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将疾病理解为异质性增加:一个复杂网络计算框架。

Understanding diseases as increased heterogeneity: a complex network computational framework.

机构信息

Centro de Tecnología Biomédica, Universidad Politécnica de Madrid, 28223 Madrid, Spain

Centro de Tecnología Biomédica, Universidad Politécnica de Madrid, 28223 Madrid, Spain.

出版信息

J R Soc Interface. 2018 Aug;15(145). doi: 10.1098/rsif.2018.0405.

Abstract

Owing to the complexity of the human body, most diseases present a high interpersonal variability in the way they manifest, i.e. in their phenotype, which has important clinical repercussions-for instance, the difficulty in defining objective diagnostic rules. Here we explore the hypothesis that signs and symptoms used to define a disease should be understood in terms of the dispersion (as opposed to the average) of physical observables. To that end, we propose a computational framework, based on complex networks theory, to map groups of subjects to a network structure, based on their pairwise phenotypical similarity. We demonstrate that the resulting structure can be used to improve the performance of classification algorithms, especially in the case of a limited number of instances, with both synthetic and real datasets. Beyond providing an alternative conceptual understanding of diseases, the proposed framework could be of special relevance in the growing field of personalized, or -to-1, medicine.

摘要

由于人体的复杂性,大多数疾病在表现方式(即表型)上呈现出高度的人际可变性,这对临床具有重要影响,例如,定义客观诊断规则的困难。在这里,我们探讨了这样一种假设,即用于定义疾病的体征和症状应该根据物理可观察变量的离散度(而非平均值)来理解。为此,我们提出了一个基于复杂网络理论的计算框架,根据个体间表型相似性将一组对象映射到网络结构上。我们证明,所得到的结构可以用于提高分类算法的性能,尤其是在实例数量有限的情况下,无论是在合成数据集还是真实数据集上。除了为疾病提供一种替代的概念理解之外,所提出的框架在日益发展的个性化或“一对一”医学领域可能具有特殊意义。

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