Rajula Hema Sekhar Reddy, Verlato Giuseppe, Manchia Mirko, Antonucci Nadia, Fanos Vassilios
Neonatal Intensive Care Unit, Department of Surgical Sciences, AOU and University of Cagliari, 09042 Cagliari, Italy.
Marie Sklodowska-Curie CAPICE Project, Department of Surgical Sciences, University of Cagliari, 09042 Cagliari, Italy.
Medicina (Kaunas). 2020 Sep 8;56(9):455. doi: 10.3390/medicina56090455.
Futurists have anticipated that novel autonomous technologies, embedded with machine learning (ML), will substantially influence healthcare. ML is focused on making predictions as accurate as possible, while traditional statistical models are aimed at inferring relationships between variables. The benefits of ML comprise flexibility and scalability compared with conventional statistical approaches, which makes it deployable for several tasks, such as diagnosis and classification, and survival predictions. However, much of ML-based analysis remains scattered, lacking a cohesive structure. There is a need to evaluate and compare the performance of well-developed conventional statistical methods and ML on patient outcomes, such as survival, response to treatment, and patient-reported outcomes (PROs). In this article, we compare the usefulness and limitations of traditional statistical methods and ML, when applied to the medical field. Traditional statistical methods seem to be more useful when the number of cases largely exceeds the number of variables under study and a priori knowledge on the topic under study is substantial such as in public health. ML could be more suited in highly innovative fields with a huge bulk of data, such as omics, radiodiagnostics, drug development, and personalized treatment. Integration of the two approaches should be preferred over a unidirectional choice of either approach.
未来学家预测,嵌入机器学习(ML)的新型自主技术将对医疗保健产生重大影响。机器学习专注于尽可能准确地进行预测,而传统统计模型旨在推断变量之间的关系。与传统统计方法相比,机器学习的优势包括灵活性和可扩展性,这使其可用于多种任务,如诊断和分类以及生存预测。然而,许多基于机器学习的分析仍然分散,缺乏连贯的结构。有必要评估和比较成熟的传统统计方法和机器学习在患者预后方面的表现,如生存、对治疗的反应以及患者报告的结果(PROs)。在本文中,我们比较了传统统计方法和机器学习应用于医学领域时的有用性和局限性。当病例数量大大超过所研究变量的数量,且对所研究主题有大量先验知识时,如在公共卫生领域,传统统计方法似乎更有用。机器学习可能更适合于拥有大量数据的高度创新领域,如组学、放射诊断、药物开发和个性化治疗。两种方法的整合应优于单向选择其中任何一种方法。