Deep learning excels in the analysis of unstructured data and recent advancements allow to extend these techniques to survival analysis. In the context of clinical radiology, this enables, e.g., to relate unstructured volumetric images to a risk score or a prognosis of life expectancy and support clinical decision making. Medical applications are, however, associated with high criticality and consequently, neither medical personnel nor patients do usually accept black box models as reason or basis for decisions. Apart from averseness to new technologies, this is due to missing interpretability, transparency and accountability of many machine learning methods. We propose a hazard-regularized variational autoencoder that supports straightforward interpretation of deep neural architectures in the context of survival analysis, a field highly relevant in healthcare. We apply the proposed approach to abdominal CT scans of patients with liver tumors and their corresponding survival times.
翻译:在临床放射学方面,这使我们能够将无结构的体积图象与风险评分或预期寿命预测联系起来,并支持临床决策;然而,医疗应用与高度临界性有关,因此,医务人员和病人通常都不接受黑盒模型作为决策的理由或依据;除了对新技术的厌恶外,这还由于许多机器学习方法缺乏可解释性、透明度和问责性。我们提议了一种危险的常规变异自动编码,支持在生存分析方面直接解释深神经结构,这是一个与保健高度相关的领域。我们采用拟议方法对肝肿瘤患者进行腹部CT扫描,并相应进行存活时间。