Digestive Service, Complexo Hospitalario Universitario de A Coruña
Abstract:In this work, we present a flexible method for explaining, in human readable terms, the predictions made by decision trees used as decision support in liver transplantation. The decision trees have been obtained through machine learning applied on a dataset collected at the liver transplantation unit at the Coru\~na University Hospital Center and are used to predict long term (five years) survival after transplantation. The method we propose is based on the representation of the decision tree as a set of rules in a logic program (LP) that is further annotated with text messages. This logic program is then processed using the tool xclingo (based on Answer Set Programming) that allows building compound explanations depending on the annotation text and the rules effectively fired when a given input is provided. We explore two alternative LP encodings: one in which rules respect the tree structure (more convenient to reflect the learning process) and one where each rule corresponds to a (previously simplified) tree path (more readable for decision making).
Abstract:In this paper we present web-liver, a rule-based system for decision support in the medical domain, focusing on its application in a liver transplantation unit for implementing policies for donor-patient matching. The rule-based system is built on top of an interpreter for logic programs with partial functions, called lppf, that extends the paradigm of Answer Set Programming (ASP) adding two main features: (1) the inclusion of partial functions and (2) the computation of causal explanations for the obtained solutions. The final goal of web-liver is assisting the medical experts in the design of new donor-patient matching policies that take into account not only the patient severity but also the transplantation utility. As an example, we illustrate the tool behaviour with a set of rules that implement the utility index called SOFT.