Program for Computational and Systems Biology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Genitourinary Oncology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Trends Cancer. 2022 Jun;8(6):506-516. doi: 10.1016/j.trecan.2022.02.005. Epub 2022 Mar 9.
For decades, mathematical models have influenced how we schedule chemotherapeutics. More recently, mathematical models have leveraged lessons from ecology, evolution, and game theory to advance predictions of optimal treatment schedules, often in a personalized medicine manner. We discuss both established and emerging therapeutic strategies that deviate from canonical standard-of-care regimens, and how mathematical models have contributed to the design of such schedules. We first examine scheduling options for single therapies and review the advantages and disadvantages of various treatment plans. We then consider the challenge of scheduling multiple therapies, and review the mathematical and clinical support for various conflicting treatment schedules. Finally, we propose how a consilience of mathematical and clinical knowledge can best determine the optimal treatment schedules for patients.
几十年来,数学模型一直影响着我们安排化疗的方式。最近,数学模型利用生态学、进化和博弈论的经验教训,以个性化医疗的方式推进最佳治疗方案的预测。我们讨论了偏离传统标准治疗方案的既定和新兴治疗策略,以及数学模型如何为这些方案的设计做出贡献。我们首先检查单疗法的调度选项,并回顾各种治疗计划的优缺点。然后我们考虑调度多种疗法的挑战,并回顾各种相互冲突的治疗方案的数学和临床支持。最后,我们提出如何融合数学和临床知识来为患者确定最佳治疗方案。