Center of Biostatistics, Epidemiology and Public Health, Department of Clinical and Biological Sciences, University of Torino, Regione Gonzole 10, Orbassano, 10043, Turin, Italy.
Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padova, Italy.
Sci Rep. 2022 Mar 8;12(1):4115. doi: 10.1038/s41598-022-07801-4.
A central problem in most data-driven personalized medicine scenarios is the estimation of heterogeneous treatment effects to stratify individuals into subpopulations that differ in their susceptibility to a particular disease or response to a specific treatment. In this work, with an illustrative example on type 2 diabetes we showed how the increasing ability to access and analyzed open data from randomized clinical trials (RCTs) allows to build Machine Learning applications in a framework of personalized medicine. An ensemble machine learning predictive model is first developed and then applied to estimate the expected treatment response according to the medication that would be prescribed. Machine learning is quickly becoming indispensable to bridge science and clinical practice, but it is not sufficient on its own. A collaborative effort is requested to clinicians, statisticians, and computer scientists to strengthen tools built on machine learning to take advantage of this evidence flow.
在大多数数据驱动的个性化医疗场景中,一个核心问题是估计异质治疗效果,以便将个体分为对特定疾病敏感或对特定治疗有不同反应的亚人群。在这项工作中,我们以 2 型糖尿病为例,展示了如何利用从随机临床试验 (RCT) 中获取和分析开放数据的能力,在个性化医疗框架中构建机器学习应用。首先开发了一个集成机器学习预测模型,然后根据将要开的药物应用该模型来估计预期的治疗反应。机器学习正在迅速成为连接科学和临床实践不可或缺的工具,但仅凭它本身还不够。需要临床医生、统计学家和计算机科学家共同努力,加强基于机器学习的工具建设,以利用这种证据流。