Evidence map›Paper›PMID 32417928›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2020

Explainable artificial intelligence models using real-world electronic health record data: a systematic scoping review.

Seyedeh Neelufar Payrovnaziri, Zhaoyi Chen, Pablo Rengifo-Moreno, Tim Miller, Jiang Bian, Jonathan H Chen, Xiuwen Liu, Zhe He

Abstract readScoping Review
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

88 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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28 more citing papers are in PubMed but not listed here.

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

8 authors.

Seyedeh Neelufar PayrovnaziriSchool of Information, Florida State University, Tallahassee, Florida, USA.
Zhaoyi ChenDepartment of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, Florida, USA.
Pablo Rengifo-MorenoCollege of Medicine, Florida State University, Tallahassee, Florida, USA.
Tim MillerSchool of Computing and Information Systems, The University of Melbourne, Melbourne, Victoria, Australia.
Jiang BianDepartment of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, Florida, USA.
Jonathan H ChenCenter for Biomedical Informatics Research, Department of Medicine, Stanford University, Stanford, California, USA.
Xiuwen LiuDepartment of Computer Science, Florida State University, Tallahassee, Florida, USA.
Zhe HeSchool of Information, Florida State University, Tallahassee, Florida, USA.

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Peihua Qiu · 2007 to 2026
$22.8M
The benefits and harms of lung cancer screening in FloridaR01CA246418 · NCI · UNIVERSITY OF FLORIDA · PI BIAN, JIANG, GUO, YI · 2020 to 2023
$1.7M
Data-Mining Clinical Decision Support from Electronic Health RecordsK01ES026837 · NIEHS · STANFORD UNIVERSITY · PI CHEN, JONATHAN H. · 2015 to 2019
$893k
Systematic Analysis of Clinical Study Generalizability Assessment Methods with InformaticsR21AG061431 · NIA · FLORIDA STATE UNIVERSITY · PI BIAN, JIANG, HE, ZHE · 2019 to 2020
$793k
NCATS NIH HHS UL1 TR001427NCI NIH HHS R01 CA246418NIA NIH HHS P30 AG028740NIA NIH HHS R21 AG061431NIEHS NIH HHS K01 ES026837
6 · The paper itself

Abstract

objectiveTo conduct a systematic scoping review of explainable artificial intelligence (XAI) models that use real-world electronic health record data, categorize these techniques according to different biomedical applications, identify gaps of current studies, and suggest future research directions. MATERIALS AND

methodsWe searched MEDLINE, IEEE Xplore, and the Association for Computing Machinery (ACM) Digital Library to identify relevant papers published between January 1, 2009 and May 1, 2019. We summarized these studies based on the year of publication, prediction tasks, machine learning algorithm, dataset(s) used to build the models, the scope, category, and evaluation of the XAI methods. We further assessed the reproducibility of the studies in terms of the availability of data and code and discussed open issues and challenges.

resultsForty-two articles were included in this review. We reported the research trend and most-studied diseases. We grouped XAI methods into 5 categories: knowledge distillation and rule extraction (N = 13), intrinsically interpretable models (N = 9), data dimensionality reduction (N = 8), attention mechanism (N = 7), and feature interaction and importance (N = 5). DISCUSSION: XAI evaluation is an open issue that requires a deeper focus in the case of medical applications. We also discuss the importance of reproducibility of research work in this field, as well as the challenges and opportunities of XAI from 2 medical professionals' point of view.

conclusionBased on our review, we found that XAI evaluation in medicine has not been adequately and formally practiced. Reproducibility remains a critical concern. Ample opportunities exist to advance XAI research in medicine.

Indexed as

Artificial IntelligenceElectronic Health RecordsMachine LearningAttitude of Health PersonnelBibliometricsEvaluation Studies as TopicHumansLogistic ModelsReproducibility of Resultsdeep learningelectronic health recordsExplainable artificial intelligence (XAI)interpretable machine learningreal-world data

Identifiers

PMID32417928
PMCPMC7647281

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.