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计算医学:将模型转化为临床护理。

Computational medicine: translating models to clinical care.

机构信息

The Institute for Computational Medicine, Center for Cardiovascular Bioinformatics and Modeling, and Department of Biomedical Engineering, The Johns Hopkins University School of Medicine, Baltimore, MD 21218, USA.

出版信息

Sci Transl Med. 2012 Oct 31;4(158):158rv11. doi: 10.1126/scitranslmed.3003528.

Abstract

Because of the inherent complexity of coupled nonlinear biological systems, the development of computational models is necessary for achieving a quantitative understanding of their structure and function in health and disease. Statistical learning is applied to high-dimensional biomolecular data to create models that describe relationships between molecules and networks. Multiscale modeling links networks to cells, organs, and organ systems. Computational approaches are used to characterize anatomic shape and its variations in health and disease. In each case, the purposes of modeling are to capture all that we know about disease and to develop improved therapies tailored to the needs of individuals. We discuss advances in computational medicine, with specific examples in the fields of cancer, diabetes, cardiology, and neurology. Advances in translating these computational methods to the clinic are described, as well as challenges in applying models for improving patient health.

摘要

由于耦合非线性生物系统的固有复杂性,为了实现对其在健康和疾病中的结构和功能的定量理解,开发计算模型是必要的。统计学习应用于高维生物分子数据,以创建描述分子和网络之间关系的模型。多尺度建模将网络与细胞、器官和器官系统联系起来。计算方法用于描述健康和疾病中解剖形状及其变化。在每种情况下,建模的目的都是捕捉我们对疾病的所有了解,并开发针对个体需求的改进疗法。我们讨论了计算医学的进展,并在癌症、糖尿病、心脏病学和神经病学领域提供了具体示例。还描述了将这些计算方法转化为临床应用的进展,以及在应用模型改善患者健康方面面临的挑战。

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