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Deep doubly robust outcome weighted learning

delete2023-12-22
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PRE
AI
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Xiaotong Jiang *
X
Xin Zhou
M
Michael R. Kosorok
DOI:10.1007/s10994-023-06484-wdelete
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摘要

摘要

En 中文
Precision medicine is a framework that adapts treatment strategies to a patient's individual characteristics and provides helpful clinical decision support. Existing research has been extended to various situations but high-dimensional data have not yet been fully incorporated into the paradigm. We propose a new precision medicine approach called deep doubly robust outcome weighted learning (DDROWL) that can handle big and complex data. This is a machine learning tool that directly estimates the optimal decision rule and achieves the best of three worlds: deep learning, double robustness, and residual weighted learning. Two architectures have been implemented in the proposed method, a fully-connected feedforward neural network and the Deep Kernel Learning model, a Gaussian process with deep learning-filtered inputs. We compare and discuss the performance and limitation of different methods through a range of simulations. Using longitudinal and brain imaging data from patients with Alzheimer's disease, we demonstrate the application of the proposed method in real-world clinical practice. With the implementation of deep learning, the proposed method can expand the influence of precision medicine to high-dimensional abundant data with greater flexibility and computational power.
Keyword:
Precision medicine
Individualized treatment rule
Deep learning
Double robustness

期刊

Machine Learning 封面图
Machine Learning
IF:
2.9
论文数:
2.7K
被引数:
3.4W

机构

U
university of north carolina
学者数:
7.4W
论文数: 6.5W
被引数: 93
U
University of North Carolina School of Medicine
学者数:
1.6W
论文数: 1.1W
被引数: 20
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