基于深度Q网络的BECT治疗药物左乙拉西坦用药剂量推荐

    Dosage Recommendation of Levetiracetam for the Treatment of BECT in Children Based on Deep Q Network

    • 摘要: 目的 基于深度Q网络模型推荐伴中央颞区棘波的儿童良性癫痫患儿抗癫痫发作治疗药物左乙拉西坦的口服剂量,辅助医师制定精准的个性化用药方案。方法 收集整理2016年1月1日—2021年4月29日重庆医科大学附属儿童医院245例伴中央颞区棘波的儿童良性癫痫患儿的随访数据,利用深度强化学习技术,构建一个基于深度Q网络的儿童癫痫智能用药剂量推荐模型,并将专业医师处方与算法推荐的左乙拉西坦每日用药总剂量进行比较。结果 在推荐每日用药总剂量分布上,深度Q网络推荐的分布情况跟专业医师处方大体相似且更倾向于推荐在数据集当中分布较多并且具有统计意义的用药剂量。对基于深度Q网络剂量推荐在伴中央颞区棘波的儿童良性癫痫治疗药物左乙拉西坦的用药剂量的准确性进行了比较,每日用药总剂量分类平均准确率为89.7%,分类推荐用药平均误差为0.341 3。结论 初步验证了基于深度Q网络的用药剂量推荐模型的有效性,为该算法模型推广到更多抗癫痫发作治疗药物剂量推荐中提供参考。

       

      Abstract: OBJECTIVE To recomend the oral dose of levetiracetam for the treatment of benign childhood epilepsy with centro-temporal spikes and assist doctors in making precise individual therapy based on deep Q network. METHODS The follow-up clinical data of 245 cases of benign childhood epilepsy with centro-temporal spiked from Children's Hospital of Chongqing Medical University from 2016 January 1 to 2021 April 29. Leveraging deep reinforcement learning technology, a deep Q neural network model for drug dosage recommendations of childhood epilepsy was build. The professional physician's prescription was compared with the total daily dosage of levetiracetam recommended by the algorithm. RESULTS In terms of the total recommended daily dose distribution, the distribution recommended by the deep Q network was generally similar to that of professional physicians, and it was more inclined to recommend drug doses that were widely distributed and statistically significant in the data set. The accuracy of the intelligent dose recommendation of levetiracetam for benign epilepsy in children with centro-temporal spikes was compared in the deep Q network dose recommendation. The average accuracy rate of the total dose classification of daily medication was 89.7%, and the average error of the classification of recommended drugs was 0.341 3. CONCLUSION The effectiveness of the drug dose recommendation model based on the deep Q network is preliminarily verified, and it provides a reference for the extension of the algorithm model to more anti-epileptic seizure drug dose recommendations.

       

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