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Sven Van Poucke, MD, PhD
RIP “one-size-fits-all”:
welcome to the new era of personalized medicine
Wisdom 2020 Boston
2
Maria, aged 74 years admitted to the hospital (ED)
Reason for encounter:
Signs and Symptoms: weight loss 25 pounds last 2
months, flu-like symptoms, yellowish discoloration of
the white area of the eye (sclera) and the skin, pale
stool, dark urine….
Jaundice may indicate a serious problem with the function of:
your red blood cells, liver, gallbladder, or pancreas.
Most likely causes (differential diagnosis):
-hepatitis
-alcohol
-auto-immune disorders
-rare genetic metabolic defects
-medicines, including acetaminophen toxicity, penicillins, oral
contraceptives, estrogenic or anabolic steroids etc.
-gallstones
-inflammation of the gallbladder
-gall bladder cancer
-pancreatic cancer
EHR EHR-LOINC codes
Clinical Biologist
Initial laboratory evaluation
Surgeon/Anesthesiologist
Internal Medicine
Curative or palliative treatment
ED Physician
Perform history &
physical examination
ICU Specialist
Critical care
Researcher
Where can we improve...
Dicom/(AI)
Radiologist
Ultrasonography or
computed tomography
EHR, Decision Support Multivariate Time Series Filling the gap between data
generated and data used
Data&Medicine Diagnostics Treatment
Uncertain observations
+changing over time
3
AI/ML/Process
Research
Methodology
4
5
A Generalized Linear Model (GLM) (RapidMiner, Inc
AutoModel extension), was developed (with standard
parameter settings) including automatic feature
selection and generation providing a predictive model,
weights related to the most predictive attributes, the
performance of the model, a simulator, the
performance of the model, the predictions, prediction
chart and production model, weights by correlation and
correlations.
Management
6
EHR
7
8
9
10
“Omics”
11
12
13
14
15
16
The models have yet to be tested
prospectively and their benefit on
clinical or other outcomes
demonstrated.
Healthcare organizations currently
lack the expert human resources
and the information technology or
IT capabilities to implement,
evaluate, incorporate, and
continuously monitor and
re-calibrate ML into clinical practice
Many of the studies developed
and validated models within the
same patient cohort; therefore,
generalizability to other
populations has not been
evaluated.
There remains significant trust
issues around the collection and
safe use of digital data that
need to be addressed.
17
18
https://youtu.be/OwU_pPLLOpA
rapidminer.com
@rapidminer
RapidMiner
© 2019 RapidMiner, Inc.  All rights reserved.
Copyright Laws are applicable. The layout of this document, its structure, contents, the used logos, graphics, pictures, diagrams, photographs,
trademarks, texts, collections and other content are copyright protected.  All rights are reserved, including but not limited to the right to
reproduce, duplicate or share aforementioned contents (especially, but not limited to data processing, data media, data networks).

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Post one-size-fits-all-healthcare, personalized medicine

  • 1. Sven Van Poucke, MD, PhD RIP “one-size-fits-all”: welcome to the new era of personalized medicine Wisdom 2020 Boston
  • 2. 2 Maria, aged 74 years admitted to the hospital (ED) Reason for encounter: Signs and Symptoms: weight loss 25 pounds last 2 months, flu-like symptoms, yellowish discoloration of the white area of the eye (sclera) and the skin, pale stool, dark urine…. Jaundice may indicate a serious problem with the function of: your red blood cells, liver, gallbladder, or pancreas. Most likely causes (differential diagnosis): -hepatitis -alcohol -auto-immune disorders -rare genetic metabolic defects -medicines, including acetaminophen toxicity, penicillins, oral contraceptives, estrogenic or anabolic steroids etc. -gallstones -inflammation of the gallbladder -gall bladder cancer -pancreatic cancer
  • 3. EHR EHR-LOINC codes Clinical Biologist Initial laboratory evaluation Surgeon/Anesthesiologist Internal Medicine Curative or palliative treatment ED Physician Perform history & physical examination ICU Specialist Critical care Researcher Where can we improve... Dicom/(AI) Radiologist Ultrasonography or computed tomography EHR, Decision Support Multivariate Time Series Filling the gap between data generated and data used Data&Medicine Diagnostics Treatment Uncertain observations +changing over time 3 AI/ML/Process
  • 5. 5 A Generalized Linear Model (GLM) (RapidMiner, Inc AutoModel extension), was developed (with standard parameter settings) including automatic feature selection and generation providing a predictive model, weights related to the most predictive attributes, the performance of the model, a simulator, the performance of the model, the predictions, prediction chart and production model, weights by correlation and correlations. Management
  • 7. 7
  • 8. 8
  • 9. 9
  • 11. 11
  • 12. 12
  • 13. 13
  • 14. 14
  • 15. 15
  • 16. 16 The models have yet to be tested prospectively and their benefit on clinical or other outcomes demonstrated. Healthcare organizations currently lack the expert human resources and the information technology or IT capabilities to implement, evaluate, incorporate, and continuously monitor and re-calibrate ML into clinical practice Many of the studies developed and validated models within the same patient cohort; therefore, generalizability to other populations has not been evaluated. There remains significant trust issues around the collection and safe use of digital data that need to be addressed.
  • 17. 17
  • 19. rapidminer.com @rapidminer RapidMiner © 2019 RapidMiner, Inc.  All rights reserved. Copyright Laws are applicable. The layout of this document, its structure, contents, the used logos, graphics, pictures, diagrams, photographs, trademarks, texts, collections and other content are copyright protected.  All rights are reserved, including but not limited to the right to reproduce, duplicate or share aforementioned contents (especially, but not limited to data processing, data media, data networks).