Diagnosing inapparent diseases from common clinical tests using bayesian analysis
AssigneeQuest Diagnostics Investments Incorporated
InventorsValeri I. Karlov, Bernard Kasten, Carlos E. Padilla, Edward T. Maggio, Frank Billingsley
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Abstract
A system and method of diagnosing diseases from biological data is disclosed. A system for automated disease diagnostics prediction can be generated using a database of clinical test data. The diagnostics prediction can also be used to develop screening tests to screen for one or more inapparent diseases. The prediction method can be implemented with Bayesian probability estimation techniques. The system and method permit clinical test data to be analyzed and mined for improved disease diagnosis.
Claims62
A method of processing test data, comprising:
- determining an estimate for one or more hypothesis-conditional probability density functions p(x|Hk) for a set X of the test data conditioned on a set H of hypotheses relating to the test data;
- determining a set of prior probability density functions p(Hk) for each hypothesis of the set H;
- and
- determining a set of posterior test-conditional probability density functions p(Hk|x) for the hypotheses conditioned on a new data x;
- wherein the p(x|Hi) estimates include a global estimate produced in accordance with the uncertainties in the statistical characteristics of the test data relating to each hypothesis-conditional pdf p(x|Hk).
A method for generating an a posteriori tree of possible diagnoses for a subject, the method comprising:
- performing an analysis of test data for a population of individuals to whom a set of tests were administered comprising a matrix of pair-wise discriminations between diagnoses from a predetermined list of diagnoses;
- performing a Bayesian statistical analysis to estimate a series of hypothesis-conditional probability density functions p(x|Hi) where a hypothesis Hi is one of a set H of the possible diagnoses;
- determining a prior probability density function p(Hi) for each of the disease hypotheses Hi;
- determining a posterior test-conditional probability density function p(Hi|x) for each of the hypotheses Hi test data records;
- and
- generating a posterior tree of possible diagnoses for a test subject in accordance with test results for the test subject.
A method of diagnosing a disease condition of a patient, the method comprising:
- receiving a set of population test data comprising test results for one or more patient tests performed on a population X of individuals;
- estimating a hypothesis-conditional probability density function p(x|H1) where the hypothesis H1 relates to a diagnosis condition for a test patient x, and estimating a hypothesis-conditional probability density function p(x|H2) where the hypothesis H2 relates to a non-diagnosis condition for a test patient;
- determining a prior probability density function p(H) for the each of the hypotheses H1 and H2;
- determining a posterior test-conditional probability density function p(H|x) for each of the hypotheses H1 and H2 on the test data x;
- and
- providing a diagnosis probability of a new patient for the H disease condition, based on the determined posterior test-conditional probability density unction p(H1|x) as compared to the posterior test-conditional probability density function p(H2|x) and one or more test results of the new patient.
A method of diagnosing a disease from data, comprising:
- conducting a statistical analysis of the data in order to identify trends and dependencies among the data, wherein the data comprises biological data from a subject;
- deriving a probabilistic model from the data, the probabilistic model being indicative of a probable disease diagnosis for a patient, wherein the disease is an inapparent disease.
A method of developing a test to screen for one or more inapparent diseases, comprising:
- conducting a statistical analysis of the data in order to identify trends and dependencies among the data, wherein the data comprises biological data from a subject;
- deriving a probabilistic model from the data, the probabilistic model being indicative of a probable disease diagnosis for a patient, wherein the probabilistic model is derived using a discrete Bayesian analysis;
- identifying from among the input data, the data that contributes to the diagnosis;
- and
- identifying the clinical or other input tests that generated the data that contributes to the diagnosis.
A method of optimizing a clinical test for diagnosis, comprising conducting a statistical analysis of the data in order to identify trends and dependencies among the data, wherein the data comprises biological data from a subject;
- deriving a probabilistic model from the data, the probabilistic model being indicative of a probable disease diagnosis for a patient, wherein the probabilistic model is derived using a discrete Bayesian analysis;
- identifying from among the input data, the data that do not contributes the diagnosis;
- eliminating the clinical tests that generate such data that do not contributes the diagnosis from the diagnosis protocol for the disease to thereby optimize the clinical test.
A program product for use in a computer that executes program steps recorded in a computer-readable media to perform a method of processing test data, the program product comprising:
- a recordable media;
- a plurality of computer-readable instructions executable by the computer to perform a method comprising:
- determining an estimate for one or more hypothesis-conditional probability density functions p(x|Hk) for a set X of the test data conditioned on a set H of hypotheses relating to the test data;
- determining a set of prior probability density functions p(Hk) for each hypothesis of the set H;
- and
- determining a set of posterior test-conditional probability density functions p(Hk|x) for the hypotheses conditioned on a new data x;
- wherein the p(x|Hi) estimates include a global estimate produced in accordance with the uncertainties in the statistical characteristics of the test data relating to each hypothesis-conditional pdf p(x|Hk).
Dependencies are inferred from the claim text.