Learning temporal probabilistic causal models from longitudinal data

Medical problems often require the analysis and interpretation of large collections of longitudinal data in terms of a structural model of the underlying physiological behavior. A suitable way to deal with this problem is to identify a temporal causal model that may effectively explain the patterns observed in the data. Here we will concentrate on probabilistic models, that provide a convenient framework to represent and manage underspecified information; in particular, we will consider the class of Causal Probabilistic Networks (CPN). We propose a method to perform structural learning of CPNs representing time-series through model selection. Starting from a set of plausible causal structures and a collection of possibly incomplete longitudinal data, we apply a learning algorithm to extract from the data the conditional probabilities describing each model. The models are then ranked according to their performance in reconstructing the original time-series, using several scoring functions, based on one-step ahead predictions. In this paper we describe the proposed methodology through an example taken from the diabetes monitoring domain. The selection process is applied to a set of input-output models that generalize the class of ARX models, where the inputs are the insulin and meal intakes and the outputs are the blood glucose levels. Although the physiological process underlying this particular application is characterized by strong non-linearities and low data reliability, we show that it is possible to obtain meaningful results, in terms of conditional probability learning and model ranking power.

[1]  Uffe Kjærulff,et al.  A Computational Scheme for Reasoning in Dynamic Probabilistic Networks , 1992, UAI.

[2]  L B Sheiner,et al.  Bayesian individualization of pharmacokinetics: simple implementation and comparison with non-Bayesian methods. , 1982, Journal of pharmaceutical sciences.

[3]  Riccardo Bellazzi Learning Conditional Probabilities with Longitudinal Data , 1995 .

[4]  N Saranummi,et al.  Model-based biosignal interpretation I. , 1994, Methods of information in medicine.

[5]  M Stefanelli,et al.  An Influence Diagram for Assessing GVHD Prophylaxis after Bone Marrow Transplantation in Children , 1994, Medical decision making : an international journal of the Society for Medical Decision Making.

[6]  Riccardo Bellazzi,et al.  Temporal Reasoning with Probabilities , 1989, UAI 1989.

[7]  David J. Spiegelhalter,et al.  Sequential Model Criticism in Probabilistic Expert Systems , 1993, IEEE Trans. Pattern Anal. Mach. Intell..

[8]  David J. Spiegelhalter,et al.  Bayesian analysis in expert systems , 1993 .

[9]  R. M. Oliver,et al.  Influence diagrams, belief nets and decision analysis , 1992 .

[10]  Wray L. Buntine Operations for Learning with Graphical Models , 1994, J. Artif. Intell. Res..

[11]  L Lenert,et al.  Improving drug dosing in hospitalized patients: automated modeling of pharmacokinetics for individualization of drug dosage regimens. , 1988, Computer methods and programs in biomedicine.

[12]  Steen Andreassen,et al.  MUNIN - A Causal Probabilistic Network for Interpretation of Electromyographic Findings , 1987, IJCAI.

[13]  Lennart Ljung,et al.  System Identification: Theory for the User , 1987 .

[14]  David J. Spiegelhalter,et al.  Sequential updating of conditional probabilities on directed graphical structures , 1990, Networks.

[15]  Paul Dagum,et al.  Additive Belief-Network Models , 1993, UAI.

[16]  Ross D. Shachter,et al.  Dynamic programming and influence diagrams , 1990, IEEE Trans. Syst. Man Cybern..

[17]  Eric Horvitz,et al.  Uncertain reasoning and forecasting , 1995 .

[18]  R. Bellman Dynamic programming. , 1957, Science.

[19]  Silvana Quaglini,et al.  Hybrid knowledge-based systems for therapy planning , 1992, Artif. Intell. Medicine.

[20]  Gregory Provan,et al.  Tradeoffs in Knowledge-Based Construction of Probabilistic Models , 1994, IEEE Trans. Syst. Man Cybern. Syst..

[21]  P. Schönemann On artificial intelligence , 1985, Behavioral and Brain Sciences.

[22]  D R Worthington The use of models in the self-management of insulin-dependent diabetes mellitus. , 1990, Computer methods and programs in biomedicine.

[23]  Judea Pearl,et al.  Probabilistic reasoning in intelligent systems , 1988 .

[24]  Marco F. Ramoni,et al.  Belief Maintenance with Probabilistic Logic , 1993 .

[25]  David J. Spiegelhalter,et al.  Bayesian networks for patient monitoring , 1992, Artif. Intell. Medicine.

[26]  Giuseppe De Nicolao,et al.  Adaptive controllers for intelligent monitoring , 1995, Artif. Intell. Medicine.

[27]  Alberto Riva,et al.  High Level Control Strategies for Diabetes Therapy , 1995, AIME.

[28]  R. Bellazzi Drug delivery optimization through Bayesian networks: an application to erythropoietin therapy in uremic anemia. , 1993, Computers and biomedical research, an international journal.