arXiv Machine Learning By Thomas Frost, Steve Harris

Insulin4RL: Real-Time Insulin Management in the Intensive Care Unit for Offline Reinforcement Learning

Read the original on arXiv Machine Learning →

arXiv:2606. 19481v1 Announce Type: new Abstract: Offline reinforcement learning (ORL) offers the potential to improve the quality of clinical decision-making using historical electronic health record (EHR) data.

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arXiv Machine Learning
Jun 2

MedGym:A Unified Continuous-Time Benchmark for Dynamic Medical Treatment Reinforcement Learning

arXiv:2606. 01028v1 Announce Type: new Abstract: Medical treatment recommendation poses several challenges to reinforcement learning (RL): patient physiology evolves in continuous time, measurements and interventions are performed at irregular intervals, and treatment effects vary substantially across individuals.

By Yuepeng Wang, Ken Kawano, Yongqi Zhou, Yoshihiko Fujisawa, Richard Weiss, Akifumi Wachi, Katsuki Fujisawa, Ying Chen, Mehrshad Sadria, Xin Liu, Kyoung-Sook Kim, Xiao Hu, Sebastien Gros, Xun Shen
arXiv Machine Learning
Sep 22

A Unified Benchmark for Dynamic Medical Treatment Reinforcement Learning

The paper introduces MedGym, a benchmark environment for dynamic medical treatment recommendation that models patient evolution in continuous time using Physics-Informed Neural Networks. It addresses gaps in existing reinforcement learning (RL) approaches by allowing evaluation of RL methods under irregular measurement intervals, personalized treatment responses, and safety considerations. MedGym enables direct comparison between discrete-time and continuous-time RL methods and supports clinically relevant metrics such as personalization and trajectory-level safety.

By Yuepeng Wang, Ken Kawano, Yoshihiko Fujisawa, Yongqi Zhou, Akifumi Wachi, Mehrshad Sadria, Lei Zhou, Richard Weiss, Katsuki Fujisawa, Ying Chen, Xin Liu, Kyoung-Sook Kim, Xiao Hu, Sebastien Gros, Xun Shen
arXiv Machine Learning
Sep 22

The Evidence Ladder for Reinforcement Learning in Healthcare: From Retrospective Policies to Trusted Interventions

The paper introduces an evidence ladder for evaluating reinforcement learning (RL) in healthcare, outlining stages from problem formulation to lifecycle monitoring. It argues that success in historical data does not guarantee real‑world improvement and highlights assumptions and failure modes at each rung. The authors propose reporting practices to support cumulative evaluation and emphasize that RL should be tested as an intervention within a dynamic sociotechnical system.

By Yunfan Zhao