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Lim J, Li J, Zhou M, Xiao X, Xu Z. Machine Learning Research Trends in Traditional Chinese Medicine: A Bibliometric Review. Int J Gen Med 2024; 17:5397-5414. [PMID: 39588057 PMCID: PMC11586268 DOI: 10.2147/ijgm.s495663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2024] [Accepted: 11/14/2024] [Indexed: 11/27/2024] Open
Abstract
Background Integrating Traditional Chinese Medicine (TCM) knowledge with modern technology, especially machine learning (ML), has shown immense potential in enhancing TCM diagnostics and treatment. This study aims to systematically review and analyze the trends and developments in ML applications in TCM through a bibliometric analysis. Methods Data for this study were sourced from the Web of Science Core Collection. Data were analyzed and visualized using Microsoft Office Excel, Bibliometrix, and VOSviewer. Results 474 documents were identified. The analysis revealed a significant increase in research output from 2000 to 2023, with China leading in both the number of publications and research impact. Key research institutions include the Shanghai University of Traditional Chinese Medicine and the China Academy of Chinese Medical Sciences. Major research hotspots identified include ML applications in TCM diagnosis, network pharmacology, and tongue diagnosis. Additionally, chemometrics with ML are highlighted for their roles in quality control and authentication of TCM products. Conclusion This study provides a comprehensive overview of ML applications' development trends and research landscape in TCM. The integration of ML has led to significant advancements in TCM diagnostics, personalized medicine, and quality control, paving the way for the modernization and internationalization of TCM practices. Future research should focus on improving model interpretability, fostering international collaborations, and standardized reporting protocols.
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Affiliation(s)
- Jiekee Lim
- School of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, People’s Republic of China
| | - Jieyun Li
- School of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, People’s Republic of China
| | - Mi Zhou
- School of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, People’s Republic of China
| | - Xinang Xiao
- School of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, People’s Republic of China
| | - Zhaoxia Xu
- School of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, People’s Republic of China
- Shanghai Key Laboratory of Health Identification and Assessment, Shanghai, People’s Republic of China
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2
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Bai CY, Tian W, Zhang Q. Clinical study on microscopic syndrome differentiation and traditional Chinese medicine treatment for liver stomach disharmony in chronic gastritis. World J Gastrointest Surg 2024; 16:1377-1384. [PMID: 38817300 PMCID: PMC11135293 DOI: 10.4240/wjgs.v16.i5.1377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Revised: 04/05/2024] [Accepted: 04/11/2024] [Indexed: 05/23/2024] Open
Abstract
BACKGROUND Chronic gastritis (CG) is a common gastrointestinal disorder characterized by inflammation of the stomach lining. Liver-stomach disharmony (LSD) syndrome is believed to contribute to CG symptoms. AIM To evaluate the efficacy and safety of microcosmic syndrome differentiation and Chinese herbal medicine (CHM) treatment in patients with CG and LSD syndrome. METHODS Sixty-four patients with CG and LSD syndrome were randomly divided into two groups: The treatment group received CHM based on microcosmic syndrome differentiation and the control group received conventional Western medicine. The treatment course lasted 12 wk. The primary outcome was improvement in dyspeptic symptoms, measured using the Nepean Dyspepsia Index. The secondary outcomes included the improvement rate of endoscopic findings, histopathological findings, and microcosmic syndrome scores and the incidence of adverse events. RESULTS After 12 wk of treatment, the treatment group showed significantly greater improvement in dyspeptic symptoms than the control group (93.75% vs 65.63%, P < 0.01). The treatment group also showed a significantly higher improvement rate in endoscopic findings than the control group (81.25% vs 53.13%, P < 0.05). The improvement rates of histopathological findings and microcosmic syndrome scores were not significantly different between the two groups (P > 0.05). No serious adverse events were observed in either group. CONCLUSION Microcosmic syndrome differentiation and CHM treatment can effectively improve dyspeptic symptoms and endoscopic findings in patients with CG and LSD syndrome and have a good safety profile. Further studies with larger sample sizes and longer follow-up periods are required to confirm the long-term efficacy and mechanism of action of this treatment.
