Multi-Agent Deep Reinforcement Learning for Multiple Anesthetics Collaborative Control

원문 초록

Automated control of personalized multiple anesthetics in clinical Total Intravenous Anesthesia (TIVA) is crucial yet challenging. Current systems, including target-controlled infusion (TCI) and closed-loop systems, either rely on relatively static pharmacokinetic/pharmacodynamic (PK/PD) models or focus on single anesthetic control, limiting personalization and collaborative control. To address these issues, we propose a novel framework, Value Decomposition Multi-Agent Deep Reinforcement Learning (VD-MADRL). VD-MADRL optimizes the collaboration between two anesthetics propofol (Agent I) and remifentanil (Agent II). And It uses a Markov Game (MG) to identify optimal actions among heterogeneous agents. We employ various value function decomposition methods to resolve the credit allocation problem and enhance collaborative control. We also introduce a multivariate environment model based on random forest (RF) for anesthesia state simulation. Additionally, a data resampling and alignment technique ensures synchronized trajectory data. Our experiments on general and thoracic surgery datasets show that VD-MADRL performs better than human experience. It improves dose precision and keeps anesthesia states stable, providing great clinical value.