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强化学习变量选择的序贯 Knockoffs 方法AI 解读

In real-world applications of reinforcement learning, it is often challenging to obtain a state representation that is parsimonious and satisfies the Markov property without prior knowledge. Consequently, it is common practice to construct a state larger than necessary, e.g., by concatenating measurements over contiguous time points. However, needlessly increasing the dimension of the state may slow learning and obfuscate the learned policy. We introduce the notion of a…

预算约束下利用不规则电子健康记录的强化风险预测AI 解读

Uncontrolled glycated hemoglobin (HbA1c) levels are associated with adverse events among complex diabetic patients. These adverse events present serious health risks to affected patients and are associated with significant financial costs. Thus, a high-quality predictive model that could identify high-risk patients so as to inform preventative treatment has the potential to improve patient outcomes while reducing healthcare costs. Because the biomarker information needed to…

贝叶斯非参数策略搜索及牙周复诊间隔应用AI 解读

Tooth loss from periodontal disease is a major public health burden in the United States. Standard clinical practice is to recommend a dental visit every six months; however, this practice is not evidence-based, and poor dental outcomes and increasing dental insurance premiums indicate room for improvement. We consider a tailored approach that recommends recall time based on patient characteristics and medical history to minimize disease progression without increasing…

用 V-learning 估计移动健康中的动态处理策略AI 解读

The vision for precision medicine is to use individual patient characteristics to inform a personalized treatment plan that leads to the best possible health-care for each patient. Mobile technologies have an important role to play in this vision as they offer a means to monitor a patient's health status in real-time and subsequently to deliver interventions if, when, and in the dose that they are needed. Dynamic treatment regimes formalize individualized treatment plans as…

可解释的动态治疗方案AI 解读

Precision medicine is currently a topic of great interest in clinical and intervention science. A key component of precision medicine is that it is evidence-based, i.e., data-driven, and consequently there has been tremendous interest in estimation of precision medicine strategies using observational or randomized study data. One way to formalize precision medicine is through a treatment regime, which is a sequence of decision rules, one per stage of clinical intervention,…

个体化治疗方案的函数型特征构造AI 解读

Evidence-based personalized medicine formalizes treatment selection as an individualized treatment regime that maps up-to-date patient information into the space of possible treatments. Available patient information may include static features such race, gender, family history, genetic and genomic information, as well as longitudinal information including the emergence of comorbidities, waxing and waning of symptoms, side-effect burden, and adherence. Dynamic information…

面向分位数的交互式 Q 学习AI 解读

A dynamic treatment regime is a sequence of decision rules, each of which recommends treatment based on features of patient medical history such as past treatments and outcomes. Existing methods for estimating optimal dynamic treatment regimes from data optimize the mean of a response variable. However, the mean may not always be the most appropriate summary of performance. We derive estimators of decision rules for optimizing probabilities and quantiles computed with…

估计最优动态治疗方案的新统计学习方法AI 解读

Dynamic treatment regimes (DTRs) are sequential decision rules for individual patients that can adapt over time to an evolving illness. The goal is to accommodate heterogeneity among patients and find the DTR which will produce the best long-term outcome if implemented. We introduce two new statistical learning methods for estimating the optimal DTR, termed backward outcome weighted learning (BOWL), and simultaneous outcome weighted learning (SOWL). These approaches convert…

分类测试误差的自适应置信区间AI 解读

The estimated test error of a learned classifier is the most commonly reported measure of classifier performance. However, constructing a high quality point estimator of the test error has proved to be very difficult. Furthermore, common interval estimators (e.g. confidence intervals) are based on the point estimator of the test error and thus inherit all the difficulties associated with the point estimation problem. As a result, these confidence intervals do not reliably…