Interpretability Analysis of One-Year Mortality Prediction for Stroke Patients Based on Deep Neural Network.

Journal: IEEE journal of biomedical and health informatics
Published Date:

Abstract

Clinically, physicians collect the benchmark medical data to establish archives for a stroke patient and then add the follow up data regularly. It has great significance on prognosis prediction for stroke patients. In this paper, we present an interpretable deep learning model to predict the one-year mortality risk on stroke. We design sub-modules to reconstruct features from original clinical data that highlight the dissimilarity and temporality of different variables. The model consists of Bidirectional Long Short-Term Memory (Bi-LSTM), in which a novel correlation attention module is proposed that takes the correlation of variables into consideration. In experiments, datasets are collected clinically from the department of neurology in a local AAA hospital. It consists of 2,275 stroke patients hospitalized in the department of neurology from 2014 to 2016. Our model achieves a precision of 0.9414, a recall of 0.9502 and an F1-score of 0.9415. In addition, we provide the analysis of the interpretability by visualizations with reference to clinical professional guidelines.

Authors

  • Shuo Zhang
    Ph.D. Program in Computer Science, The City University of New York, New York, NY, United States.
  • Jing Wang
    Endoscopy Center, Peking University Cancer Hospital and Institute, Beijing, China.
  • Lulu Pei
  • Kai Liu
    College of Marine Sciences, Shanghai Ocean University, Shanghai 201306, China.
  • Yuan Gao
    Engineering Research Center of EMR and Intelligent Expert System, Ministry of Education, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, College of Biomedical Engineering and Instrument Science, Zhejiang University, Hangzhou Zhejiang Province, China.
  • Hui Fang
    Department of Computer Science Loughborough University Loughborough UK.
  • Rui Zhang
    Department of Cardiology, Zhongda Hospital, Medical School of Southeast University, Nanjing, China.
  • Lu Zhao
    Laboratory of Neuro Imaging, USC Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA.
  • Shilei Sun
  • Jun Wu
    Department of Emergency, Zhuhai Integrated Traditional Chinese and Western Medicine Hospital, Zhuhai, 519020, Guangdong Province, China. quanshabai43@163.com.
  • Bo Song
    Department of Electrical and Computer Engineering, Michigan State University, East Lansing, MI, 48824, USA.
  • Honghua Dai
    Cooperative Innovation Center of Internet Healthcare, Zhengzhou University, Zhengzhou 450001, China.
  • Runzhi Li
    Cooperative Innovation Center of Internet Healthcare, Zhengzhou University, Zhengzhou, China.
  • Yuming Xu