Using topological data analysis and pseudo time series to infer temporal phenotypes from electronic health records.

Electronic phenotyping Longitudinal studies Type 2 diabetes Unsupervised machine learning

Journal

Artificial intelligence in medicine
ISSN: 1873-2860
Titre abrégé: Artif Intell Med
Pays: Netherlands
ID NLM: 8915031

Informations de publication

Date de publication:
08 2020
Historique:
received: 06 01 2020
revised: 21 05 2020
accepted: 11 07 2020
entrez: 25 9 2020
pubmed: 26 9 2020
medline: 19 8 2021
Statut: ppublish

Résumé

Temporal phenotyping enables clinicians to better understand observable characteristics of a disease as it progresses. Modelling disease progression that captures interactions between phenotypes is inherently challenging. Temporal models that capture change in disease over time can identify the key features that characterize disease subtypes that underpin these trajectories. These models will enable clinicians to identify early warning signs of progression in specific sub-types and therefore to make informed decisions tailored to individual patients. In this paper, we explore two approaches to building temporal phenotypes based on the topology of data: topological data analysis and pseudo time-series. Using type 2 diabetes data, we show that the topological data analysis approach is able to identify disease trajectories and that pseudo time-series can infer a state space model characterized by transitions between hidden states that represent distinct temporal phenotypes. Both approaches highlight lipid profiles as key factors in distinguishing the phenotypes.

Identifiants

pubmed: 32972659
pii: S0933-3657(19)31184-4
doi: 10.1016/j.artmed.2020.101930
pmc: PMC7536308
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

101930

Subventions

Organisme : Medical Research Council
ID : MR/N00583X/1
Pays : United Kingdom

Informations de copyright

Copyright © 2020 The Authors. Published by Elsevier B.V. All rights reserved.

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Auteurs

Arianna Dagliati (A)

Centre for Health Informatics, University of Manchester, Manchester, United Kingdom; Manchester Molecular Pathology Innovation Centre, University of Manchester, United Kingdom; Department of Electrical, Computer & Biomedical Engineering University of Pavia, Italy. Electronic address: arianna.dagliati@unipv.it.

Nophar Geifman (N)

Centre for Health Informatics, University of Manchester, Manchester, United Kingdom.

Niels Peek (N)

Centre for Health Informatics, University of Manchester, Manchester, United Kingdom; NIHR Manchester Biomedical Research Centre, University of Manchester, United Kingdom.

John H Holmes (JH)

Department of Biostatistics, Epidemiology, and Informatics, Penn Institute for Biomedical Informatics, University of Pennsylvania Perelman School of Medicine, USA.

Lucia Sacchi (L)

Department of Electrical, Computer & Biomedical Engineering University of Pavia, Italy.

Riccardo Bellazzi (R)

Department of Electrical, Computer & Biomedical Engineering University of Pavia, Italy.

Seyed Erfan Sajjadi (SE)

Department of Computer Science, Brunel University London, United Kingdom.

Allan Tucker (A)

Department of Computer Science, Brunel University London, United Kingdom.

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Classifications MeSH