case record
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Methodology and Real-World Applications of Dynamic Uncertain Causality Graph for Clinical Diagnosis with Explainability and Invariance
Zhang, Zhan, Zhang, Qin, Jiao, Yang, Lu, Lin, Ma, Lin, Liu, Aihua, Liu, Xiao, Zhao, Juan, Xue, Yajun, Wei, Bing, Zhang, Mingxia, Gao, Ru, Zhao, Hong, Lu, Jie, Li, Fan, Zhang, Yang, Wang, Yiming, Zhang, Lei, Tian, Fengwei, Hu, Jie, Gou, Xin
AI-aided clinical diagnosis is desired in medical care. Existing deep learning models lack explainability and mainly focus on image analysis. The recently developed Dynamic Uncertain Causality Graph (DUCG) approach is causality-driven, explainable, and invariant across different application scenarios, without problems of data collection, labeling, fitting, privacy, bias, generalization, high cost and high energy consumption. Through close collaboration between clinical experts and DUCG technicians, 46 DUCG models covering 54 chief complaints were constructed. Over 1,000 diseases can be diagnosed without triage. Before being applied in real-world, the 46 DUCG models were retrospectively verified by third-party hospitals. The verified diagnostic precisions were no less than 95%, in which the diagnostic precision for every disease including uncommon ones was no less than 80%. After verifications, the 46 DUCG models were applied in the real-world in China. Over one million real diagnosis cases have been performed, with only 17 incorrect diagnoses identified. Due to DUCG's transparency, the mistakes causing the incorrect diagnoses were found and corrected. The diagnostic abilities of the clinicians who applied DUCG frequently were improved significantly. Following the introduction to the earlier presented DUCG methodology, the recommendation algorithm for potential medical checks is presented and the key idea of DUCG is extracted.
- Asia > China > Beijing > Beijing (0.06)
- Asia > China > Chongqing Province > Chongqing (0.05)
- North America > United States > California > San Mateo County > San Mateo (0.04)
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- Health & Medicine > Therapeutic Area > Cardiology/Vascular Diseases (1.00)
- Energy (1.00)
- Health & Medicine > Diagnostic Medicine (0.68)
WCLD: Curated Large Dataset of Criminal Cases from Wisconsin Circuit Courts
Ash, Elliott, Goel, Naman, Li, Nianyun, Marangon, Claudia, Sun, Peiyao
Machine learning based decision-support tools in criminal justice systems are subjects of intense discussions and academic research. There are important open questions about the utility and fairness of such tools. Academic researchers often rely on a few small datasets that are not sufficient to empirically study various real-world aspects of these questions. In this paper, we contribute WCLD, a curated large dataset of 1.5 million criminal cases from circuit courts in the U.S. state of Wisconsin. We used reliable public data from 1970 to 2020 to curate attributes like prior criminal counts and recidivism outcomes. The dataset contains large number of samples from five racial groups, in addition to information like sex and age (at judgment and first offense). Other attributes in this dataset include neighborhood characteristics obtained from census data, detailed types of offense, charge severity, case decisions, sentence lengths, year of filing etc. We also provide pseudo-identifiers for judge, county and zipcode. The dataset will not only enable researchers to more rigorously study algorithmic fairness in the context of criminal justice, but also relate algorithmic challenges with various systemic issues. We also discuss in detail the process of constructing the dataset and provide a datasheet. The WCLD dataset is available at \url{https://clezdata.github.io/wcld/}.
- North America > United States > Wisconsin (0.62)
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- Law > Criminal Law (1.00)
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The Case Records of ChatGPT: Language Models and Complex Clinical Questions
Poterucha, Timothy, Elias, Pierre, Haggerty, Christopher M.
