Paper List
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The Effective Reproduction Number in the Kermack-McKendrick model with age of infection and reinfection
This paper addresses the challenge of accurately estimating the time-varying effective reproduction number ℛ(t) in epidemics by incorporating two crit...
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Covering Relations in the Poset of Combinatorial Neural Codes
This work addresses the core challenge of navigating the complex poset structure of neural codes to systematically test the conjecture linking convex ...
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Collective adsorption of pheromones at the water-air interface
This paper addresses the core challenge of understanding how amphiphilic pheromones, previously assumed to be transported in the gas phase, can be sta...
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pHapCompass: Probabilistic Assembly and Uncertainty Quantification of Polyploid Haplotype Phase
This paper addresses the core challenge of accurately assembling polyploid haplotypes from sequencing data, where read assignment ambiguity and an exp...
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Setting up for failure: automatic discovery of the neural mechanisms of cognitive errors
This paper addresses the core challenge of automating the discovery of biologically plausible recurrent neural network (RNN) dynamics that can replica...
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Influence of Object Affordance on Action Language Understanding: Evidence from Dynamic Causal Modeling Analysis
This study addresses the core challenge of moving beyond correlational evidence to establish the *causal direction* and *temporal dynamics* of how obj...
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Revealing stimulus-dependent dynamics through statistical complexity
This paper addresses the core challenge of detecting stimulus-specific patterns in neural population dynamics that remain hidden to traditional variab...
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Exactly Solvable Population Model with Square-Root Growth Noise and Cell-Size Regulation
This paper addresses the fundamental gap in understanding how microscopic growth fluctuations, specifically those with size-dependent (square-root) no...
An AI Implementation Science Study to Improve Trustworthy Data in a Large Healthcare System
Georgia Institute of Technology, Atlanta, GA, USA | Shriners Hospitals for Children, Tampa, FL, USA
30秒速读
IN SHORT: This paper addresses the critical gap between theoretical AI research and real-world clinical implementation by providing a practical framework for assessing and improving healthcare data quality using trustworthy AI principles.
核心创新
- Methodology Developed a Python-based extension of OHDSI's Data Quality Dashboard (DQD) that integrates the METRIC framework for trustworthy AI assessment, addressing informative missingness, timeliness, and distribution consistency.
- Methodology Implemented a real-world case study modernizing a large pediatric healthcare system's Research Data Warehouse from OMOP CDM v5.1/5.2 to v5.4 within Microsoft Fabric, achieving 4% improvement in data quality test success rate (84.78% to 88.88%).
- Biology Demonstrated that data harmonization using OMOP CDM concept codes does not significantly impact AI model performance (mean AUROC: 71.3% with source codes vs. 70.0% with OMOP codes) while increasing interoperability for Craniofacial Microsomia case study.
主要结论
- Modernizing SC's OMOP CDM database from v5.1/5.2 to v5.4 improved overall data quality by 4% (84.78% to 88.88% success rate) and conformance by 8% (80.73% to 88.09%).
- Data harmonization using OMOP CDM concept codes maintained comparable AI model performance (mean AUROC difference: 1.3%) while enabling better interoperability across healthcare systems.
- Only 50% of ICD-9 codes shared common mappings with ICD-10 codes, revealing significant vocabulary transition challenges that could degrade AI model performance when encountering mixed coding systems.
摘要: The rapid growth of Artificial Intelligence (AI) in healthcare has sparked interest in Trustworthy AI and AI Implementation Science, both of which are essential for accelerating clinical adoption. Yet, barriers such as strict regulations, gaps between research and clinical settings, and challenges in evaluating AI systems hinder real-world implementation. This study presents an AI implementation case study within Shriners Children’s (SC), a large multisite pediatric system, showcasing the modernization of SC’s Research Data Warehouse (RDW) to OMOP CDM v5.4 within a secure Microsoft Fabric environment. We introduce a Python-based data quality assessment tool compatible with SC’s infrastructure, an extension of OHDSI’s R/Java-based Data Quality Dashboard (DQD) that integrates Trustworthy AI principles using the METRIC framework. This extension enhances data quality evaluation by addressing informative missingness, redundancy, timeliness, and distributional consistency. We also compare systematic and case-specific AI implementation strategies for Craniofacial Microsomia (CFM) using the FHIR standard. Our contributions include a real-world evaluation of AI implementations, integration of Trustworthy AI in data quality assessment, and evidence-based insights into hybrid implementation strategies, highlighting the need to blend systematic infrastructure with use-case-driven approaches to advance AI in healthcare.