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TRACE: Early Detection of Chronic Kidney Disease Onset with Transformer-Enhanced Feature Embedding

  • Stony Brook University

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

4 Scopus citations

Abstract

Chronic kidney disease (CKD) has a poor prognosis due to excessive risk factors and comorbidities associated with it. The early detection of CKD faces challenges of insufficient medical histories of positive patients and complicated risk factors. In this paper, we propose the TRACE (Transformer-RNN Autoencoder-enhanced CKD Detector) framework, an end-to-end prediction model using patients’ medical history data, to deal with these challenges. TRACE presents a comprehensive medical history representation with a novel key component: a Transformer-RNN autoencoder. The autoencoder jointly learns a medical concept embedding via Transformer for each hospital visit, and a latent representation which summarizes a patient’s medical history across all the visits. We compared TRACE with multiple state-of-the-art methods on a dataset derived from real-world medical records. Our model has achieved 0.5708 AUPRC with a 2.31% relative improvement over the best-performing method. We also validated the clinical meaning of the learned embeddings through visualizations and a case study, showing the potential of TRACE to serve as a general disease prediction model.

Original languageEnglish
Title of host publicationHeterogeneous Data Management, Polystores, and Analytics for Healthcare - VLDB Workshops, Poly 2021 and DMAH 2021, Revised Selected Papers
EditorsEl Kindi Rezig, Vijay Gadepally, Timothy Mattson, Michael Stonebraker, Tim Kraska, Fusheng Wang, Gang Luo, Jun Kong, Alevtina Dubovitskaya
PublisherSpringer Science and Business Media Deutschland GmbH
Pages166-182
Number of pages17
ISBN (Print)9783030936624
DOIs
StatePublished - 2021
EventVLDB workshops: International Workshop on Polystore Systems for Heterogeneous Data in Multiple Databases with Privacy and Security Assurances, Poly 2021 and 7th International Workshop on Data Management and Analytics for Medicine and Healthcare, DMAH 2021 - Virtual, Online
Duration: Aug 20 2021Aug 20 2021

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume12921 LNCS
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349

Conference

ConferenceVLDB workshops: International Workshop on Polystore Systems for Heterogeneous Data in Multiple Databases with Privacy and Security Assurances, Poly 2021 and 7th International Workshop on Data Management and Analytics for Medicine and Healthcare, DMAH 2021
CityVirtual, Online
Period08/20/2108/20/21

Keywords

  • Chronic kidney disease prediction
  • Deep learning
  • Electronic health records
  • Transformer

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