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Affiliation(s)
- Chun-Yan Bai
- Department of Rehabilitation Medicine, Beijing Aerospace General Hospital, Beijing 100076, China
| | - Wei Tian
- Department of Rehabilitation Medicine, People’s Hospital of Hengshui, Hengshui 053000, Hebei Province, China
| | - Qian Zhang
- Department of Internal Medicine, Hebei Academy of Chinese Medicine Sciences, Shijiazhuang 050000, Hebei Province, China
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3
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Tian D, Chen W, Xu D, Xu L, Xu G, Guo Y, Yao Y. A review of traditional Chinese medicine diagnosis using machine learning: Inspection, auscultation-olfaction, inquiry, and palpation. Comput Biol Med 2024; 170:108074. [PMID: 38330826 DOI: 10.1016/j.compbiomed.2024.108074] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Revised: 12/15/2023] [Accepted: 01/27/2024] [Indexed: 02/10/2024]
Abstract
Traditional Chinese medicine (TCM) is an essential part of the Chinese medical system and is recognized by the World Health Organization as an important alternative medicine. As an important part of TCM, TCM diagnosis is a method to understand a patient's illness, analyze its state, and identify syndromes. In the long-term clinical diagnosis practice of TCM, four fundamental and effective diagnostic methods of inspection, auscultation-olfaction, inquiry, and palpation (IAOIP) have been formed. However, the diagnostic information in TCM is diverse, and the diagnostic process depends on doctors' experience, which is subject to a high-level subjectivity. At present, the research on the automated diagnosis of TCM based on machine learning is booming. Machine learning, which includes deep learning, is an essential part of artificial intelligence (AI), which provides new ideas for the objective and AI-related research of TCM. This paper aims to review and summarize the current research status of machine learning in TCM diagnosis. First, we review some key factors for the application of machine learning in TCM diagnosis, including data, data preprocessing, machine learning models, and evaluation metrics. Second, we review and summarize the research and applications of machine learning methods in TCM IAOIP and the synthesis of the four diagnostic methods. Finally, we discuss the challenges and research directions of using machine learning methods for TCM diagnosis.
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Affiliation(s)
- Dingcheng Tian
- College of Medicine and Biological Information Engineering, Northeastern University, Shenyang, 110819, China
| | - Weihao Chen
- Research Institute for Medical and Biological Engineering, Ningbo University, Ningbo, 315211, China
| | - Dechao Xu
- Research Institute for Medical and Biological Engineering, Ningbo University, Ningbo, 315211, China
| | - Lisheng Xu
- College of Medicine and Biological Information Engineering, Northeastern University, Shenyang, 110819, China
| | - Gang Xu
- The First Affiliated Hospital of Liaoning University of TraditionalChinese Medicine, Shenyang, 110000, China
| | - Yaochen Guo
- The Affiliated Hospital of the Medical School of Ningbo University, Ningbo, 315020, China
| | - Yudong Yao
- Research Institute for Medical and Biological Engineering, Ningbo University, Ningbo, 315211, China.
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4
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Dong S, Lei Z, Fei Y. Data-driven based four examinations in TCM: a survey. DIGITAL CHINESE MEDICINE 2022. [DOI: 10.1016/j.dcmed.2022.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2023] Open
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5
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Attention Matching Network for few-shot learning in the syndrome differentiation of cerebral stroke. INT J MACH LEARN CYB 2022. [DOI: 10.1007/s13042-022-01671-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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6
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Hu C, Zhang S, Gu T, Yan Z, Jiang J. Multi-Task Joint Learning Model for Chinese Word Segmentation and Syndrome Differentiation in Traditional Chinese Medicine. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095601. [PMID: 35564995 PMCID: PMC9103751 DOI: 10.3390/ijerph19095601] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 04/23/2022] [Accepted: 05/02/2022] [Indexed: 02/05/2023]
Abstract
Evidence-based treatment is the basis of traditional Chinese medicine (TCM), and the accurate differentiation of syndromes is important for treatment in this context. The automatic differentiation of syndromes of unstructured medical records requires two important steps: Chinese word segmentation and text classification. Due to the ambiguity of the Chinese language and the peculiarities of syndrome differentiation, these tasks pose a daunting challenge. We use text classification to model syndrome differentiation for TCM, and use multi-task learning (MTL) and deep learning to accomplish the two challenging tasks of Chinese word segmentation and syndrome differentiation. Two classic deep neural networks—bidirectional long short-term memory (Bi-LSTM) and text-based convolutional neural networks (TextCNN)—are fused into MTL to simultaneously carry out these two tasks. We used our proposed method to conduct a large number of comparative experiments. The experimental comparisons showed that it was superior to other methods on both tasks. Our model yielded values of accuracy, specificity, and sensitivity of 0.93, 0.94, and 0.90, and 0.80, 0.82, and 0.78 on the Chinese word segmentation task and the syndrome differentiation task, respectively. Moreover, statistical analyses showed that the accuracies of the non-joint and joint models were both within the 95% confidence interval, with pvalue < 0.05. The experimental comparison showed that our method is superior to prevalent methods on both tasks. The work here can help modernize TCM through intelligent differentiation.
