Schizophrenia and Neuropharmacology Research Group, VA Connecticut Healthcare System, West Haven, CT, USA; Abraham Ribicoff Research Facilities, Connecticut Mental Health Center, New Haven, CT, USA; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Department of Electrical Engineering, University of Chile, Santiago, Chile.
Schizophr Res. 2022 Jul;245:122-140. doi: 10.1016/j.schres.2021.05.018. Epub 2021 Jun 5.
Despite years of research, the mechanisms governing the onset, relapse, symptomatology, and treatment of schizophrenia (SZ) remain elusive. The lack of appropriate analytic tools to deal with the heterogeneity and complexity of SZ may be one of the reasons behind this situation. Deep learning, a subfield of artificial intelligence (AI) inspired by the nervous system, has recently provided an accessible way of modeling and analyzing complex, high-dimensional, nonlinear systems. The unprecedented accuracy of deep learning algorithms in classification and prediction tasks has revolutionized a wide range of scientific fields and is rapidly permeating SZ research. Deep learning has the potential of becoming a valuable aid for clinicians in the prediction, diagnosis, and treatment of SZ, especially in combination with principles from Bayesian statistics. Furthermore, deep learning could become a powerful tool for uncovering the mechanisms underlying SZ thanks to a growing number of techniques designed for improving model interpretability and causal reasoning. The purpose of this article is to introduce SZ researchers to the field of deep learning and review its latest applications in SZ research. In general, existing studies have yielded impressive results in classification and outcome prediction tasks. However, methodological concerns related to the assessment of model performance in several studies, the widespread use of small training datasets, and the little clinical value of some models suggest that some of these results should be taken with caution.
尽管经过多年的研究,精神分裂症(SZ)发病、复发、症状和治疗的机制仍然难以捉摸。缺乏适当的分析工具来处理 SZ 的异质性和复杂性可能是造成这种情况的原因之一。深度学习是受神经系统启发的人工智能(AI)的一个分支,它最近为建模和分析复杂、高维、非线性系统提供了一种可行的方法。深度学习算法在分类和预测任务中的空前准确性彻底改变了广泛的科学领域,并迅速渗透到 SZ 研究中。深度学习有可能成为 SZ 临床医生在预测、诊断和治疗中的有价值的辅助手段,特别是与贝叶斯统计原理结合使用时。此外,由于越来越多的技术旨在提高模型的可解释性和因果推理,深度学习可以成为揭示 SZ 背后机制的强大工具。本文的目的是向 SZ 研究人员介绍深度学习领域,并回顾其在 SZ 研究中的最新应用。总的来说,现有研究在分类和结果预测任务中取得了令人印象深刻的结果。然而,与评估几个研究中模型性能相关的方法学问题、小型训练数据集的广泛使用以及一些模型的临床价值较小等问题表明,这些结果中的一些应该谨慎对待。