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Hospital Length of Stay Prediction Based on Multi-modal Data Towards Trustworthy Human-AI Collaboration in Radiomics

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Artificial Intelligence in Medicine (AIME 2023)

Abstract

To what extent can the patient’s length of stay in a hospital be predicted using only an X-ray image? We answer this question by comparing the performance of machine learning survival models on a novel multi-modal dataset created from 1235 images with textual radiology reports annotated by humans. Although black-box models predict better on average than interpretable ones, like Cox proportional hazards, they are not inherently understandable. To overcome this trust issue, we introduce time-dependent model explanations into the human-AI decision making process. Explaining models built on both: human-annotated and algorithm-extracted radiomics features provides valuable insights for physicians working in a hospital. We believe the presented approach to be general and widely applicable to other time-to-event medical use cases. For reproducibility, we open-source code and the tlos dataset at https://github.com/mi2datalab/xlungs-trustworthy-los-prediction.

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Notes

  1. 1.

    A detailed description of algorithm-extracted features from pyradiomics is available at https://pyradiomics.readthedocs.io/en/v3.0.1/features.html.

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Acknowledgements

This work was financially supported by the Polish National Center for Research and Development grant number INFOSTRATEG-I/0022/2021-00, and carried out with the support of the Laboratory of Bioinformatics and Computational Genomics and the High Performance Computing Center of the Faculty of Mathematics and Information Science, Warsaw University of Technology.

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Correspondence to Hubert Baniecki .

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Baniecki, H., Sobieski, B., Bombiński, P., Szatkowski, P., Biecek, P. (2023). Hospital Length of Stay Prediction Based on Multi-modal Data Towards Trustworthy Human-AI Collaboration in Radiomics. In: Juarez, J.M., Marcos, M., Stiglic, G., Tucker, A. (eds) Artificial Intelligence in Medicine. AIME 2023. Lecture Notes in Computer Science(), vol 13897. Springer, Cham. https://doi.org/10.1007/978-3-031-34344-5_9

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  • DOI: https://doi.org/10.1007/978-3-031-34344-5_9

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