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Affiliation(s)
- Chenyuan Hu
- School of Communication and Information Engineering, Shanghai University, Shanghai 200444, China; (S.Z.); (T.G.)
- Correspondence:
| | - Shuoyan Zhang
- School of Communication and Information Engineering, Shanghai University, Shanghai 200444, China; (S.Z.); (T.G.)
| | - Tianyu Gu
- School of Communication and Information Engineering, Shanghai University, Shanghai 200444, China; (S.Z.); (T.G.)
| | - Zhuangzhi Yan
- Institute of Biomedical Engineering, School of Life Science, Shanghai University, Shanghai 200444, China; (Z.Y.); (J.J.)
| | - Jiehui Jiang
- Institute of Biomedical Engineering, School of Life Science, Shanghai University, Shanghai 200444, China; (Z.Y.); (J.J.)
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7
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Bae H, Lee S, Lee CY, Kim CE. A Novel Framework for Understanding the Pattern Identification of Traditional Asian Medicine From the Machine Learning Perspective. Front Med (Lausanne) 2022; 8:763533. [PMID: 35186965 PMCID: PMC8853725 DOI: 10.3389/fmed.2021.763533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 12/23/2021] [Indexed: 11/13/2022] Open
Abstract
Pattern identification (PI), a unique diagnostic system of traditional Asian medicine, is the process of inferring the pathological nature or location of lesions based on observed symptoms. Despite its critical role in theory and practice, the information processing principles underlying PI systems are generally unclear. We present a novel framework for comprehending the PI system from a machine learning perspective. After a brief introduction to the dimensionality of the data, we propose that the PI system can be modeled as a dimensionality reduction process and discuss analytical issues that can be addressed using our framework. Our framework promotes a new approach in understanding the underlying mechanisms of the PI process with strong mathematical tools, thereby enriching the explanatory theories of traditional Asian medicine.
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Affiliation(s)
- Hyojin Bae
- Department of Physiology, Gachon University College of Korean Medicine, Seongnam, South Korea
| | - Sanghun Lee
- Korean Medicine Data Division, Korea Institute of Oriental Medicine, Daejeon, South Korea.,Department of Korean Convergence Medical Science, University of Science and Technology, Daejeon, South Korea
| | - Choong-Yeol Lee
- Department of Physiology, Gachon University College of Korean Medicine, Seongnam, South Korea
| | - Chang-Eop Kim
- Department of Physiology, Gachon University College of Korean Medicine, Seongnam, South Korea
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8
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Liu Z, Luo C, Fu D, Gui J, Zheng Z, Qi L, Guo H. A novel transfer learning model for traditional herbal medicine prescription generation from unstructured resources and knowledge. Artif Intell Med 2022; 124:102232. [DOI: 10.1016/j.artmed.2021.102232] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 11/30/2021] [Accepted: 12/17/2021] [Indexed: 11/02/2022]
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9
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Shu Z, Jia T, Tian H, Yan D, Yang Y, Zhou X. AIM in Alternative Medicine. Artif Intell Med 2022. [DOI: 10.1007/978-3-030-64573-1_57] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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10
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Duan YY, Liu PR, Huo TT, Liu SX, Ye S, Ye ZW. Application and Development of Intelligent Medicine in Traditional Chinese Medicine. Curr Med Sci 2021; 41:1116-1122. [PMID: 34881423 PMCID: PMC8654490 DOI: 10.1007/s11596-021-2483-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Indexed: 01/16/2023]
Abstract
As modern science and technology constantly progresses, the fields of artificial intelligence, mixed reality technology, remote technology, etc. have rapidly developed. Meanwhile, these technologies have been gradually applied to the medical field, leading to the development of intelligent medicine. What’s more, intelligent medicine has greatly promoted the development of traditional Chinese medicine (TCM), causing huge changes in the diagnosis of TCM ailments, remote treatment, teaching, etc. Therefore, there are both opportunities and challenges for inheriting and developing TCM. Herein, the related research progress of intelligent medicine in the TCM in China and abroad over the years is analyzed, with the purpose of introducing the present application status of intelligent medicine in TCM and providing reference for the inheritance and development of TCM in a new era.
