跨越边界的学习:在数据视图异质性下进行强大的临床建模的个性化联合学习
IEEE journal of biomedical and health informatics
|September 18, 2025
概括
通过新的PAFNet框架,联合学习 (FL) 有效地在各种电子健康记录 (EHR) 上培训临床模型. 它在没有复杂的预处理的情况下克服了数据异质性,增强了个性化和通用性.
科学领域:
- 人工智能的人工智能
- 机器学习 机器学习
- 医疗信息学 医疗信息学
背景情况:
- 联合学习 (FL) 促进了使用分布式电子健康记录 (EHR) 的协作临床建模,同时保护了患者的隐私.
- 数据视图异质性,由于医疗实践和文档的变化,对标准的FL方法构成重大挑战.
- 现有的解决方案往往涉及复杂的,有损失的数据预处理和手动协调,限制了可扩展性和个性化.
研究的目的:
- 引入基于个性化注意力的联合图形网络 (PAFNet),这是一个新的FL框架,旨在解决临床环境中的数据视图异质性.
- 实现跨机构的有效和可扩展的协作模式培训,使用多样化的数据特征集,而不需要大量的手动预处理.
主要方法:
- PAFNet将异构的客户端数据视图映射到共享的潜在空间中,使用客户端特定的投影层.
- 有可训练参数面罩的个性化适应机制允许客户选择性地使用相关的全球模型参数.
- 这种方法保持了本地数据的特异性,避免了对数据进行广泛协调的需要.
主要成果:
- 在异质数据集 (CURIAL,eICU,MIMIC-III) 上,PAFNet与最先进的FL方法相比,表现优越.
- 该框架显示出强大的概括能力,即使在客户端功能集中存在显著差异.
- PAFNet有效地实现了个性化和跨机构的知识共享.
结论:
- 在数据视图异质性环境中,PAFNet为联合临床模型培训提供了强大且可扩展的解决方案.
- 拟议的方法克服了现有方法的局限性,允许有效的个性化,减少对手工数据协调的依赖.
相关概念视频
Model Approaches for Pharmacokinetic Data: Distributed Parameter Models
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Pharmacokinetic models are mathematical constructs that represent and predict the time course of drug concentrations in the body, providing meaningful pharmacokinetic parameters. These models are categorized into compartment, physiological, and distributed parameter models.
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Compartmental analysis is a widely adopted approach to characterizing drug pharmacokinetics. It uses compartment models that conceptualize the body as a collection of reversibly communicating compartments, each representing a group of tissues exhibiting similar drug distribution characteristics. The movement rate of the drug between these compartments is typically described by first-order kinetics.
Two primary types of compartment models are recognized: mammillary and catenary. The more...
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Physiological models in pharmacokinetics are instrumental in understanding the distribution and elimination of drugs within the body. These models describe the drug concentration within target organs, influenced by factors such as drug uptake, tissue volume, and blood flow. Drug uptake is governed by the partition coefficient, which signifies the drug concentration ratio in tissue to that in the blood. The blood flow rate to a specific tissue is expressed as Qt, and the rate of change in tissue...
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Model-Independent Approaches for Pharmacokinetic Data: Noncompartmental Analysis
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Noncompartmental analyses offer an alternative method for describing drug pharmacokinetics without relying on a specific compartmental model. In this approach, the drug's pharmacokinetics are assumed to be linear, with the terminal phase log-linear. This assumption allows for simplified analysis and interpretation of the drug's behavior in the body.
One important characteristic of noncompartmental analyses is that drug exposure increases proportionally with increasing doses. This...
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Clearance is a pharmacokinetic parameter traditionally defined by compartment models, signifying the rate at which a drug is expelled from the body. However, a noncompartmental model offers an alternative method for assessing clearance, primarily employing empirical data obtained after administering a single drug dose.
The noncompartmental approach capitalizes on extensive sampling data, correlating the volume of distribution to systemic exposure and the administered dosage. This method enables...
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244
