Deep reinforcement learning and simulation as a path toward precision medicine

BK Petersen, J Yang, WS Grathwohl… - Journal of …, 2019 - liebertpub.com
Traditionally, precision medicine involves classifying patients to identify subpopulations that
respond favorably to specific therapeutics. We pose precision medicine as a dynamic …

Precision medicine as a control problem: Using simulation and deep reinforcement learning to discover adaptive, personalized multi-cytokine therapy for sepsis

BK Petersen, J Yang, WS Grathwohl, C Cockrell… - arXiv preprint arXiv …, 2018 - arxiv.org
Sepsis is a life-threatening condition affecting one million people per year in the US in which
dysregulation of the body's own immune system causes damage to its tissues, resulting in a …

Unifying cardiovascular modelling with deep reinforcement learning for uncertainty aware control of sepsis treatment

T Nanayakkara, G Clermont, CJ Langmead… - PLOS Digital …, 2022 - journals.plos.org
Sepsis is a potentially life-threatening inflammatory response to infection or severe tissue
damage. It has a highly variable clinical course, requiring constant monitoring of the patient's …

[HTML][HTML] Transatlantic transferability of a new reinforcement learning model for optimizing haemodynamic treatment for critically ill patients with sepsis

L Roggeveen, A El Hassouni, J Ahrendt, T Guo… - Artificial Intelligence in …, 2021 - Elsevier
Introduction In recent years, reinforcement learning (RL) has gained traction in the
healthcare domain. In particular, RL methods have been explored for haemodynamic …

Model-based reinforcement learning for sepsis treatment

A Raghu, M Komorowski, S Singh - arXiv preprint arXiv:1811.09602, 2018 - arxiv.org
Sepsis is a dangerous condition that is a leading cause of patient mortality. Treating sepsis
is highly challenging, because individual patients respond very differently to medical …

Deep reinforcement learning for sepsis treatment

A Raghu, M Komorowski, I Ahmed, L Celi… - arXiv preprint arXiv …, 2017 - arxiv.org
Sepsis is a leading cause of mortality in intensive care units and costs hospitals billions
annually. Treating a septic patient is highly challenging, because individual patients …

[HTML][HTML] Is deep reinforcement learning ready for practical applications in healthcare? A sensitivity analysis of duel-DDQN for hemodynamic management in sepsis …

MY Lu, Z Shahn, D Sow, F Doshi-Velez… - AMIA Annual …, 2020 - ncbi.nlm.nih.gov
Abstract The potential of Reinforcement Learning (RL) has been demonstrated through
successful applications to games such as Go and Atari. However, while it is straightforward …

Offline reinforcement learning with uncertainty for treatment strategies in sepsis

R Liu, JL Greenstein, JC Fackler, J Bergmann… - arXiv preprint arXiv …, 2021 - arxiv.org
Guideline-based treatment for sepsis and septic shock is difficult because sepsis is a
disparate range of life-threatening organ dysfunctions whose pathophysiology is not fully …

[HTML][HTML] Improving sepsis treatment strategies by combining deep and kernel-based reinforcement learning

X Peng, Y Ding, D Wihl, O Gottesman… - AMIA Annual …, 2018 - ncbi.nlm.nih.gov
Sepsis is the leading cause of mortality in the ICU. It is challenging to manage because
individual patients respond differently to treatment. Thus, tailoring treatment to the individual …

Optimizing medical treatment for sepsis in intensive care: from reinforcement learning to pre-trial evaluation

L Li, I Albert-Smet, AA Faisal - arXiv preprint arXiv:2003.06474, 2020 - arxiv.org
Our aim is to establish a framework where reinforcement learning (RL) of optimizing
interventions retrospectively allows us a regulatory compliant pathway to prospective clinical …