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Peer-reviewedCC BYInternational journal of molecular sciences

CAFNet-DG: Task-Specific Modeling and Prevalence-Aware Evaluation for Adverse Drug Reaction Prioritization with Ordinal-Frequency Estimation.

  1. 1College of Electronic Information, Hunan First Normal University, Changsha 410205, China.
  2. 2School of Computer Science and Technology, Changsha University of Science and Technology, Changsha 410114, China.

Abstract

Adverse drug reaction (ADR) prioritization and ordinal-frequency estimation are related but distinct prediction objectives, while aggregate ranking performance in sparse annotation matrices can be strongly influenced by frequently annotated side effects. Within CAFNet-DG, CAFNet-D uses task-specific association and ordinal-frequency functions built on shared molecular-relational representations, while annotation prevalence is evaluated explicitly within each training fold. On a SIDER-derived dataset comprising 750 drugs and 994 side effects, replacing a shared output with task-specific functions produced the largest joint change in staged drug-disjoint ablation, increasing mAP from 0.340 to 0.382 and reducing RMSE from 1.754 to 1.142. A prevalence-only ranking achieved an mAP of 0.410, close to the CAFNet-DG value of 0.413, indicating that aggregate ADR ranking is strongly associated with the benchmark annotation distribution. Prevalence-matched, prevalence-stratified, frequently annotated side-effect removal, and per-drug analyses were therefore used to distinguish drug-conditioned ranking variation from global annotation-prevalence effects. An equal-weight same-architecture ensemble control yielded no significant differences from CAFNet-DG across seven ranking metrics after Holm correction; generic variance reduction therefore could not be excluded as an explanation for the modest score-integration gain. Scaffold-disjoint and independent-data evaluations showed modest transfer, while ordinal-frequency agreement on CT-ADE remained limited. The results support the CAFNet-D task-specific formulation and prevalence-aware evaluation, while CAFNet-DG provides the score-integration setting examined under matched ensemble controls.

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BibTeX
@article{li2026cafnetdg,
  title = {{CAFNet-DG: Task-Specific Modeling and Prevalence-Aware Evaluation for Adverse Drug Reaction Prioritization with Ordinal-Frequency Estimation.}},
  author = {Wen Li and Zhiyu Xu and Xiangqiong Wu and Ju Xiang and Xiaojie Zhang},
  journal = {International journal of molecular sciences},
  year = {2026},
  month = sep,
  doi = {10.3390/ijms27198685},
  url = {https://europepmc.org/article/MED/42883930},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - CAFNet-DG: Task-Specific Modeling and Prevalence-Aware Evaluation for Adverse Drug Reaction Prioritization with Ordinal-Frequency Estimation.
AU  - Wen Li
AU  - Zhiyu Xu
AU  - Xiangqiong Wu
AU  - Ju Xiang
AU  - Xiaojie Zhang
PY  - 2026
DA  - 2026/09/28
JO  - International journal of molecular sciences
DO  - 10.3390/ijms27198685
UR  - https://europepmc.org/article/MED/42883930
AB  - Adverse drug reaction (ADR) prioritization and ordinal-frequency estimation are related but distinct prediction objectives, while aggregate ranking performance in sparse annotation matrices can be strongly influenced by frequently annotated side effects. Within CAFNet-DG, CAFNet-D uses task-specific association and ordinal-frequency functions built on shared molecular-relational representations, while annotation prevalence is evaluated explicitly within each training fold. On a SIDER-derived dataset comprising 750 drugs and 994 side effects, replacing a shared output with task-specific functions produced the largest joint change in staged drug-disjoint ablation, increasing mAP from 0.340 to 0.382 and reducing RMSE from 1.754 to 1.142. A prevalence-only ranking achieved an mAP of 0.410, close to the CAFNet-DG value of 0.413, indicating that aggregate ADR ranking is strongly associated with the benchmark annotation distribution. Prevalence-matched, prevalence-stratified, frequently annotated side-effect removal, and per-drug analyses were therefore used to distinguish drug-conditioned ranking variation from global annotation-prevalence effects. An equal-weight same-architecture ensemble control yielded no significant differences from CAFNet-DG across seven ranking metrics after Holm correction; generic variance reduction therefore could not be excluded as an explanation for the modest score-integration gain. Scaffold-disjoint and independent-data evaluations showed modest transfer, while ordinal-frequency agreement on CT-ADE remained limited. The results support the CAFNet-D task-specific formulation and prevalence-aware evaluation, while CAFNet-DG provides the score-integration setting examined under matched ensemble controls.
SN  - 1422-0067
ER  -