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Affiliation(s)
- Yu-Yu Duan
- Hubei University of Chinese Medicine, Wuhan, 430072, China
| | - Peng-Ran Liu
- Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Tong-Tong Huo
- Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Song-Xiang Liu
- Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Song Ye
- Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, 430060, China.
| | - Zhe-Wei Ye
- Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
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11
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Application of an extreme learning machine network with particle swarm optimization in syndrome classification of primary liver cancer. JOURNAL OF INTEGRATIVE MEDICINE-JIM 2021; 19:395-407. [PMID: 34462241 DOI: 10.1016/j.joim.2021.08.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Accepted: 03/02/2021] [Indexed: 11/22/2022]
Abstract
OBJECTIVE By optimizing the extreme learning machine network with particle swarm optimization, we established a syndrome classification and prediction model for primary liver cancer (PLC), classified and predicted the syndrome diagnosis of medical record data for PLC and compared and analyzed the prediction results with different algorithms and the clinical diagnosis results. This paper provides modern technical support for clinical diagnosis and treatment, and improves the objectivity, accuracy and rigor of the classification of traditional Chinese medicine (TCM) syndromes. METHODS From three top-level TCM hospitals in Nanchang, 10,602 electronic medical records from patients with PLC were collected, dating from January 2009 to May 2020. We removed the electronic medical records of 542 cases of syndromes and adopted the cross-validation method in the remaining 10,060 electronic medical records, which were randomly divided into a training set and a test set. Based on fuzzy mathematics theory, we quantified the syndrome-related factors of TCM symptoms and signs, and information from the TCM four diagnostic methods. Next, using an extreme learning machine network with particle swarm optimization, we constructed a neural network syndrome classification and prediction model that used "TCM symptoms + signs + tongue diagnosis information + pulse diagnosis information" as input, and PLC syndrome as output. This approach was used to mine the nonlinear relationship between clinical data in electronic medical records and different syndrome types. The accuracy rate of classification was used to compare this model to other machine learning classification models. RESULTS The classification accuracy rate of the model developed here was 86.26%. The classification accuracy rates of models using support vector machine and Bayesian networks were 82.79% and 85.84%, respectively. The classification accuracy rates of the models for all syndromes in this paper were between 82.15% and 93.82%. CONCLUSION Compared with the case of data processed using traditional binary inputs, the experiment shows that the medical record data processed by fuzzy mathematics was more accurate, and closer to clinical findings. In addition, the model developed here was more refined, more accurate, and quicker than other classification models. This model provides reliable diagnosis for clinical treatment of PLC and a method to study of the rules of syndrome differentiation and treatment in TCM.
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12
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TCMNER and PubMed: A Novel Chinese Character-Level-Based Model and a Dataset for TCM Named Entity Recognition. JOURNAL OF HEALTHCARE ENGINEERING 2021; 2021:3544281. [PMID: 34413968 PMCID: PMC8369169 DOI: 10.1155/2021/3544281] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Accepted: 07/31/2021] [Indexed: 11/17/2022]
Abstract
Intelligent traditional Chinese medicine (TCM) has become a popular research field by means of prospering of deep learning technology. Important achievements have been made in such representative tasks as automatic diagnosis of TCM syndromes and diseases and generation of TCM herbal prescriptions. However, one unavoidable issue that still hinders its progress is the lack of labeled samples, i.e., the TCM medical records. As an efficient tool, the named entity recognition (NER) models trained on various TCM resources can effectively alleviate this problem and continuously increase the labeled TCM samples. In this work, on the basis of in-depth analysis, we argue that the performance of the TCM named entity recognition model can be better by using the character-level representation and tagging and propose a novel word-character integrated self-attention module. With the help of TCM doctors and experts, we define 5 classes of TCM named entities and construct a comprehensive NER dataset containing the standard content of the publications and the clinical medical records. The experimental results on this dataset demonstrate the effectiveness of the proposed module.
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13
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Zhang Q, Zhou J, Zhang B. Computational Traditional Chinese Medicine diagnosis: A literature survey. Comput Biol Med 2021; 133:104358. [PMID: 33831712 DOI: 10.1016/j.compbiomed.2021.104358] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Revised: 03/23/2021] [Accepted: 03/24/2021] [Indexed: 12/22/2022]
Abstract
BACKGROUND AND OBJECTIVE Traditional Chinese Medicine (TCM) diagnosis is based on the theoretical principles and knowledge, where it is steeped in thousands of years of history to diagnose various types of diseases and syndromes. It can be generally divided into four main diagnostic approaches: 1. Inspection, 2. Auscultation and olfaction, 3. Inquiry, and 4. Palpation, which are widely used in TCM hospitals in China and around the world. With the development of intelligent computing technology in recent years, computational TCM diagnosis has grown rapidly. METHODS In this paper, we aim to systematically summarize the development of computational TCM diagnosis based on four diagnostic approaches, mainly focusing on digital acquisition devices, collected datasets, and computational detection approaches (algorithms). Furthermore, all related works of this field are compared and explored in detail. RESULTS This survey provides the principles, applications, and current progress in computing for readers and researchers in terms of computational TCM diagnosis. Moreover, the future development direction, prospect, and technological trend of computational TCM diagnosis will also be discussed in this study. CONCLUSIONS Recent computational TCM diagnosis works are compared in detail to show the pros/cons, where we provide some meaningful suggestions and opinions on the future research approaches in this area. This work is useful for disease detection in computational TCM diagnosis as well as health management in the smart healthcare area. INDEX TERMS Computational diagnosis, Traditional Chinese Medicine, survey, smart healthcare.
