Evidence map›Paper›PMID 35598881›Full record

ArticleJournal of biomedical informatics2022

Deep learning on time series laboratory test results from electronic health records for early detection of pancreatic cancer.

Jiheum Park, Michael G Artin, Kate E Lee, Yoanna S Pumpalova, Myles A Ingram, Benjamin L May, Michael Park, Chin Hur, Nicholas P Tatonetti

Abstract read
In one paragraph

Article in Journal of biomedical informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Diagnostic Risk Prediction Models for Upper Gastrointestinal Cancers: A Systematic Review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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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

9 authors.

Jiheum ParkDepartment of Medicine, Columbia University Irving Medical Center, New York, NY, United States.
Michael G ArtinDepartment of Medicine, Columbia University Irving Medical Center, New York, NY, United States.
Kate E LeeDepartment of Medicine, Columbia University Irving Medical Center, New York, NY, United States.
Yoanna S PumpalovaDepartment of Medicine, Columbia University Irving Medical Center, New York, NY, United States.
Myles A IngramDepartment of Medicine, Columbia University Irving Medical Center, New York, NY, United States.
Benjamin L MayHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY, United States.
Michael ParkApplied Info Partners Inc, Worlds Fair Drive, Somerset, NJ, United States; X-Mechanics LLC, Cresskill, NJ, United States.
Chin HurDepartment of Medicine, Columbia University Irving Medical Center, New York, NY, United States. Electronic address: ch447@cumc.columbia.edu.
Nicholas P TatonettiDepartment of Biomedical Informatics, Columbia University, New York, NY, United States.

Funding

Domain-Knowledge Informed Deep Learning for Early Detection of Pancreatic CancerR21CA265400 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HUR, CHIN, TATONETTI, NICHOLAS P · 2021 to 2022
$400k
NCI NIH HHS R21 CA265400
6 · The paper itself

Abstract

The multi-modal and unstructured nature of observational data in Electronic Health Records (EHR) is currently a significant obstacle for the application of machine learning towards risk stratification. In this study, we develop a deep learning framework for incorporating longitudinal clinical data from EHR to infer risk for pancreatic cancer (PC). This framework includes a novel training protocol, which enforces an emphasis on early detection by applying an independent Poisson-random mask on proximal-time measurements for each variable. Data fusion for irregular multivariate time-series features is enabled by a "grouped" neural network (GrpNN) architecture, which uses representation learning to generate a dimensionally reduced vector for each measurement set before making a final prediction. These models were evaluated using EHR data from Columbia University Irving Medical Center-New York Presbyterian Hospital. Our framework demonstrated better performance on early detection (AUROC 0.671, CI 95% 0.667 - 0.675, p < 0.001) at 12 months prior to diagnosis compared to a logistic regression, xgboost, and a feedforward neural network baseline. We demonstrate that our masking strategy results greater improvements at distal times prior to diagnosis, and that our GrpNN model improves generalizability by reducing overfitting relative to the feedforward baseline. The results were consistent across reported race. Our proposed algorithm is potentially generalizable to other diseases including but not limited to cancer where early detection can improve survival.

Indexed as

Deep LearningPancreatic NeoplasmsEarly Detection of CancerElectronic Health RecordsHumansTime FactorsEarly detection of cancerElectronic Health RecordsMachine learningPancreatic cancer

Identifiers

PMID35598881
PMCPMC10286873

What OpenQuestion holds

Textmetadata
LicenceTDM
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.