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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 interventions and there is no universally agreed-upon…

机器学习 · 计算机科学 2018-11-28 Aniruddh Raghu , Matthieu Komorowski , Sumeetpal Singh

Reinforcement learning (RL) is a promising approach to generate treatment policies for sepsis patients in intensive care. While retrospective evaluation metrics show decreased mortality when these policies are followed, studies with…

机器学习 · 计算机科学 2024-04-11 Unnseo Park , Venkatesh Sivaraman , Adam Perer

Reinforcement Learning (RL) has recently been applied to sequential estimation and prediction problems identifying and developing hypothetical treatment strategies for septic patients, with a particular focus on offline learning with…

机器学习 · 计算机科学 2020-11-24 Taylor W. Killian , Haoran Zhang , Jayakumar Subramanian , Mehdi Fatemi , Marzyeh Ghassemi

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 understood. Early intervention in sepsis is crucial for patient…

Our aim is to establish a framework where reinforcement learning (RL) of optimizing interventions retrospectively allows us a regulatory compliant pathway to prospective clinical testing of the learned policies in a clinical deployment. We…

机器学习 · 计算机科学 2020-03-20 Luchen Li , Ignacio Albert-Smet , Aldo A. Faisal

Effective reinforcement learning (RL) for sepsis treatment depends on learning stable, clinically meaningful state representations from irregular ICU time series. While previous works have explored representation learning for this task, the…

机器学习 · 计算机科学 2025-12-29 Yue Gao

Sepsis is a leading cause of death in the ICU. It is a disease requiring complex interventions in a short period of time, but its optimal treatment strategy remains uncertain. Evidence suggests that the practices of currently used treatment…

机器学习 · 计算机科学 2022-07-15 Zeyu Wang , Huiying Zhao , Peng Ren , Yuxi Zhou , Ming Sheng

Reinforcement learning (RL) has the potential to significantly improve clinical decision making. However, treatment policies learned via RL from observational data are sensitive to subtle choices in study design. We highlight a simple…

机器学习 · 计算机科学 2020-12-23 Christina X. Ji , Michael Oberst , Sanjat Kanjilal , David Sontag

Much attention has been devoted recently to the development of machine learning algorithms with the goal of improving treatment policies in healthcare. Reinforcement learning (RL) is a sub-field within machine learning that is concerned…

Offline reinforcement learning has shown promise for solving tasks in safety-critical settings, such as clinical decision support. Its application, however, has been limited by the lack of interpretability and interactivity for clinicians.…

In the rapidly changing healthcare landscape, the implementation of offline reinforcement learning (RL) in dynamic treatment regimes (DTRs) presents a mix of unprecedented opportunities and challenges. This position paper offers a critical…

机器学习 · 计算机科学 2024-06-05 Zhiyao Luo , Yangchen Pan , Peter Watkinson , Tingting Zhu

The growing disparity between the exponential scaling of computational resources and the finite growth of high-quality text data now constrains conventional scaling approaches for large language models (LLMs). To address this challenge, we…

Sepsis is a leading cause of mortality and its treatment is very expensive. Sepsis treatment is also very challenging because there is no consensus on what interventions work best and different patients respond very differently to the same…

机器学习 · 计算机科学 2022-03-29 Pramod Kaushik , Sneha Kummetha , Perusha Moodley , Raju S. Bapi

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 respond very differently to medical interventions and there…

人工智能 · 计算机科学 2017-11-28 Aniruddh Raghu , Matthieu Komorowski , Imran Ahmed , Leo Celi , Peter Szolovits , Marzyeh Ghassemi

Production scheduling is an essential task in manufacturing, with Reinforcement Learning (RL) emerging as a key solution. In a previous work, RL was utilized to solve an extended permutation flow shop scheduling problem (PFSSP) for a…

机器学习 · 计算机科学 2024-06-05 Arthur Müller , Felix Grumbach , Matthia Sabatelli

Sepsis is a leading cause of mortality in intensive care units (ICUs) and costs hospitals billions annually. Treating a septic patient is highly challenging, because individual patients respond very differently to medical interventions and…

机器学习 · 计算机科学 2017-05-24 Aniruddh Raghu , Matthieu Komorowski , Leo Anthony Celi , Peter Szolovits , Marzyeh Ghassemi

Reinforcement Learning (RL) is a computational approach to reward-driven learning in sequential decision problems. It implements the discovery of optimal actions by learning from an agent interacting with an environment rather than from…

统计方法学 · 统计学 2022-10-06 Mauricio Tec , Yunshan Duan , Peter Müller

Temporal difference (TD) learning is a foundational algorithm in reinforcement learning (RL). For nearly forty years, TD learning has served as a workhorse for applied RL as well as a building block for more complex and specialized…

机器学习 · 计算机科学 2025-06-24 Hwanwoo Kim , Panos Toulis , Eric Laber

There is a growing interest in using reinforcement learning (RL) to personalize sequences of treatments in digital health to support users in adopting healthier behaviors. Such sequential decision-making problems involve decisions about…

Numerical time integration is fundamental to the simulation of initial and boundary value problems. Traditionally, time integration schemes require adaptive time-stepping to ensure computational speed and sufficient accuracy. Although these…

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