Clinical evidence encompasses the associations and impacts between patients, interventions (such as drugs or physiotherapy), problems, and outcomes. The goal of recommending clinical evidence is to provide medical practitioners with relevant information to support their decision-making processes and to generate new evidence. Our specific task focuses on recommending evidence based on clinical problems. However, the direct connections between certain clinical problems and related evidence are often sparse, creating a challenge of link sparsity. Additionally, to recommend appropriate evidence, it is essential to jointly exploit both topological relationships among evidence and textual information describing them. To address these challenges, we define two knowledge graphs: an Evidence Co-reference Graph and an Evidence Text Graph, to represent the topological and linguistic relations among evidential elements, respectively. We also introduce a multi-channel heterogeneous learning model and a fusional attention mechanism to handle the co-reference-text heterogeneity in evidence recommendation. Our experiments demonstrate that our model outperforms state-of-the-art methods on open data.
翻译:临床证据包括患者、干预措施(如药物或物理疗法)、问题和结果之间的关联和影响。推荐临床证据的目标是为医疗从业者提供相关信息,支持他们的决策过程并产生新的证据。我们的具体任务聚焦于基于临床问题的推荐临床证据。然而,特定临床问题与相关证据之间的直接联系通常很少,从而创建了链接稀疏性的挑战。此外,要推荐适当的证据,必须同时利用证据之间的拓扑关系和描述它们的文本信息。为了解决这些挑战,我们定义了两个知识图谱:证据共参考图和证据文本图,以分别表示证据元素之间的拓扑和语言关系。我们还引入了一个多通道异构学习模型和融合注意机制,以处理证据推荐中的共参考-文本异构性。我们的实验表明,我们的模型在开放数据上的性能优于现有方法。