Acute coronary syndrome (ACS) is a serious coronary heart disease with a high morbidity and mortality rate. The prognosis and the occurrence of adverse events vary according to the degree of vascular disease in patients with ACS. Early identification of high-risk groups therefore plays an important role in clinical management. Risk scoring tools are widely used in clinical practice, focus on converting specific prognostic factors into risk indices and then combining them with logistic regression to make predictions. These methods focus well on statistical correlations in the data, but ignore the instability associated with differences in the distribution of data in real data sets and also lack a focus on treatment information in the context of the disease. To address these issues, this paper proposes a model for predicting the risk of death in ACS based on feature interaction and re-weighting (i.e. FIFR Stable-Net). The model is able to take into account differences in the distribution of data features, and enhances feature learning by re-weighting risk features to reduce the impact of differences in the distribution of patient feature, thereby enhancing model stability. In addition, the model incorporates treatment features such as patient medication and applies an attention-based mechanism of feature interaction to obtain a more informative feature representation for the ACS mortality risk prediction task. To illustrate the effectiveness of the FIFR Stable-Net, we evaluated our method on a real dataset of ACS patients and compared it experimentally with the baseline models. The results showed that our model outperformed other models in terms of AUC and other assessment metrics, and AUC can reach up to 91.57%.
In recent years there has been a surge in female Breast Cancer patients leading to an increase in the administration of Electronic Health Records (EHR) data during the treatment process. So far, mammogram examinations are the main means of breast cancer detection. The data obtained from such medical reports remains an important source for constructing AI diagnostic models for breast cancer. With a purpose of contributing and assisting doctors in clinical decision-making through provision of high-quality and efficient tumor diagnosis using AI, this paper explores and trains the breast tumor X-ray examination report, and constructs the breast tumor classification neural network (BTDNN) model to understand the auxiliary diagnosis of breast tumor. The proposed model (BTDNN) builds and uses a semantic network to define and structure the standard for breast cancer X-ray report medical entities and entity annotations which act as the standardized input of the model. Based on the semantic network, we also built a breast cancer diagnosis model based on Phrase level self-attention mechanism that uses Phrase level context technology to train the model for analysing medical reports in the same concept as a health care professional with original, local and global method context, in order to improve the prediction accuracy. As result, we compared our proposed model to several other models and concluded that combining the semantic and contextual technology could improve the final prediction accuracy of a medical diagnosis.
Breast cancer is the most prevalent malignant disease among cancers, and its mammography and examination reports are an important basis for clinicians to judge the nature of breast tumours. Current research based on mammography reports has focused on the natural language classification models, ignoring the practical problems of the semantic hierarchy in examination reports and the imbalance of benign and malignant categories. To address this issue, we propose an interpretable classification model of breast tumors with tabular mammography data (STaNet). The model is based on a semantic tree to structure the image presentation part of the mammography report, allowing it to focus on the disease information carried at the semantic level of the report better. Meanwhile, we dynamically conbine the focus loss function parameters with the category loss, allowing the model to dynamically adjust its focus category as it learns. We evaluated our model using real-world mammogram report data and compared the model with other excellent models. The experimental results show that the accuracy of our proposed model is better than other models and its interpretable results are in line with the diagnostic criteria of pathologists.
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