Explainable deep learning for disease activity prediction in chronic inflammatory joint diseases.

Details

Serval ID
serval:BIB_19537917F1D1
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Explainable deep learning for disease activity prediction in chronic inflammatory joint diseases.
Journal
PLOS digital health
Author(s)
Trottet C., Allam A., Horvath A.N., Finckh A., Hügle T., Adler S., Kyburz D., Micheroli R., Krauthammer M., Ospelt C.
ISSN
2767-3170 (Electronic)
ISSN-L
2767-3170
Publication state
Published
Issued date
06/2024
Peer-reviewed
Oui
Volume
3
Number
6
Pages
e0000422
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Analysing complex diseases such as chronic inflammatory joint diseases (CIJDs), where many factors influence the disease evolution over time, is a challenging task. CIJDs are rheumatic diseases that cause the immune system to attack healthy organs, mainly the joints. Different environmental, genetic and demographic factors affect disease development and progression. The Swiss Clinical Quality Management in Rheumatic Diseases (SCQM) Foundation maintains a national database of CIJDs documenting the disease management over time for 19'267 patients. We propose the Disease Activity Score Network (DAS-Net), an explainable multi-task learning model trained on patients' data with different arthritis subtypes, transforming longitudinal patient journeys into comparable representations and predicting multiple disease activity scores. First, we built a modular model composed of feed-forward neural networks, long short-term memory networks and attention layers to process the heterogeneous patient histories and predict future disease activity. Second, we investigated the utility of the model's computed patient representations (latent embeddings) to identify patients with similar disease progression. Third, we enhanced the explainability of our model by analysing the impact of different patient characteristics on disease progression and contrasted our model outcomes with medical expert knowledge. To this end, we explored multiple feature attribution methods including SHAP, attention attribution and feature weighting using case-based similarity. Our model outperforms temporal and non-temporal neural network, tree-based, and naive static baselines in predicting future disease activity scores. To identify similar patients, a k-nearest neighbours regression algorithm applied to the model's computed latent representations outperforms baseline strategies that use raw input features representation.
Pubmed
Open Access
Yes
Create date
05/07/2024 11:08
Last modification date
06/07/2024 7:06
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