A contextual care protocol is used by a medical practitioner for patient healthcare, given the context or situation that the specified patient is in. This paper proposes a method to build an automated self-adapting protocol which can help make relevant, early decisions for effective healthcare delivery. The hybrid model leverages neural networks and decision trees. The neural network estimates the chances of each disease and each tree in the decision trees represents care protocol for a disease. These trees are subject to change in case of aberrations found by the diagnosticians. These corrections or prediction errors are clustered into similar groups for scalability and review by the experts. The corrections as suggested by the experts are incorporated into the model.
B.N worked out a learning model using C4.5 decision tree algorithm for classification as well as predicting risks induced during pregnancy @cite_9 . The application proposed by the patent using neural networks identifies important input variables for a medical diagnostic test which was used in training the decision-support systems to guide the development of the tests and helps in accessing the effectiveness of a selected therapeutic protocol @cite_11 . S. proposed neural network and decision tree algorithm in an integrative manner to predict heart attacks with high amount of accuracy @cite_0 .
@cite_0 @cite_9 @cite_11
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Decision tree is with good comprehensibility while neural network ensemble is with strong generalization ability. These merits are integrated into a novel decision tree algorithm NeC4.5. This algorithm trains a neural network ensemble at first. Then, the trained ensemble is employed to generate a new training set through replacing the desired class labels of the original training examples with those output from the trained ensemble. Some extra training examples are also generated from the trained ensemble and added to the new training set. Finally, a C4.5 decision tree is grown from the new training set. Since its learning results are decision trees, the comprehensibility of NeC4.5 is better than that of neural network ensemble. Moreover, experiments show that the generalization ability of NeC4.5 decision trees can be better than that of C4.5 decision trees. We propose a novel method called deep convolutional decision jungle (CDJ) and its learning algorithm for image classification. The CDJ maintains the structure of standard convolutional neural networks (CNNs), i.e. multiple layers of multiple response maps fully connected. Each response map-or node-in both the convolutional and fully-connected layers selectively respond to class labels s.t. each data sample travels via a specific soft route of those activated nodes. The proposed method CDJ automatically learns features, whereas decision forests and jungles require pre-defined feature sets. Compared to CNNs, the method embeds the benefits of using data-dependent discriminative functions, which better handles multi-modal heterogeneous data; further,the method offers more diverse sparse network responses, which in turn can be used for cost-effective learning classification. The network is learnt by combining conventional softmax and proposed entropy losses in each layer. The entropy loss,as used in decision tree growing, measures the purity of data activation according to the class label distribution. The back-propagation rule for the proposed loss function is derived from stochastic gradient descent (SGD) optimization of CNNs. We show that our proposed method outperforms state-of-the-art methods on three public image classification benchmarks and one face verification dataset. We also demonstrate the use of auxiliary data labels, when available, which helps our method to learn more discriminative routing and representations and leads to improved classification. Strong intelligent machines powered by deep neural networks are increasingly deployed as black boxes to make decisions in risk-sensitive domains, such as finance and medical. To reduce potential risk and build trust with users, it is critical to interpret how such machines make their decisions. Existing works interpret a pre-trained neural network by analyzing hidden neurons, mimicking pre-trained models or approximating local predictions. However, these methods do not provide a guarantee on the exactness and consistency of their interpretations. In this paper, we propose an elegant closed form solution named @math to compute exact and consistent interpretations for the family of Piecewise Linear Neural Networks (PLNN). The major idea is to first transform a PLNN into a mathematically equivalent set of linear classifiers, then interpret each linear classifier by the features that dominate its prediction. We further apply @math to demonstrate the effectiveness of non-negative and sparse constraints on improving the interpretability of PLNNs. The extensive experiments on both synthetic and real world data sets clearly demonstrate the exactness and consistency of our interpretation. In this paper, we propose a novel approach based on deep learning for active classification of electrocardiogram (ECG) signals. To this end, we learn a suitable feature representation from the raw ECG data in an unsupervised way using stacked denoising autoencoders (SDAEs) with sparsity constraint. After this feature learning phase, we add a softmax regression layer on the top of the resulting hidden representation layer yielding the so-called deep neural network (DNN). During the interaction phase, we allow the expert at each iteration to label the most relevant and uncertain ECG beats in the test record, which are then used for updating the DNN weights. As ranking criteria, the method relies on the DNN posterior probabilities to associate confidence measures such as entropy and Breaking-Ties (BT) to each test beat in the ECG record under analysis. In the experiments, we validate the method on the well-known MIT-BIH arrhythmia database as well as two other databases called INCART, and SVDB, respectively. Furthermore, we follow the recommendations of the Association for the Advancement of Medical Instrumentation (AAMI) for class labeling and results presentation. The results obtained show that the newly proposed approach provides significant accuracy improvements with less expert interaction and faster online retraining compared to state-of-the-art methods.