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A Clinical Decision Support System for the Prediction of Quality of Life in ALS.
Antoniadi, Anna Markella; Galvin, Miriam; Heverin, Mark; Wei, Lan; Hardiman, Orla; Mooney, Catherine.
Afiliación
  • Antoniadi AM; UCD School of Computer Science, University College Dublin, Dublin 4, Ireland.
  • Galvin M; FutureNeuro SFI Research Centre, RCSI University of Medicine and Health Sciences, Dublin 2, Ireland.
  • Heverin M; Academic Unit of Neurology, Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin 2, Ireland.
  • Wei L; Academic Unit of Neurology, Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin 2, Ireland.
  • Hardiman O; UCD School of Computer Science, University College Dublin, Dublin 4, Ireland.
  • Mooney C; FutureNeuro SFI Research Centre, RCSI University of Medicine and Health Sciences, Dublin 2, Ireland.
J Pers Med ; 12(3)2022 Mar 10.
Article en En | MEDLINE | ID: mdl-35330435
Amyotrophic Lateral Sclerosis (ALS), also known as Motor Neuron Disease (MND), is a rare and fatal neurodegenerative disease. As ALS is currently incurable, the aim of the treatment is mainly to alleviate symptoms and improve quality of life (QoL). We designed a prototype Clinical Decision Support System (CDSS) to alert clinicians when a person with ALS is experiencing low QoL in order to inform and personalise the support they receive. Explainability is important for the success of a CDSS and its acceptance by healthcare professionals. The aim of this work isto announce our prototype (C-ALS), supported by a first short evaluation of its explainability. Given the lack of similar studies and systems, this work is a valid proof-of-concept that will lead to future work. We developed a CDSS that was evaluated by members of the team of healthcare professionals that provide care to people with ALS in the ALS/MND Multidisciplinary Clinic in Dublin, Ireland. We conducted a user study where participants were asked to review the CDSS and complete a short survey with a focus on explainability. Healthcare professionals demonstrated some uncertainty in understanding the system's output. Based on their feedback, we altered the explanation provided in the updated version of our CDSS. C-ALS provides local explanations of its predictions in a post-hoc manner, using SHAP (SHapley Additive exPlanations). The CDSS predicts the risk of low QoL in the form of a probability, a bar plot shows the feature importance for the specific prediction, along with some verbal guidelines on how to interpret the results. Additionally, we provide the option of a global explanation of the system's function in the form of a bar plot showing the average importance of each feature. C-ALS is available online for academic use.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Idioma: En Revista: J Pers Med Año: 2022 Tipo del documento: Article País de afiliación: Irlanda Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Idioma: En Revista: J Pers Med Año: 2022 Tipo del documento: Article País de afiliación: Irlanda Pais de publicación: Suiza