Drug repurposing (DR) offers a promising alternative to the high cost and low success rate of traditional drug development, especially for complex diseases like Alzheimer's disease (AD). This study addressed DR for AD from three key angles: (1) demonstrating how disease-specific knowledge graphs can improve DR performance, (2) evaluating the role of large language models (LLMs) in enhancing the usability and efficiency of these graphs, and (3) assessing whether Graph-of-Thoughts (GoT)-enhanced LLMs, when integrated with AD knowledge graphs, can outperform traditional machine learning and LLM-based approaches. We tested five distinct DR strategies (DR1-DR5) for AD: DR1, a machine learning method using TxGNN; DR2, a machine learning model leveraging the Alzheimer's KnowledgeBase (AlzKB); DR3, an LLM-based chatbot built on AlzKB; DR4, our ESCARGOT framework combining GoT-enhanced LLMs with AlzKB; and DR5, a general reasoning-driven LLM approach.
View Article and Find Full Text PDFDigital twins in healthcare offer an innovative approach to precision diagnosis, prognosis, and treatment. SynTwin, a novel computational methodology to generate digital twins using synthetic data and network science, has previously shown promise for improving prediction of breast cancer mortality. In this study, we validate SynTwin using population-level data for different cancer types from the Surveillance, Epidemiology, and End Results (SEER) program from the National Cancer Institute (USA).
View Article and Find Full Text PDFMotivation: LLMs like GPT-4, despite their advancements, often produce hallucinations and struggle with integrating external knowledge effectively. While Retrieval-Augmented Generation (RAG) attempts to address this by incorporating external information, it faces significant challenges such as context length limitations and imprecise vector similarity search. ESCARGOT aims to overcome these issues by combining LLMs with a dynamic Graph of Thoughts and biomedical knowledge graphs, improving output reliability, and reducing hallucinations.
View Article and Find Full Text PDFBackground: The increasing adoption of intestinal ultrasound () for monitoring inflammatory bowel diseases () by IBD providers has uncovered new challenges regarding standardized image interpretation and limitations as a research tool. Artificial intelligence approaches can help address these challenges. We aim to determine the feasibility of radiomic analysis of IUS images and to determine if a radiomics-based classification model can accurately differentiate between normal and abnormal IUS images.
View Article and Find Full Text PDFImportance: Preeclampsia poses a significant threat to women's long-term health. However, what diseases are affected and at what level they are affected by PE needs a thorough investigation.
Objective: To conduct the first large-scale, non-hypothesis-driven study using EHR data from multiple medical centers to comprehensively explore adverse health outcomes after preeclampsia.
The concept of a digital twin came from the engineering, industrial, and manufacturing domains to create virtual objects or machines that could inform the design and development of real objects. This idea is appealing for precision medicine where digital twins of patients could help inform healthcare decisions. We have developed a methodology for generating and using digital twins for clinical outcome prediction.
View Article and Find Full Text PDF