Division of Endocrinology and Metabolism, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Endocrinol Metab (Seoul). 2020 Mar;35(1):71-84. doi: 10.3803/EnM.2020.35.1.71.
Machine learning (ML) applications have received extensive attention in endocrinology research during the last decade. This review summarizes the basic concepts of ML and certain research topics in endocrinology and metabolism where ML principles have been actively deployed. Relevant studies are discussed to provide an overview of the methodology, main findings, and limitations of ML, with the goal of stimulating insights into future research directions. Clear, testable study hypotheses stem from unmet clinical needs, and the management of data quality (beyond a focus on quantity alone), open collaboration between clinical experts and ML engineers, the development of interpretable high-performance ML models beyond the black-box nature of some algorithms, and a creative environment are the core prerequisites for the foreseeable changes expected to be brought about by ML and artificial intelligence in the field of endocrinology and metabolism, with actual improvements in clinical practice beyond hype. Of note, endocrinologists will continue to play a central role in these developments as domain experts who can properly generate, refine, analyze, and interpret data with a combination of clinical expertise and scientific rigor.
在过去十年中,机器学习(ML)应用在内分泌学研究中受到了广泛关注。本文总结了 ML 的基本概念,以及内分泌和代谢领域中积极应用 ML 原理的某些研究课题。讨论了相关研究,以提供对 ML 的方法、主要发现和局限性的概述,旨在激发对未来研究方向的深入了解。清晰、可检验的研究假设源自未满足的临床需求,数据质量的管理(不仅仅关注数量),临床专家和 ML 工程师之间的开放合作,开发可解释的高性能 ML 模型,超越某些算法的黑盒性质,以及一个富有创造力的环境,这些都是 ML 和人工智能在内分泌和代谢领域带来预期变化的核心前提条件,除了炒作之外,还能真正改善临床实践。值得注意的是,作为能够结合临床专业知识和科学严谨性正确生成、精炼、分析和解释数据的领域专家,内分泌学家将继续在这些发展中发挥核心作用。