Dec 6, 2022
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To reduce medical doctor's workload and democratize access to medical care, the automation of the evidence acquisition and diagnosis process has attracted increasing attention recently. However, most works proposed in the machine learning literature focus solely on improving the prediction accuracy of the patient's pathology. We argue that this objective is insufficient to ensure doctors' acceptability of the system. For doctors to trust the system recommendations, they need to understand how the gathered evidences led to the predicted diseases. In particular, interactions between the system and a patient should emulate doctors' reasoning. To do so, we propose to model the evidence acquisition and automatic diagnosis tasks in a deep reinforcement learning framework by considering three essential aspects of doctors' reasoning, namely using differential diagnosis with the exploration-confirmation approach while prioritizing severe pathologies. We propose metrics for evaluating the interaction quality concerning these three aspects. We show that our approach performs better than existing models while maintaining competitive prediction accuracy.To reduce medical doctor's workload and democratize access to medical care, the automation of the evidence acquisition and diagnosis process has attracted increasing attention recently. However, most works proposed in the machine learning literature focus solely on improving the prediction accuracy of the patient's pathology. We argue that this objective is insufficient to ensure doctors' acceptability of the system. For doctors to trust the system recommendations, they need to understand how th…
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