JMIR Medical Informatics
Clinical informatics, decision support for health professionals, electronic health records, and eHealth infrastructures.
Editor-in-Chief:
Arriel Benis, PhD, FIAHSI, SMIEEE, Associate Professor and Head of the Department of Digital Medical Technologies, Holon Institute of Technology (HIT), Israel
Impact Factor 3.8 More information about Impact Factor CiteScore 7.5 More information about CiteScore
Recent Articles
Existing work to understand adults’ health care experiences has focused on the analysis of patient feedback provided as written responses to after-visit surveys or social media discourse. Often, such written feedback has been studied using natural language processing techniques, such as topic detection and sentiment analysis, to provide coarse-grained insights. Storytelling is a powerful form of communication and may provide insights into factors contributing to gaps in health care outcomes and avenues for improvement. In addition, studying health care experiences using natural language processing techniques has been limited to patients. The experiences of stakeholders, such as caregivers and health care providers, remain underexplored.
Low peak oxygen consumption (V̇O) is associated with higher cardiovascular and all-cause mortality, while improvements in peak V̇O reduce this risk. Although early detection allows timely intervention, practical screening tools remain lacking. As electrocardiograms (ECGs) reflect both cardiac and age-related changes, they may offer a viable screening approach.
Deep learning, particularly encoder-only transformer architectures, has demonstrated excellent performance in biomedical literature classification, facilitating evidence-based medicine, and knowledge synthesis. However, the opacity of these models’ decision-making processes limits their clinical interpretability, trustworthiness, and widespread adoption. Traditional explainable artificial intelligence methods, such as Shapley Additive Explanations (SHAP) and integrated gradients (IG), address this issue but often incur substantial computational overhead for text classification. Generative large language models may offer a novel approach to generating interpretable, context-aware explanations as autonomous agents.
Non–small-cell lung cancer (NSCLC) is one of the most common cancers and a leading cause of cancer-related mortality, making prognostic prediction clinically essential. Machine learning models are increasingly used to assess prognosis; however, developing systems that combine high discrimination with clear, clinically interpretable reasoning remains challenging.
Chronic kidney disease (CKD) is a global health burden characterized by heterogeneous progression trajectories. Without timely and appropriate management, CKD can lead to increased morbidity and mortality and a reduced quality of life. Therefore, early identification of patients at high risk of developing end-stage renal disease (ESRD) or mortality is essential to facilitate timely intervention and improve patient outcomes.
Severe COVID-19 is a global health concern despite continuous vaccination campaigns because current therapies, such as dexamethasone and remdesivir, do not considerably improve immune function, especially in high-risk individuals. SARS-CoV-2–specific T cells (CoV-2-STs) from vaccinated or convalescent donors are a promising new treatment that can enhance clinical outcomes and viral-specific immunity. CoV-2-STs improve T cell proliferation and recovery without raising safety concerns, according to randomized studies. Targeting patients for immunotherapy is made more difficult by the variability in COVID-19 progression brought on by variables like age and comorbidities. In order to further enable precision medicine and patient care, machine learning techniques are being used to analyze clinical data, predict disease severity, and optimize treatment. However, their use in guiding the treatment of novel therapies like CoV-2-STs using early cellular immunology data is limited and requires improvement.
Gastrointestinal (GI) cancers are a significant health concern in South Korea. Recently, machine learning (ML) models have emerged as powerful tools to support early screening efforts and identify people at risk before disease onset. However, the low incidence of GI malignancies in prospective cohorts leads to severe class imbalance, often causing ML models to favor the majority “healthy” class at the expense of clinical sensitivity.
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