Journal
ACM COMPUTING SURVEYS
Volume 55, Issue 1, Pages -Publisher
ASSOC COMPUTING MACHINERY
DOI: 10.1145/3477600
Keywords
Reinforcement learning; healthcare; dynamic treatment regimes; critical care; chronic disease; automated diagnosis
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As a subfield of machine learning, reinforcement learning aims to optimize decision making by using interaction samples of an agent with its environment and the potentially delayed feedbacks. It tackles sequential decision-making problems with sampled, evaluative, and delayed feedbacks simultaneously. In healthcare domains, it is a suitable candidate for developing powerful solutions in various areas such as treatment regimes, medical diagnosis, and control or scheduling problems. Challenges, open issues, potential solutions, and future research directions are also discussed.
As a subfield of machine learning, reinforcement learning (RL) aims at optimizing decision making by using interaction samples of an agent with its environment and the potentially delayed feedbacks. In contrast to traditional supervised learning that typically relies on one-shot, exhaustive, and supervised reward signals, RL tackles sequential decision-making problems with sampled, evaluative, and delayed feedbacks simultaneously. Such a distinctive feature makes RL techniques a suitable candidate for developing powerful solutions in various healthcare domains, where diagnosing decisions or treatment regimes are usually characterized by a prolonged period with delayed feedbacks. By first briefly examining theoretical foundations and key methods in RL research, this survey provides an extensive overview of RL applications in a variety of healthcare domains, ranging from dynamic treatment regimes in chronic diseases and critical care, automated medical diagnosis, and many other control or scheduling problems that have infiltrated every aspect of the healthcare system. In addition, we discuss the challenges and open issues in the current research and highlight some potential solutions and directions for future research.
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