{"id":"https://openalex.org/W7160932438","doi":"https://doi.org/10.1145/3794209.3794280","title":"Engineering a Safe and Explainable ML-Based Insulin Recommender for Clinical Deployment","display_name":"Engineering a Safe and Explainable ML-Based Insulin Recommender for Clinical Deployment","publication_year":2025,"publication_date":"2025-11-27","ids":{"openalex":"https://openalex.org/W7160932438","doi":"https://doi.org/10.1145/3794209.3794280"},"language":null,"primary_location":{"id":"doi:10.1145/3794209.3794280","is_oa":true,"landing_page_url":"https://doi.org/10.1145/3794209.3794280","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Proceedings of the 2025 12th International Conference on Biomedical and Bioinformatics Engineering","raw_type":"proceedings-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1145/3794209.3794280","any_repository_has_fulltext":null},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5135999743","display_name":"Zheren Li","orcid":"https://orcid.org/0009-0003-4970-9336"},"institutions":[{"id":"https://openalex.org/I116953780","display_name":"Tongji University","ror":"https://ror.org/03rc6as71","country_code":"CN","type":"education","lineage":["https://openalex.org/I116953780"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Zheren Li","raw_affiliation_strings":["School of Computer Science and Technology, Tongji university, Shanghai, China"],"raw_orcid":"https://orcid.org/0009-0003-4970-9336","affiliations":[{"raw_affiliation_string":"School of Computer Science and Technology, Tongji university, Shanghai, China","institution_ids":["https://openalex.org/I116953780"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5105270243","display_name":"Y. P. Lu","orcid":"https://orcid.org/0009-0000-3764-2304"},"institutions":[{"id":"https://openalex.org/I116953780","display_name":"Tongji University","ror":"https://ror.org/03rc6as71","country_code":"CN","type":"education","lineage":["https://openalex.org/I116953780"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yifan Lu","raw_affiliation_strings":["School of Computer Science and Technology, Tongji university, Shanghai, China"],"raw_orcid":"https://orcid.org/0009-0000-7500-3722","affiliations":[{"raw_affiliation_string":"School of Computer Science and Technology, Tongji university, Shanghai, China","institution_ids":["https://openalex.org/I116953780"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5129075239","display_name":"J F Xu","orcid":null},"institutions":[{"id":"https://openalex.org/I116953780","display_name":"Tongji University","ror":"https://ror.org/03rc6as71","country_code":"CN","type":"education","lineage":["https://openalex.org/I116953780"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jianhao Xu","raw_affiliation_strings":["School of Computer Science and Technology, Tongji university, Shanghai, China"],"raw_orcid":"https://orcid.org/0009-0001-2073-2896","affiliations":[{"raw_affiliation_string":"School of Computer Science and Technology, Tongji university, Shanghai, China","institution_ids":["https://openalex.org/I116953780"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016210851","display_name":"Weixiong Rao","orcid":"https://orcid.org/0000-0001-6644-0349"},"institutions":[{"id":"https://openalex.org/I116953780","display_name":"Tongji University","ror":"https://ror.org/03rc6as71","country_code":"CN","type":"education","lineage":["https://openalex.org/I116953780"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Weixiong Rao","raw_affiliation_strings":["School of Computer Science and Technology, Tongji university, Shanghai, China"],"raw_orcid":"https://orcid.org/0000-0001-6644-0349","affiliations":[{"raw_affiliation_string":"School of Computer Science and Technology, Tongji university, Shanghai, China","institution_ids":["https://openalex.org/I116953780"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055909810","display_name":"Qinpei Zhao","orcid":"https://orcid.org/0000-0002-1765-1171"},"institutions":[{"id":"https://openalex.org/I116953780","display_name":"Tongji University","ror":"https://ror.org/03rc6as71","country_code":"CN","type":"education","lineage":["https://openalex.org/I116953780"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Qinpei Zhao","raw_affiliation_strings":["School of Computer Science and Technology, Tongji university, Shanghai, China"],"raw_orcid":"https://orcid.org/0000-0002-1765-1171","affiliations":[{"raw_affiliation_string":"School of Computer Science and Technology, Tongji university, Shanghai, China","institution_ids":["https://openalex.org/I116953780"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006478489","display_name":"Ce Wang","orcid":"https://orcid.org/0000-0001-6244-1205"},"institutions":[{"id":"https://openalex.org/I116953780","display_name":"Tongji University","ror":"https://ror.org/03rc6as71","country_code":"CN","type":"education","lineage":["https://openalex.org/I116953780"]},{"id":"https://openalex.org/I4210132741","display_name":"Shanghai