Abstract
In spite the important advantages of influence diagrams over decision trees, including the possibility of solving much more complex problems, the medical literature still contains around 10 decision trees for each influence diagram. In this paper we analyse the reasons for the low acceptance of influence diagrams in health decision analysis, in contrast with its success in artificial intelligence. One of the reasons is the difficulty of representing asymmetric problems. Another one was the lack of algorithms for explaining the reasoning and performing cost-effectiveness analysis, as well as the scarcity of user-friendly software tools for sensitivity analysis. In this paper we review the research conducted by our group in the last 25 years, crystallised in the open-source software tool OpenMarkov, explaining how it has tried to address those challenges.
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References
Arias, M., Díez, F.J.: Cost-effectiveness analysis with influence diagrams. Methods Inf. Med. 54, 353–358 (2015)
Díez, F.J., Luque, M., König, C., Bermejo, I.: Decision analysis networks. Technical report CISIAD-14-01, UNED, Madrid, Spain (2014)
Díez, F.J., Yebra, M., Bermejo, I., Palacios-Alonso, M.A., Arias, M., Luque, M., Pérez-Martín, J.: Markov influence diagrams: a graphical tool for cost-effectiveness analysis. Med. Decis. Mak. 37, 183–195 (2017)
Drummond, M.F., Sculpher, M.J., Torrance, G.W., O’Brien, B.J., Stoddart, G.L.: Methods for the Economic Evaluation of Health Care Programmes, 3rd edn. Oxford University Press, Oxford (2005)
Hazen, G.B.: Dynamic influence diagrams: applications to medical decision modeling. In: Brandeau, M.L., Sainfort, F., Pierskalla, W.P. (eds.) Operations Research and Health Care, pp. 613–638. Springer, Heidelberg (2004)
Howard, R.A., Matheson, J.E.: Influence diagrams. In: Howard, R.A., Matheson, J.E. (eds.) Readings on the Principles and Applications of Decision Analysis, pp. 719–762. Strategic Decisions Group, Menlo Park (1984)
Jensen, F.V., Nielsen, T.D.: Bayesian Networks and Decision Graphs, 2nd edn. Springer, New York (2007)
Lacave, C., Oniśko, A., Díez, F.J.: Use of Elvira’s explanation facilities for debugging probabilistic expert systems. Knowl.-Based Syst. 19, 730–738 (2006)
Lacave, C., Luque, M., Díez, F.J.: Explanation of Bayesian networks and influence diagrams in Elvira. IEEE Trans. Syst. Man Cybern.-Part B: Cybern. 37, 952–965 (2007)
Leong, T.Y.: Multiple perspective dynamic decision making. Artif. Intell. 105, 209–261 (1998)
Luque, M., Díez, F.J., Disdier, C.: Optimal sequence of tests for the mediastinal staging of non-small cell lung cancer. BMC Med. Inform. Decis. Mak. 16, 1–14 (2016)
Olmsted, S.M.: On representing and solving decision problems. Ph.D. thesis, Department Engineering-Economic Systems, Stanford University, CA (1983)
Pauker, S., Wong, J.: The influence of influence diagrams in medicine. Decis. Anal. 2, 238–244 (2005)
Pearl, J.: Probabilistic Reasoning in Intelligent Systems: Networks of Plausible Inference. Morgan Kaufmann, San Mateo (1988)
Shachter, R.D.: Evaluating influence diagrams. Oper. Res. 34, 871–882 (1986)
Acknowledgements
This work has been supported by the Spanish Government under grants TIN2009-09158, PI13/02446, and TIN2016-77206-R, and co-financed by the European Regional Development Fund (ERDF). It has also received support from projects 262266 and 324401 (FP7-PEOPLE-2012-IAPP) of the European Union.
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Arias, M., Artaso, M.Á., Bermejo, I., Díez, F.J., Luque, M., Pérez-Martín, J. (2017). Advanced Algorithms for Medical Decision Analysis. Implementation in OpenMarkov. In: ten Teije, A., Popow, C., Holmes, J., Sacchi, L. (eds) Artificial Intelligence in Medicine. AIME 2017. Lecture Notes in Computer Science(), vol 10259. Springer, Cham. https://doi.org/10.1007/978-3-319-59758-4_43
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