Evidence map›Paper›PMID 25862765›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2015

Subgraph augmented non-negative tensor factorization (SANTF) for modeling clinical narrative text.

Yuan Luo, Yu Xin, Ephraim Hochberg, Rohit Joshi, Ozlem Uzuner, Peter Szolovits

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 58 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Article
  6. Phenotyping Multiple Organ Dysfunction Syndrome Using Temporal Trends in Critically Ill Children.Proceedings. IEEE International Conference on Bioinformatics and Biomedicine · 2019
    Article
  7. Rich Text Formatted EHR Narratives: A Hidden and Ignored Trove.Studies in health technology and informatics · 2019
    Article
  8. Review
  9. Article
  10. Article
  11. Implementing a Portable Clinical NLP System with a Common Data Model - a Lisp Perspective.Proceedings. IEEE International Conference on Bioinformatics and Biomedicine · 2018
    Article
  12. High-fidelity phenotyping: richness and freedom from bias.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
  13. Segment convolutional neural networks (Seg-CNNs) for classifying relations in clinical notes.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Tensor factorization toward precision medicine.Briefings in bioinformatics · 2017
    Article
  19. Article
  20. Contralateral Breast Cancer Event Detection Using Nature Language Processing.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Yuan LuoComputer Science and Artificial Intelligence Lab, Massachusetts Institute of Technology yuanluo@mit.edu.
Yu XinComputer Science and Artificial Intelligence Lab, Massachusetts Institute of Technology.
Ephraim HochbergCenter for Lymphoma, Massachusetts General Hospital and Department of Medicine, Harvard Medical School.
Rohit JoshiComputer Science and Artificial Intelligence Lab, Massachusetts Institute of Technology.
Ozlem UzunerDepartment of Information Studies, State University of New York at Albany.
Peter SzolovitsComputer Science and Artificial Intelligence Lab, Massachusetts Institute of Technology.
Massachusetts Institute of Technology · USHarvard University · USUniversity at Albany, State University of New York · US

Funding

Informatics for Integrating Biology/ the Bedside (RMI)U54LM008748 · NLM · BRIGHAM AND WOMEN'S HOSPITAL · PI KOHANE, ISAAC S. · 2004 to 2013
$39.0M
NLM NIH HHS U54LM008748
6 · The paper itself

Abstract

objectiveExtracting medical knowledge from electronic medical records requires automated approaches to combat scalability limitations and selection biases. However, existing machine learning approaches are often regarded by clinicians as black boxes. Moreover, training data for these automated approaches at often sparsely annotated at best. The authors target unsupervised learning for modeling clinical narrative text, aiming at improving both accuracy and interpretability.

methodsThe authors introduce a novel framework named subgraph augmented non-negative tensor factorization (SANTF). In addition to relying on atomic features (e.g., words in clinical narrative text), SANTF automatically mines higher-order features (e.g., relations of lymphoid cells expressing antigens) from clinical narrative text by converting sentences into a graph representation and identifying important subgraphs. The authors compose a tensor using patients, higher-order features, and atomic features as its respective modes. We then apply non-negative tensor factorization to cluster patients, and simultaneously identify latent groups of higher-order features that link to patient clusters, as in clinical guidelines where a panel of immunophenotypic features and laboratory results are used to specify diagnostic criteria. RESULTS AND

conclusionSANTF demonstrated over 10% improvement in averaged F-measure on patient clustering compared to widely used non-negative matrix factorization (NMF) and k-means clustering methods. Multiple baselines were established by modeling patient data using patient-by-features matrices with different feature configurations and then performing NMF or k-means to cluster patients. Feature analysis identified latent groups of higher-order features that lead to medical insights. We also found that the latent groups of atomic features help to better correlate the latent groups of higher-order features.

Indexed as

Electronic Health RecordsNatural Language ProcessingUnsupervised Machine LearningData MiningHodgkin DiseaseHumansNarrationnatural language processingnon-negative tensor factorizationsubgraph miningunsupervised learning

Identifiers

PMID25862765
PMCPMC4986663
OpenAlexW2124996938

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.