Tenth People's Hospital","ror":"https://ror.org/03vjkf643","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210132741"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Congrong Wang","raw_affiliation_strings":["Tongji university, Shanghai, China and Shanghai Fourth People's Hospital, Shanghai, China"],"raw_orcid":"https://orcid.org/0000-0002-8645-1114","affiliations":[{"raw_affiliation_string":"Tongji university, Shanghai, China and Shanghai Fourth People's Hospital, Shanghai, China","institution_ids":["https://openalex.org/I116953780","https://openalex.org/I4210132741"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5135980285","display_name":"Lu Yao","orcid":"https://orcid.org/0009-0004-5264-9183"},"institutions":[{"id":"https://openalex.org/I4210088110","display_name":"The Fourth People's Hospital","ror":"https://ror.org/001v2ey71","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210088110"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Lu Yao","raw_affiliation_strings":["Shanghai Fourth People's Hospital, shanghai, China"],"raw_orcid":"https://orcid.org/0009-0004-5264-9183","affiliations":[{"raw_affiliation_string":"Shanghai Fourth People's Hospital, shanghai, China","institution_ids":["https://openalex.org/I4210088110"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5135934643","display_name":"Haiying Chen","orcid":"https://orcid.org/0009-0006-0406-9867"},"institutions":[{"id":"https://openalex.org/I4210088547","display_name":"Xian Central Hospital","ror":"https://ror.org/004cdc714","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210088547"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Haiying Chen","raw_affiliation_strings":["Shanghai Fengxian District Central Hospital, Shanghai, China"],"raw_orcid":"https://orcid.org/0009-0006-0406-9867","affiliations":[{"raw_affiliation_string":"Shanghai Fengxian District Central Hospital, Shanghai, China","institution_ids":["https://openalex.org/I4210088547"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5135999743"],"corresponding_institution_ids":["https://openalex.org/I116953780"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.72360225,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"154","last_page":"159"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.4043999910354614,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.4043999910354614,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11623","display_name":"Hyperglycemia and glycemic control in critically ill and hospitalized patients","score":0.1729000061750412,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.05249999836087227,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/software-deployment","display_name":"Software deployment","score":0.8064000010490417},{"id":"https://openalex.org/keywords/upload","display_name":"Upload","score":0.527899980545044},{"id":"https://openalex.org/keywords/context","display_name":"Context (archaeology)","score":0.48399999737739563},{"id":"https://openalex.org/keywords/clinical-decision-support-system","display_name":"Clinical decision support system","score":0.39160001277923584},{"id":"https://openalex.org/keywords/clinical-practice","display_name":"Clinical Practice","score":0.32440000772476196},{"id":"https://openalex.org/keywords/recommender-system","display_name":"Recommender system","score":0.3188000023365021},{"id":"https://openalex.org/keywords/decision-support-system","display_name":"Decision support system","score":0.3156000077724457},{"id":"https://openalex.org/keywords/reliability","display_name":"Reliability (semiconductor)","score":0.3027999997138977}],"concepts":[{"id":"https://openalex.org/C105339364","wikidata":"https://www.wikidata.org/wiki/Q2297740","display_name":"Software deployment","level":2,"score":0.8064000010490417},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.6187000274658203},{"id":"https://openalex.org/C71901391","wikidata":"https://www.wikidata.org/wiki/Q7126699","display_name":"Upload","level":2,"score":0.527899980545044},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.48399999737739563},{"id":"https://openalex.org/C63527458","wikidata":"https://www.wikidata.org/wiki/Q5133829","display_name":"Clinical decision support system","level":3,"score":0.39160001277923584},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.36959999799728394},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.3296000063419342},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.32440000772476196},{"id":"https://openalex.org/C557471498","wikidata":"https://www.wikidata.org/wiki/Q554950","display_name":"Recommender system","level":2,"score":0.3188000023365021},{"id":"https://openalex.org/C107327155","wikidata":"https://www.wikidata.org/wiki/Q330268","display_name":"Decision support system","level":2,"score":0.3156000077724457},{"id":"https://openalex.org/C43214815","wikidata":"https://www.wikidata.org/wiki/Q7310987","display_name":"Reliability (semiconductor)","level":3,"score":0.3027999997138977},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.29510000348091125},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.29510000348091125},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.2913999855518341},{"id":"https://openalex.org/C175079658","wikidata":"https://www.wikidata.org/wiki/Q7312165","display_name":"Remote patient monitoring","level":2,"score":0.28360000252723694},{"id":"https://openalex.org/C109747225","wikidata":"https://www.wikidata.org/wiki/Q815758","display_name":"Scarcity","level":2,"score":0.2827000021934509},{"id":"https://openalex.org/C95623464","wikidata":"https://www.wikidata.org/wiki/Q1096149","display_name":"Classifier (UML)","level":2,"score":0.28139999508857727},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.27619999647140503},{"id":"https://openalex.org/C2779965156","wikidata":"https://www.wikidata.org/wiki/Q5227350","display_name":"Data sharing","level":3,"score":0.27459999918937683},{"id":"https://openalex.org/C84525736","wikidata":"https://www.wikidata.org/wiki/Q831366","display_name":"Decision tree","level":2,"score":0.2687999904155731},{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.26510000228881836},{"id":"https://openalex.org/C2994527087","wikidata":"https://www.wikidata.org/wiki/Q2002370","display_name":"Insulin delivery","level":4,"score":0.2549999952316284}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1145/3794209.3794280","is_oa":true,"landing_page_url":"https://doi.org/10.1145/3794209.3794280","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Proceedings of the 2025 12th International Conference on Biomedical and Bioinformatics Engineering","raw_type":"proceedings-article"}],"best_oa_location":{"id":"doi:10.1145/3794209.3794280","is_oa":true,"landing_page_url":"https://doi.org/10.1145/3794209.3794280","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Proceedings of the 2025 12th International Conference on Biomedical and Bioinformatics Engineering","raw_type":"proceedings-article"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G2913389626","display_name":null,"funder_award_id":"22410713200","funder_id":"https://openalex.org/F4320313610","funder_display_name":"Shanghai Science and Technology Development Foundation"}],"funders":[{"id":"https://openalex.org/F4320313610","display_name":"Shanghai Science and Technology Development Foundation","ror":null}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":6,"referenced_works":["https://openalex.org/W2962760173","https://openalex.org/W4324129958","https://openalex.org/W4386741020","https://openalex.org/W4401536945","https://openalex.org/W4410560454","https://openalex.org/W4411552639"],"related_works":[],"abstract_inverted_index":{"Personalized":[0],"insulin":[1,54],"dosing":[2],"is":[3,66,138,159],"a":[4,29,45,57,67,71,87,114,160],"complex":[5],"clinical":[6,47,78,156],"challenge":[7],"that":[8,95],"requires":[9],"synthesizing":[10],"dynamic":[11],"patient":[12,124],"data.":[13],"While":[14],"machine":[15],"learning":[16],"(ML)":[17],"offers":[18],"potential":[19],"for":[20,37,117,140,154,162],"optimization,":[21],"its":[22],"safe":[23],"deployment":[24,147],"in":[25,167],"hospital":[26],"settings":[27],"remains":[28],"significant":[30],"hurdle":[31],"due":[32],"to":[33,52,80,102,119],"the":[34,127,145,163],"critical":[35,168],"need":[36],"reliability":[38],"and":[39,91,121,131,153],"interpretability.":[40],"This":[41,135],"paper":[42],"presents":[43],"Vesselink,":[44],"mobile":[46],"decision":[48],"support":[49],"system":[50,112],"engineered":[51],"facilitate":[53],"management":[55],"through":[56],"collaborative,":[58],"physician-in-the-loop":[59,136],"architecture.":[60],"The":[61,111],"core":[62],"of":[63,148,165],"our":[64],"approach":[65],"two-phase":[68],"ML":[69],"strategy:":[70],"Random":[72],"Forest":[73],"model":[74],"trained":[75],"on":[76],"retrospective":[77],"data":[79,101,108],"recommend":[81],"an":[82],"initial":[83],"dose,":[84],"followed":[85],"by":[86],"local-global":[88],"context":[89],"encoding":[90],"weighted":[92],"KNN":[93],"classifier":[94],"uses":[96],"continuous":[97],"glucose":[98],"monitoring":[99],"(CGM)":[100],"suggest":[103],"daily":[104],"adjustments,":[105],"thus":[106],"overcoming":[107],"scarcity":[109],"limitations.":[110],"provides":[113],"structured":[115],"interface":[116],"physicians":[118],"upload":[120],"standardize":[122],"offline":[123],"data,":[125],"review":[126],"explainable":[128],"AI-generated":[129],"recommendations,":[130],"exercise":[132],"final":[133],"approval.":[134],"mechanism":[137],"crucial":[139],"safety,":[141],"as":[142],"it":[143],"prevents":[144],"direct":[146],"potentially":[149],"erroneous":[150],"AI":[151,166],"suggestions,":[152],"building":[155],"trust,":[157],"which":[158],"prerequisite":[161],"adoption":[164],"healthcare":[169],"settings.":[170]},"counts_by_year":[],"updated_date":"2026-05-13T06:11:35.469786","created_date":"2026-05-13T00:00:00"}