Background: Artificial intelligence language models have shown promise in various applications, including assisting with clinical decision-making as demonstrated by strong performance of large language models on medical licensure exams. However, their ability to solve complex, open-ended cases, which may be representative of clinical practice, remains unexplored. Methods: In this study, the accuracy of large language AI models GPT4 and GPT3.5 in diagnosing complex clinical cases was investigated using published Case Records of the Massachusetts General Hospital. A total of 50 cases requiring a diagnosis and diagnostic test published from January 1, 2022 to April 16, 2022 were identified. For each case, models were given a prompt requesting the top three specific diagnoses and associated diagnostic tests, followed by case text, labs, and figure legends. Model outputs were assessed in comparison to the final clinical diagnosis and whether the model-predicted test would result in a correct diagnosis. Results: GPT4 and GPT3.5 accurately provided the correct diagnosis in 26% and 22% of cases in one attempt, and 46% and 42% within three attempts, respectively. GPT4 and GPT3.5 provided a correct essential diagnostic test in 28% and 24% of cases in one attempt, and 44% and 50% within three attempts, respectively. No significant differences were found between the two models, and multiple trials with identical prompts using the GPT3.5 model provided similar results. Conclusions: In summary, these models demonstrate potential usefulness in generating differential diagnoses but remain limited in their ability to provide a single unifying diagnosis in complex, open-ended cases. Future research should focus on evaluating model performance in larger datasets of open-ended clinical challenges and exploring potential human-AI collaboration strategies to enhance clinical decision-making.
- North America > United States > Massachusetts (0.27)
- North America > United States > New York > New York County > New York City (0.19)
- North America > United States > California (0.05)
Combining NLP and Machine Learning for Document Classification
Text mining is a popular topic for exploring what text you have in documents etc. Text mining and NLP can help you discover different patterns in the text like uncovering certain words or phases which are commonly used, to identifying certain patterns and linkages between different texts/documents. Combining this work on Text mining you can use Word Clouds, time-series analysis, etc to discover other aspects and patterns in the text. Check out my previous blog posts (post 1, post 2) on performing Text Mining on documents (manifestos from some of the political parties from the last two national government elections in Ireland). These two posts gives you a simple indication of what is possible.
Artificial Intelligence Decision Support for Medical Triage
Marchiori, Chiara, Dykeman, Douglas, Girardi, Ivan, Ivankay, Adam, Thandiackal, Kevin, Zusag, Mario, Giovannini, Andrea, Karpati, Daniel, Saenz, Henri
Applying state-of-the-art machine learning and natural language processing on approximately one million of teleconsultation records, we developed a triage system, now certified and in use at the largest European telemedicine provider. The system evaluates care alternatives through interactions with patients via a mobile application. Reasoning on an initial set of provided symptoms, the triage application generates AIpowered, personalized questions to better characterize the problem and recommends the most appropriate point of care and time frame for a consultation. The underlying technology was developed to meet the needs for performance, transparency, user acceptance and ease of use, central aspects to the adoption of AIbased decision support systems. Providing such remote guidance at the beginning of the chain of care has significant potential for improving cost efficiency, patient experience and outcomes. Being remote, always available and highly scalable, this service is fundamental in high demand situations, such as the current COVID-19 outbreak. Introduction Shortage of physicians and increasing healthcare costs have created a need for digital solutions to better optimize medical resources. In addition, patient expectations for mobile, fast and easy 24/7 access to doctors and health services drive the development of patient-centered solutions.
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- Information Technology > Artificial Intelligence > Natural Language > Information Retrieval (0.69)
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Do we still need human judges in the age of Artificial Intelligence?
The Fourth Industrial Revolution is fusing disciplines across the digital and physical worlds, with legal technology the latest example of how improved automation is reaching further and further into service-oriented professions. Casetext for example--a legal tech-startup providing Artificial Intelligence (AI)-based research for lawyers--recently secured $12 million in one of the industry's largest funding rounds, but research is just one area where AI is being used to assist the legal profession. Others include contract review and due diligence, analytics, prediction, the discovery of evidence, and legal advice. Technology and the law are converging, and where they meet new questions arise about the relative roles of artificial and human agents--and the ethical issues involved in the shift from one to the other. While legal technology has largely focused on the activities of the bar, it challenges us to think about its application to the bench as well.
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