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Affiliation(s)
- Qi Zhang
- The PAMI Research Group, Department of Computer and Information Science, Faculty of Science and Technology, University of Macau, Macau SAR, People's Republic of China
| | - Jianhang Zhou
- The PAMI Research Group, Department of Computer and Information Science, Faculty of Science and Technology, University of Macau, Macau SAR, People's Republic of China
| | - Bob Zhang
- The PAMI Research Group, Department of Computer and Information Science, Faculty of Science and Technology, University of Macau, Macau SAR, People's Republic of China.
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14
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AIM in Alternative Medicine. Artif Intell Med 2021. [DOI: 10.1007/978-3-030-58080-3_57-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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15
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Liu Z, He H, Yan S, Wang Y, Yang T, Li GZ. End-to-End Models to Imitate Traditional Chinese Medicine Syndrome Differentiation in Lung Cancer Diagnosis: Model Development and Validation. JMIR Med Inform 2020; 8:e17821. [PMID: 32543445 PMCID: PMC7327597 DOI: 10.2196/17821] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2020] [Revised: 03/30/2020] [Accepted: 04/11/2020] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Traditional Chinese medicine (TCM) has been shown to be an efficient mode to manage advanced lung cancer, and accurate syndrome differentiation is crucial to treatment. Documented evidence of TCM treatment cases and the progress of artificial intelligence technology are enabling the development of intelligent TCM syndrome differentiation models. This is expected to expand the benefits of TCM to lung cancer patients. OBJECTIVE The objective of this work was to establish end-to-end TCM diagnostic models to imitate lung cancer syndrome differentiation. The proposed models used unstructured medical records as inputs to capitalize on data collected for practical TCM treatment cases by lung cancer experts. The resulting models were expected to be more efficient than approaches that leverage structured TCM datasets. METHODS We approached lung cancer TCM syndrome differentiation as a multilabel text classification problem. First, entity representation was conducted with Bidirectional Encoder Representations from Transformers and conditional random fields models. Then, five deep learning-based text classification models were applied to the construction of a medical record multilabel classifier, during which two data augmentation strategies were adopted to address overfitting issues. Finally, a fusion model approach was used to elevate the performance of the models. RESULTS The F1 score of the recurrent convolutional neural network (RCNN) model with augmentation was 0.8650, a 2.41% improvement over the unaugmented model. The Hamming loss for RCNN with augmentation was 0.0987, which is 1.8% lower than that of the same model without augmentation. Among the models, the text-hierarchical attention network (Text-HAN) model achieved the highest F1 scores of 0.8676 and 0.8751. The mean average precision for the word encoding-based RCNN was 10% higher than that of the character encoding-based representation. A fusion model of the text-convolutional neural network, text-recurrent neural network, and Text-HAN models achieved an F1 score of 0.8884, which showed the best performance among the models. CONCLUSIONS Medical records could be used more productively by constructing end-to-end models to facilitate TCM diagnosis. With the aid of entity-level representation, data augmentation, and model fusion, deep learning-based multilabel classification approaches can better imitate TCM syndrome differentiation in complex cases such as advanced lung cancer.
