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Interpretability Analysis of One-Year Mortality Prediction for Stroke Patients Based on Deep Neural Network

Shuo Zhang, Jing Wang, Lulu Pei, Kai Liu, Yuan Gao, Hui Fang, Rui Zhang, Lu Zhao, Shilei Sun, Jun Wu, Bo Song, Honghua Dai, Runzhi Li, Yuming Xu

2021IEEE Journal of Biomedical and Health Informatics18 citationsDOIOpen Access PDF

Abstract

Clinically, physicians collect the benchmark medical data to establish archives for a stroke patient and then add the follow up data regularly. It has great significance on prognosis prediction for stroke patients. In this paper, we present an interpretable deep learning model to predict the one-year mortality risk on stroke. We design sub-modules to reconstruct features from original clinical data that highlight the dissimilarity and temporality of different variables. The model consists of Bidirectional Long Short-Term Memory (Bi-LSTM), in which a novel correlation attention module is proposed that takes the correlation of variables into consideration. In experiments, datasets are collected clinically from the department of neurology in a local AAA hospital. It consists of 2,275 stroke patients hospitalized in the department of neurology from 2014 to 2016. Our model achieves a precision of 0.9414, a recall of 0.9502 and an F1-score of 0.9415. In addition, we provide the analysis of the interpretability by visualizations with reference to clinical professional guidelines.

Topics & Concepts

InterpretabilityStroke (engine)NeurologyArtificial intelligenceArtificial neural networkComputer scienceBenchmark (surveying)Machine learningCorrelationRecallDeep learningMedicinePsychologyCognitive psychologyMathematicsMechanical engineeringPsychiatryGeographyEngineeringGeodesyGeometryAcute Ischemic Stroke ManagementMachine Learning in HealthcareArtificial Intelligence in Healthcare
Interpretability Analysis of One-Year Mortality Prediction for Stroke Patients Based on Deep Neural Network | Litcius