Faculty Publications

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Author: search.filters.author.Mayya, V.Subject: search.filters.subject.Disease prediction

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    LATA – Label attention transformer architectures for ICD-10 coding of unstructured clinical notes
    (Institute of Electrical and Electronics Engineers Inc., 2021) Mayya, V.; Kamath S․, S.S.; Sugumaran, V.
    Effective code assignment for patient clinical records in a hospital plays a significant role in the process of standardizing medical records, mainly for streamlining clinical care delivery, billing, and managing insurance claims. The current practice employed is manual coding, usually carried out by trained medical coders, making the process subjective, error-prone, inexact, and time-consuming. To alleviate this cost-intensive process, intelligent coding systems built on patients’ structured electronic medical records are critical. Classification of medical diagnostic codes, like ICD-10, is widely employed to categorize patients’ clinical conditions and associated diagnoses. In this work, we present a neural model LATA, built on Label Attention Transformer Architectures for automatic assignment of ICD-10 codes. Our work is benchmarked on the CodiEsp dataset, a dataset for automatic clinical coding systems for multilingual medical documents, used in the eHealth CLEF 2020-Multilingual Information Extraction Shared Task. The experimental results reveal that the proposed LATA variants outperform their basic BERT counterparts by 33-49% in terms of standard metrics like precision, recall, F1-score and mean average precision. The label attention mechanism also enables direct extraction of textual evidence in medical documents that map to the clinical ICD-10 diagnostic codes. © 2021 IEEE.
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    Explainable Deep Neural Models for COVID-19 Prediction from Chest X-Rays with Region of Interest Visualization
    (Institute of Electrical and Electronics Engineers Inc., 2021) Nedumkunnel, I.M.; Elizabeth George, L.; Kamath S․, S.S.; Rosh, N.A.; Mayya, V.
    COVID-19 has been designated as a once-in-a-century pandemic, and its impact is still being felt severely in many countries, due to the extensive human and green casualties. While several vaccines are under various stage of development, effective screening procedures that help detect the disease at early stages in a non-invasive and resource-optimized manner are the need of the hour. X-ray imaging is fairly accessible in most healthcare institutions and can prove useful in diagnosing this respiratory disease. Although a chest X-ray scan is a viable method to detect the presence of this disease, the scans must be analyzed by trained experts accurately and quickly if large numbers of tests are to be processed. In this paper, a benchmarking study of different preprocessing techniques and state-of-the-art deep learning models is presented to provide comprehensive insights into both the objective and subjective evaluation of their performance. To analyze and prevent possible sources of bias, we preprocessed the dataset in two ways-first, we segmented the lungs alone, and secondly, we formed a bounding box around the lung and used only this area to train. Among the models chosen to benchmark, which were DenseNet201, EfficientNetB7, and VGG-16, DenseNet201 performed better for all three datasets. © 2021 IEEE.
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    Multi-channel, convolutional attention based neural model for automated diagnostic coding of unstructured patient discharge summaries
    (Elsevier B.V., 2021) Mayya, V.; Kamath S?, S.S.; S. Krishnan, G.S.; Gangavarapu, T.
    Effective coding of patient records in hospitals is an essential requirement for epidemiology, billing, and managing insurance claims. The prevalent practice of manual coding, carried out by trained medical coders, is error-prone and time-consuming. Mitigating this labor-intensive process by developing diagnostic coding systems built on patients’ Electronic Medical Records (EMRs) is vital. However, developing nations with low digitization rates have limited availability of structured EMRs, thereby necessitating a need for systems that leverage unstructured data sources. Despite the rich clinical information available in such unstructured data, modeling them is complex, owing to the variety and sparseness of diagnostic codes, complex structural and temporal nature of summaries, and prolific use of medical jargon. This work proposes a context-attentive network to facilitate automatic diagnostic code assignment as a multi-label classification problem. The proposed model facilitates information aggregation across a patient's discharge summary via multi-channel, variable-sized convolutional filters to extract multi-granular snippets. The attention mechanism enables selecting vital segments in those snippets that map to the clinical codes. The model's superior performance underscores its effectiveness compared to the state-of-the-art on the MIMIC-III database. Additionally, experimental validation using the CodiEsp dataset exhibited the model's interpretability and explainability. © 2021 Elsevier B.V.