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Affiliation(s)
- Ziqing Liu
- Second School of Clinic Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China.,School of Artifical Intelligence and Information Techology, Nanjing University of Chinese Medicine, Nanjing, China
| | - Haiyang He
- Shanghai Bright AI Co, Ltd, Shanghai, China
| | | | - Yong Wang
- Shanghai Literature Institute of Traditional Chinese Medicine, Shanghai, China
| | - Tao Yang
- School of Artifical Intelligence and Information Techology, Nanjing University of Chinese Medicine, Nanjing, China
| | - Guo-Zheng Li
- Second School of Clinic Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China
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16
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Zhang H, Ni W, Li J, Zhang J. Artificial Intelligence-Based Traditional Chinese Medicine Assistive Diagnostic System: Validation Study. JMIR Med Inform 2020; 8:e17608. [PMID: 32538797 PMCID: PMC7324998 DOI: 10.2196/17608] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2019] [Revised: 04/10/2020] [Accepted: 04/19/2020] [Indexed: 12/22/2022] Open
Abstract
Background Artificial intelligence–based assistive diagnostic systems imitate the deductive reasoning process of a human physician in biomedical disease diagnosis and treatment decision making. While impressive progress in this area has been reported, most of the reported successes are applications of artificial intelligence in Western medicine. The application of artificial intelligence in traditional Chinese medicine has lagged mainly because traditional Chinese medicine practitioners need to perform syndrome differentiation as well as biomedical disease diagnosis before a treatment decision can be made. Syndrome, a concept unique to traditional Chinese medicine, is an abstraction of a variety of signs and symptoms. The fact that the relationship between diseases and syndromes is not one-to-one but rather many-to-many makes it very challenging for a machine to perform syndrome predictions. So far, only a handful of artificial intelligence–based assistive traditional Chinese medicine diagnostic models have been reported, and they are limited in application to a single disease-type. Objective The objective was to develop an artificial intelligence–based assistive diagnostic system capable of diagnosing multiple types of diseases that are common in traditional Chinese medicine, given a patient’s electronic health record notes. The system was designed to simultaneously diagnose the disease and produce a list of corresponding syndromes. Methods Unstructured freestyle electronic health record notes were processed by natural language processing techniques to extract clinical information such as signs and symptoms which were represented by named entities. Natural language processing used a recurrent neural network model called bidirectional long short-term memory network–conditional random forest. A convolutional neural network was then used to predict the disease-type out of 187 diseases in traditional Chinese medicine. A novel traditional Chinese medicine syndrome prediction method—an integrated learning model—was used to produce a corresponding list of probable syndromes. By following a majority-rule voting method, the integrated learning model for syndrome prediction can take advantage of four existing prediction methods (back propagation, random forest, extreme gradient boosting, and support vector classifier) while avoiding their respective weaknesses which resulted in a consistently high prediction accuracy. Results A data set consisting of 22,984 electronic health records from Guanganmen Hospital of the China Academy of Chinese Medical Sciences that were collected between January 1, 2017 and September 7, 2018 was used. The data set contained a total of 187 diseases that are commonly diagnosed in traditional Chinese medicine. The diagnostic system was designed to be able to detect any one of the 187 disease-types. The data set was partitioned into a training set, a validation set, and a testing set in a ratio of 8:1:1. Test results suggested that the proposed system had a good diagnostic accuracy and a strong capability for generalization. The disease-type prediction accuracies of the top one, top three, and top five were 80.5%, 91.6%, and 94.2%, respectively. Conclusions The main contributions of the artificial intelligence–based traditional Chinese medicine assistive diagnostic system proposed in this paper are that 187 commonly known traditional Chinese medicine diseases can be diagnosed and a novel prediction method called an integrated learning model is demonstrated. This new prediction method outperformed all four existing methods in our preliminary experimental results. With further improvement of the algorithms and the availability of additional electronic health record data, it is expected that a wider range of traditional Chinese medicine disease-types could be diagnosed and that better diagnostic accuracies could be achieved.
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Affiliation(s)
- Hong Zhang
- Computer Center, Guanganmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China
| | - Wandong Ni
- Certification Center of Traditional Chinese Medicine, Physician Qualification, State Administration of Traditional Chinese Medicine, Beijing, China
| | - Jing Li
- Computer Center, Guanganmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China
| | - Jiajun Zhang
- Department of Software Engineering, NCT Lab Corp, Billerica, MA, United States
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Huang DZ, Kouznetsova VL, Tsigelny IF. Deep-learning- and pharmacophore-based prediction of RAGE inhibitors. Phys Biol 2020; 17:036003. [PMID: 31905346 DOI: 10.1088/1478-3975/ab6819] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
The receptor for advanced glycation end products (RAGE) has been identified as a therapeutic target in a host of pathological diseases, including Alzheimer's disease. RAGE is a target with no crystallographic data on inhibitors in complex with RAGE, multiple hypothesized binding modes, and small amounts of activity data. The main objective of this study was to demonstrate the efficacy of deep-learning (DL) techniques on small bioactivity datasets, and to identify candidate inhibitors of RAGE. We applied transfer learning in the form of a semi-supervised molecular representation in order to address small dataset problems. To validate the candidate inhibitors, we examined them using more computationally expensive pharmacophore-modeling and docking techniques. We created a strong classifier of RAGE activity, producing 79 candidate inhibitors. These candidates agreed with docking models and were shown to have no significant statistical difference from pharmacophore-based results. The transfer-learning techniques used allow DL to generalize chemical features from small bioactivity datasets to a broader library of compounds with high accuracy. Furthermore, the DL model is able to handle multiple binding modes without explicit instructions. Our results demonstrate the potential of a broad family of DL techniques on bioactivity predictions.
