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Heart disease risk factors detection from electronic health records using advanced NLP and deep learning techniques
Essam H Houssein1, Rehab E Mohamed2, Abdelmgeid A Ali2
1Faculty of Computers and Information, Minia University, Minia, Egypt. essam.halim@mu.edu.eg.
Insights
This study introduces a novel method for identifying heart disease risk factors in clinical notes using stacked word embeddings. The advanced natural language processing (NLP) approach significantly improves detection accuracy, aiding in disease prevention and management.
Area of Science:
- Biomedical Informatics
- Natural Language Processing
- Machine Learning
Background:
- Heart disease is a leading cause of death, necessitating improved risk factor identification for prevention and diagnosis.
- Current methods for detecting heart disease risk factors in clinical notes are often labor-intensive and incomplete.
- Automated detection of risk factors is crucial for disease progression modeling and clinical decision-making.
Purpose of the Study:
- To enhance the identification of heart disease risk factors, diagnoses, and medications in clinical notes.
- To improve upon existing methods by employing advanced stacked word embedding techniques.
- To address the limitations of previous approaches in the 2014 i2b2 (Informatics for Integrating Biology and Beyond) challenge.
Main Methods:
- Utilized stacked word embeddings, combining various embedding types for improved feature representation.
- Employed BERT and character embeddings (CHARACTER-BERT Embedding) stacking as an advanced technique.
- Applied these methods to the 2014 i2b2 heart disease risk factors challenge dataset.
Main Results:
- Achieved a significant F1 score of 93.66% using the proposed stacked embedding model.
- Demonstrated substantial improvement compared to all previously developed models for the 2014 i2b2 challenge.
- The CHARACTER-BERT Embedding stacking approach proved highly effective for risk factor detection.
Conclusions:
- Stacked word embeddings, particularly CHARACTER-BERT Embedding stacking, represent a significant advancement in detecting heart disease risk factors from clinical text.
- The developed model offers a more accurate and efficient approach to extracting critical health information from clinical narratives.
- This work contributes to better disease understanding and clinical decision support systems.
Abstract:
Heart disease remains the major cause of death, despite recent improvements in prediction and prevention. Risk factor identification is the main step in diagnosing and preventing heart disease. Automatically detecting risk factors for heart disease in clinical notes can help with disease progression modeling and clinical decision-making. Many studies have attempted to detect risk factors for heart disease, but none have identified all risk factors. These studies have proposed hybrid systems that combine knowledge-driven and data-driven techniques, based on dictionaries, rules, and machine learning methods that require significant human effort. The National Center for Informatics for Integrating Biology and Beyond (i2b2) proposed a clinical natural language processing (NLP) challenge in 2014, with a track (track2) focused on detecting risk factors for heart disease risk factors in clinical notes over time. Clinical narratives provide a wealth of information that can be extracted using NLP and Deep Learning techniques. The objective of this paper is to improve on previous work in this area as part of the 2014 i2b2 challenge by identifying tags and attributes relevant to disease diagnosis, risk factors, and medications by providing advanced techniques of using stacked word embeddings. The i2b2 heart disease risk factors challenge dataset has shown significant improvement by using the approach of stacking embeddings, which combines various embeddings. Our model achieved an F1 score of 93.66% by using BERT and character embeddings (CHARACTER-BERT Embedding) stacking. The proposed model has significant results compared to all other models and systems that we developed for the 2014 i2b2 challenge.
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