By Topic

Knowledge-Based Data Analysis: First Step Toward the Creation of Clinical Prediction Rules Using a New Typicality Measure

Sign In

Cookies must be enabled to login.After enabling cookies , please use refresh or reload or ctrl+f5 on the browser for the login options.

Formats Non-Member Member
$33 $13
Learn how you can qualify for the best price for this item!
Become an IEEE Member or Subscribe to
IEEE Xplore for exclusive pricing!
close button

puzzle piece

IEEE membership options for an individual and IEEE Xplore subscriptions for an organization offer the most affordable access to essential journal articles, conference papers, standards, eBooks, and eLearning courses.

Learn more about:

IEEE membership

IEEE Xplore subscriptions

4 Author(s)
Mila Kwiatkowska ; Thompson Rivers Univ., Kamloops ; M. Stella Atkins ; Najib T. Ayas ; C. Frank Ryan

Clinical prediction rules play an important role in medical practice. They expedite diagnosis and limit unnecessary tests. However, the rule creation process is time consuming and expensive. With the current developments of efficient data mining algorithms and growing accessibility to medical data, the creation of clinical rules can be supported by automated rule induction from data. A data-driven method based on the reuse of previously collected medical records and clinical trial statistics is cost-effective; however, it requires well defined and intelligent methods for data analysis. This paper presents a new framework for knowledge representation for secondary data analysis and for generation of a new typicality measure, which integrates medical knowledge into statistical analysis. The framework is based on a semiotic approach for contextual knowledge and fuzzy logic for approximate knowledge. This semio-fuzzy framework has been applied to the analysis of predictors for the diagnosis of obstructive sleep apnea. This approach was tested on two clinical data sets. Medical knowledge was represented by a set of facts and fuzzy rules, and used to perform statistical analysis. Statistical methods provided several candidate outliers. Our new typicality measure identified those, which were medically significant, in the sense that the removal of those important outliers improved the descriptive model. This is a critical preprocessing step towards automated induction of predictive rules from data. These experimental results demonstrate that knowledge-based methods integrated with statistical approaches provide a practical framework to support the generation of clinical prediction rules.

Published in:

IEEE Transactions on Information Technology in Biomedicine  (Volume:11 ,  Issue: 6 )