNNs and to state-of-the-art algorithms.


Assuntos
Redes Neurais de Computação , Algoritmos
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