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Vito - A Generic Agent for Multi-physics Model Personalization: Application to Heart Modeling

机译:Vito-多物理场模型个性化的通用代理:在心脏建模中的应用

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Precise estimation of computational physiological model parameters from patient data is one of the main hurdles towards their clinical applicability. Designing robust estimation algorithms is often a tedious and model-specific process. We propose to use, for the first time to our knowledge, artificial intelligence (AI) concepts to learn how to personalize a computational model, inspired by how an expert manually personalizes. We reformulate the parameter estimation problem in terms of Markov decision process and reinforcement learning. In an off-line phase, the artificial agent, called Vito, automatically learns a representative state-action-state model through data-driven exploration of the computational model under consideration. In other words, Vito learns how the model behaves under change of parameters and how to personalize it. Vito then controls the on-line personalization by exploiting its automatically derived action policy. Because the algorithm is model-independent, personalizing a completely new model would require only adjusting some simple parameters of the agent and defining the observations to match, without the full knowledge of the model itself. Vito was evaluated on two challenging problems: the inverse problem of cardiac electrophysiology and the personalization of a lumped-parameter whole-body circulation model. Obtained results suggested that Vito could achieve equivalent goodness of fit than standard methods, while being more robust (up to 25% higher success rates) and with faster (up to three times) convergence rate. Our AI approach could thus make model personalization algorithms generalizable and self-adaptable to any patient, like a human operator.
机译:根据患者数据精确估算计算生理模型参数是其临床适用性的主要障碍之一。设计鲁棒的估计算法通常是一个乏味且特定于模型的过程。我们建议,根据专家的知识,这是第一次将人工智能(AI)概念用于学习如何个性化计算模型,这是受专家如何手动进行个性化启发的。我们根据马尔可夫决策过程和强化学习重新提出参数估计问题。在离线阶段,称为Vito的人工代理通过对所考虑的计算模型进行数据驱动的探索,自动学习代表性的状态-行为-状态模型。换句话说,Vito学习了模型在参数变化下的行为方式以及如何对其进行个性化设置。然后,Vito通过利用其自动派生的操作策略来控制在线个性化。因为该算法与模型无关,所以个性化一个全新的模型将只需要调整代理的一些简单参数并定义要匹配的观察值,而无需完全了解模型本身。评估了Vito的两个挑战性问题:心脏电生理学的逆问题和集总参数全身循环模型的个性化。所得结果表明,Vito可以达到与标准方法同等的拟合优度,同时具有更强大的功能(成功率高25%)和更快的收敛速度(最高达三倍)。因此,我们的AI方法可以使模型个性化算法对任何患者(如人工操作者)具有通用性和自适应性。

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