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使用结构化临床数据对癌症风险建模的统计和机器学习方法综述。

A review of statistical and machine learning methods for modeling cancer risk using structured clinical data.

机构信息

Florida Atlantic University, United States; Modernizing Medicine, Inc., United States.

Florida Atlantic University, United States.

出版信息

Artif Intell Med. 2018 Aug;90:1-14. doi: 10.1016/j.artmed.2018.06.002. Epub 2018 Jul 14.

Abstract

Advancements are constantly being made in oncology, improving prevention and treatment of cancers. To help reduce the impact and deadliness of cancers, they must be detected early. Additionally, there is a risk of cancers recurring after potentially curative treatments are performed. Predictive models can be built using historical patient data to model the characteristics of patients that developed cancer or relapsed. These models can then be deployed into clinical settings to determine if new patients are at high risk for cancer development or recurrence. For large-scale predictive models to be built, structured data must be captured for a wide range of diverse patients. This paper explores current methods for building cancer risk models using structured clinical patient data. Trends in statistical and machine learning techniques are explored, and gaps are identified for future research. The field of cancer risk prediction is a high-impact one, and research must continue for these models to be embraced for clinical decision support of both practitioners and patients.

摘要

肿瘤学领域不断取得进展,提高了癌症的预防和治疗水平。为了帮助降低癌症的影响和致命性,必须及早发现癌症。此外,在进行潜在治愈性治疗后,癌症仍有复发的风险。可以使用历史患者数据构建预测模型,以对发生癌症或复发的患者的特征进行建模。然后可以将这些模型部署到临床环境中,以确定新患者是否存在癌症发展或复发的高风险。为了构建大规模预测模型,必须为广泛的不同患者捕获结构化数据。本文探讨了使用结构化临床患者数据构建癌症风险模型的当前方法。探讨了统计和机器学习技术的趋势,并确定了未来研究的空白。癌症风险预测领域具有很高的影响力,必须继续进行研究,以便这些模型能够为医生和患者的临床决策支持所接受。

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