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Affiliation(s)
- David Z Huang
- REHS Program SDSC, UC San Diego, La Jolla, CA, United States of America. These authors contributed equally to this work
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Kim CH, Yoon DE, Lee YS, Jung WM, Kim JH, Chae Y. Revealing Associations between Diagnosis Patterns and Acupoint Prescriptions Using Medical Data Extracted from Case Reports. J Clin Med 2019; 8:E1663. [PMID: 31614636 PMCID: PMC6832135 DOI: 10.3390/jcm8101663] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2019] [Revised: 10/08/2019] [Accepted: 10/09/2019] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVE The optimal acupoints for a particular disease can be determined by analysis of diagnosis patterns. The objective of this study was to reveal the association between such patterns and the acupoints prescribed in clinical practice using medical data extracted from case reports. METHODS This study evaluated online virtual diagnoses made by currently practicing Korean medical doctors (N = 80). The doctors were presented with 10 case reports published in Korean medical journals and were asked to diagnose the patients and prescribe acupoints accordingly. A network analysis and the term frequency-inverse document frequency (tf-idf) method were used to analyse and quantify the relationship between diagnosis patterns and prescribed acupoints. RESULTS The network analysis showed that ST36, LI4, LR3, and SP6 were the most frequently used acupoints across all diagnoses. The tf-idf values showed the acupoints used for specific diseases, such as BL40 for bladder disease and LU9 for lung disease. CONCLUSIONS The associations between diagnosis patterns and prescribed acupoints were identified using an online virtual diagnosis modality. Network and text mining analyses revealed commonly applied and disease-specific acupoints in both qualitative and quantitative terms.
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Affiliation(s)
- Cheol-Han Kim
- Acupuncture & Meridian Science Research Center, College of Korean Medicine, Kyung Hee University, Seoul 02447, Korea.
| | - Da-Eun Yoon
- Acupuncture & Meridian Science Research Center, College of Korean Medicine, Kyung Hee University, Seoul 02447, Korea.
| | - Ye-Seul Lee
- Acupuncture & Meridian Science Research Center, College of Korean Medicine, Kyung Hee University, Seoul 02447, Korea.
- Department of Anatomy and Acupoint, College of Korean Medicine, Gachon University, Seongnam 13120, Korea.
| | - Won-Mo Jung
- Acupuncture & Meridian Science Research Center, College of Korean Medicine, Kyung Hee University, Seoul 02447, Korea.
| | - Joo-Hee Kim
- Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Sangji University, Wonju 26339, Korea.
| | - Younbyoung Chae
- Acupuncture & Meridian Science Research Center, College of Korean Medicine, Kyung Hee University, Seoul 02447, Korea.
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Hu Q, Yu T, Li J, Yu Q, Zhu L, Gu Y. End-to-End syndrome differentiation of Yin deficiency and Yang deficiency in traditional Chinese medicine. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2019; 174:9-15. [PMID: 30376987 DOI: 10.1016/j.cmpb.2018.10.011] [Citation(s) in RCA: 42] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2017] [Revised: 09/22/2018] [Accepted: 10/11/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND AND OBJECTIVE Yin and Yang, two concepts adapted from classical Chinese philosophy, play a diagnostic role in Traditional Chinese Medicine (TCM). The Yin and Yang in harmonious balance indicate health, whereas imbalances to either side indicate unhealthiness, which may result in diseases. Yin-yang disharmony is considered to be the cause of pathological changes. Syndrome differentiation of yin-yang is crucial to clinical diagnosis. It lays a foundation for subsequent medical judgments, including therapeutic methods, and formula, among many others. However, because of the complexities of the mechanisms and manifestations of disease, it is difficult to exactly point out which one, yin or yang, is disharmonious. There has been inadequate research conducted on syndrome differentiation of yin and yang from a computational perspective. In this study, we present a computational method, viz. an end-to-end syndrome differentiation of yin deficiency and yang deficiency. METHODS Unlike most previous studies on syndrome differentiation, which use structured datasets, this study takes unstructured texts in medical records as its inputs. It models syndrome differentiation as a task of text classification. This study experiments on two state-of-the-art end-to-end algorithms for text classification, i.e. a classic convolutional neural network (CNN) and fastText. These two systems take the n-grams of several types of tokens as their inputs, including characters, terms, and words. RESULTS When evaluated on a data set with 7326 modern medical records in TCM, it is observed that CNN and fastText generally give rise to comparable performances. The best accuracy rate of 92.55% comes from the system taking inputs as raw as n-grams of characters. It implies that one can build at least a moderate system for the differentiation of yin deficiency and yang deficiency even if he has no glossary or tokenizer at hand. CONCLUSIONS This study has demonstrated the feasibility of using end-to-end text classification algorithms to differentiate yin deficiency and yang deficiency on unstructured medical records.
