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Learning Covariate Relations in Disease Progression Models Using Symbolic Neural Networks
Jesper Sundell1, Ylva Wahlquist1, Maria C Kjellsson2
1Department of Automatic Control, Lund University, Lund, Sweden.
CPT: Pharmacometrics & Systems Pharmacology
|March 10, 2026
Summary
This study introduces a new automated method for covariate modeling in disease progression. Symbolic neural networks identify relationships, achieving similar predictive performance with fewer covariates for type 2 diabetes.
Area of Science:
- Biostatistics
- Machine Learning
- Computational Biology
Background:
- Covariate modeling in disease progression is crucial for individual outcome predictions.
- Current methods struggle with predefined functions, leading to poor covariate selection and biased models.
- Existing approaches have scalability issues with high-dimensional data due to combinatorial complexity.
Purpose of the Study:
- To develop a novel, automated method for identifying covariate models in disease progression.
- To overcome limitations of predefined parametric functions and combinatorial challenges in current methodologies.
- To improve the accuracy and efficiency of covariate selection and parameter optimization.
Main Methods:
- Utilized symbolic neural networks to simultaneously identify parametric covariate functions and optimize Markov chain model parameters.
- Employed stepwise pruning of dense symbolic networks to generate human-readable covariate functions.
- Applied the methodology to a type 2 diabetes patient dataset for disease progression modeling.
Main Results:
- The novel method successfully identified covariate relationships and optimized model parameters.
- The resulting model demonstrated predictive performance comparable to state-of-the-art methods.
- The automated approach achieved similar predictive accuracy while utilizing fewer covariates.
Conclusions:
- Symbolic neural networks offer an effective approach for automated covariate model identification in disease progression.
- The proposed methodology enhances model interpretability and predictive accuracy.
- This automated approach represents a significant advancement for high-dimensional covariate modeling in clinical research.
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