Zhu Wan, Xie Longxiang, Han Jianye, Guo Xiangqian
Department of Preventive Medicine, Institute of Biomedical Informatics, Cell Signal Transduction Laboratory, Bioinformatics center, School of Basic Medical Sciences, Henan University, Kaifeng 475004, Henan, China.
Department of Anesthesia, Stanford University, 300 Pasteur Drive, Stanford, CA 94305, USA.
Cancers (Basel). 2020 Mar 5;12(3):603. doi: 10.3390/cancers12030603.
Deep learning has been applied to many areas in health care, including imaging diagnosis, digital pathology, prediction of hospital admission, drug design, classification of cancer and stromal cells, doctor assistance, etc. Cancer prognosis is to estimate the fate of cancer, probabilities of cancer recurrence and progression, and to provide survival estimation to the patients. The accuracy of cancer prognosis prediction will greatly benefit clinical management of cancer patients. The improvement of biomedical translational research and the application of advanced statistical analysis and machine learning methods are the driving forces to improve cancer prognosis prediction. Recent years, there is a significant increase of computational power and rapid advancement in the technology of artificial intelligence, particularly in deep learning. In addition, the cost reduction in large scale next-generation sequencing, and the availability of such data through open source databases (e.g., TCGA and GEO databases) offer us opportunities to possibly build more powerful and accurate models to predict cancer prognosis more accurately. In this review, we reviewed the most recent published works that used deep learning to build models for cancer prognosis prediction. Deep learning has been suggested to be a more generic model, requires less data engineering, and achieves more accurate prediction when working with large amounts of data. The application of deep learning in cancer prognosis has been shown to be equivalent or better than current approaches, such as Cox-PH. With the burst of multi-omics data, including genomics data, transcriptomics data and clinical information in cancer studies, we believe that deep learning would potentially improve cancer prognosis.
深度学习已应用于医疗保健的许多领域,包括影像诊断、数字病理学、住院预测、药物设计、癌症和基质细胞分类、医生辅助等。癌症预后是指评估癌症的发展、癌症复发和进展的概率,并为患者提供生存预估。癌症预后预测的准确性将极大地有益于癌症患者的临床管理。生物医学转化研究的进步以及先进统计分析和机器学习方法的应用是改善癌症预后预测的驱动力。近年来,计算能力显著提高,人工智能技术尤其是深度学习发展迅速。此外,大规模下一代测序成本降低,并且通过开源数据库(如TCGA和GEO数据库)可获取此类数据,这为我们提供了机会,有可能构建更强大、更准确的模型来更精确地预测癌症预后。在本综述中,我们回顾了最近发表的使用深度学习构建癌症预后预测模型的研究。深度学习被认为是一种更通用的模型,所需的数据工程较少,并且在处理大量数据时能实现更准确的预测。深度学习在癌症预后中的应用已被证明等同于或优于当前方法,如Cox-PH。随着癌症研究中多组学数据的涌现,包括基因组数据、转录组数据和临床信息,我们相信深度学习将有可能改善癌症预后。