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Affiliation(s)
- Qinan Hu
- Institute of Linguistics, Chinese Academy of Social Sciences, Beijing 100732, China; China Multilingual and Multimodal Corpora and Big Data Research Centre, Beijing 100089, China.
| | - Tong Yu
- Institute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.
| | - Jinghua Li
- Institute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.
| | - Qi Yu
- Institute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.
| | - Ling Zhu
- Institute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.
| | - Yueguo Gu
- Institute of Linguistics, Chinese Academy of Social Sciences, Beijing 100732, China; China Multilingual and Multimodal Corpora and Big Data Research Centre, Beijing 100089, China.
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Research on Classification of Tibetan Medical Syndrome in Chronic Atrophic Gastritis. APPLIED SCIENCES-BASEL 2019. [DOI: 10.3390/app9081664] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
Classification association rules that integrate association rules with classification are playing an important role in data mining. However, the time cost on constructing the classification model, and predicting new instances, will be long, due to the large number of rules generated during the mining of association rules, which also will result in the large system consumption. Therefore, this paper proposed a classification model based on atomic classification association rules, and applied it to construct the classification model of a Tibetan medical syndrome for the common plateau disease called Chronic Atrophic Gastritis. Firstly, introduce the idea of “relative support”, and use the constraint-based Apriori algorithm to mine the strong atomic classification association rules between symptoms and syndrome, and the knowledge base of Tibetan medical clinics will be constructed. Secondly, build the classification model of the Tibetan medical syndrome after pruning and prioritizing rules, and the idea of “partial classification” and “first easy to post difficult” strategy are introduced to realize the prediction of this Tibetan medical syndrome. Finally, validate the effectiveness of the classification model, and compare with the CBA algorithm and four traditional classification algorithms. The experimental results showed that the proposed method can realize the construction and classification of the classification model of the Tibetan medical syndrome in a shorter time, with fewer but more understandable rules, while ensuring a higher accuracy with 92.8%.
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Deep Convolutional Neural Networks for Classifying Body Constitution Based on Face Image. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2017; 2017:9846707. [PMID: 29181087 PMCID: PMC5664380 DOI: 10.1155/2017/9846707] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/26/2017] [Revised: 07/20/2017] [Accepted: 09/06/2017] [Indexed: 12/11/2022]
Abstract
Body constitution classification is the basis and core content of traditional Chinese medicine constitution research. It is to extract the relevant laws from the complex constitution phenomenon and finally build the constitution classification system. Traditional identification methods have the disadvantages of inefficiency and low accuracy, for instance, questionnaires. This paper proposed a body constitution recognition algorithm based on deep convolutional neural network, which can classify individual constitution types according to face images. The proposed model first uses the convolutional neural network to extract the features of face image and then combines the extracted features with the color features. Finally, the fusion features are input to the Softmax classifier to get the classification result. Different comparison experiments show that the algorithm proposed in this paper can achieve the accuracy of 65.29% about the constitution classification. And its performance was accepted by Chinese medicine practitioners.
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Advances in Patient Classification for Traditional Chinese Medicine: A Machine Learning Perspective. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2015; 2015:376716. [PMID: 26246834 PMCID: PMC4515265 DOI: 10.1155/2015/376716] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/07/2014] [Accepted: 04/07/2015] [Indexed: 02/07/2023]
Abstract
As a complementary and alternative medicine in medical field, traditional Chinese medicine (TCM) has drawn great attention in the domestic field and overseas. In practice, TCM provides a quite distinct methodology to patient diagnosis and treatment compared to western medicine (WM). Syndrome (ZHENG or pattern) is differentiated by a set of symptoms and signs
examined from an individual by four main diagnostic methods: inspection, auscultation and olfaction, interrogation, and palpation which reflects the pathological and physiological changes of
disease occurrence and development. Patient classification is to divide patients into several classes based on different criteria. In this paper, from the machine learning perspective, a survey on
patient classification issue will be summarized on three major aspects of TCM: sign classification, syndrome differentiation, and disease classification. With the consideration of different diagnostic
data analyzed by different computational methods, we present the overview for four subfields of TCM diagnosis, respectively. For each subfield, we design a rectangular reference list with applications in the horizontal direction and machine learning algorithms in the longitudinal direction. According to the current development of objective TCM diagnosis for patient classification, a discussion of the research issues around machine learning techniques with applications to TCM diagnosis is given to facilitate the further research for TCM patient classification.
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