论文标题

在线症状评估的鉴别诊断中,COVID-19

COVID-19 in differential diagnosis of online symptom assessments

论文作者

Kannan, Anitha, Chen, Richard, Venkataraman, Vignesh, Tso, Geoffrey J., Amatriain, Xavier

论文摘要

COVID-19大流行已经扩大了在线寻求医疗保健解决方案的人们已经存在的趋势。一类解决方案是症状检查器,在Covid-19的背景下,它们非常受欢迎。但是,传统的症状检查器基于手动策划的专家系统,这些系统僵化且难以修改,尤其是在我们今天面临的快速变化情况下。这就是为什么所有COVID-19的现有解决方案都是手动症状检查器,只能估计该疾病的可能性,并且不能考虑替代假设或提出鉴别诊断。尽管机器学习提供了替代方案,但缺乏可靠的数据也不容易应用于Covid-19。在本文中,我们提出了一种结合传统AI专家系统和新颖学习模型的优势的方法。通过这样做,我们可以利用先验知识以及任何数量的现有数据来快速得出最能适应世界状态和最新科学知识的模型。我们使用这种方法来训练Covid-19意识到的鉴别诊断模型,该模型可用于医生或患者的医疗决策支持。我们表明,我们的方法能够准确地建模有关COVID-19的新传入数据,同时仍然在过去建模的条件上保持准确性。尽管我们的方法在我们当前面临的极端情况下显示出明显和清晰的优势,但我们还表明,它的灵活性超出了这种具体但非常重要的例子。

The COVID-19 pandemic has magnified an already existing trend of people looking for healthcare solutions online. One class of solutions are symptom checkers, which have become very popular in the context of COVID-19. Traditional symptom checkers, however, are based on manually curated expert systems that are inflexible and hard to modify, especially in a quickly changing situation like the one we are facing today. That is why all COVID-19 existing solutions are manual symptom checkers that can only estimate the probability of this disease and cannot contemplate alternative hypothesis or come up with a differential diagnosis. While machine learning offers an alternative, the lack of reliable data does not make it easy to apply to COVID-19 either. In this paper we present an approach that combines the strengths of traditional AI expert systems and novel deep learning models. In doing so we can leverage prior knowledge as well as any amount of existing data to quickly derive models that best adapt to the current state of the world and latest scientific knowledge. We use the approach to train a COVID-19 aware differential diagnosis model that can be used for medical decision support both for doctors or patients. We show that our approach is able to accurately model new incoming data about COVID-19 while still preserving accuracy on conditions that had been modeled in the past. While our approach shows evident and clear advantages for an extreme situation like the one we are currently facing, we also show that its flexibility generalizes beyond this concrete, but very important, example.

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