Bonomi Francesco, Peretti Silvia, Lepri Gemma, Venerito Vincenzo, Russo Edda, Bruni Cosimo, Iannone Florenzo, Tangaro Sabina, Amedei Amedeo, Guiducci Serena, Matucci Cerinic Marco, Bellando Randone Silvia
Department of Clinical and Experimental Medicine, University of Florence, 50134 Florence, Italy.
Rheumatology Unit, Department of Emergency and Organ Transplantations, University of Bari Aldo Moro, 70121 Bari, Italy.
J Pers Med. 2022 Jul 23;12(8):1198. doi: 10.3390/jpm12081198.
Systemic sclerosis (SSc) is a rare connective tissue disease that can affect different organs and has extremely heterogenous presentations. This complexity makes it difficult to perform an early diagnosis and a subsequent subclassification of the disease. This hinders a personalized approach in clinical practice. In this context, machine learning (ML), a branch of artificial intelligence (AI), is able to recognize relationships in data and predict outcomes.
Here, we performed a narrative review concerning the application of ML in SSc to define the state of art and evaluate its role in a precision medicine context.
Currently, ML has been used to stratify SSc patients and identify those at high risk of severe complications. Additionally, ML may be useful in the early detection of organ involvement. Furthermore, ML might have a role in target therapy approach and in predicting drug response.
Available evidence about the utility of ML in SSc is sparse but promising. Future improvements in this field could result in a big step toward precision medicine. Further research is needed to define ML application in clinical practice.
系统性硬化症(SSc)是一种罕见的结缔组织疾病,可累及不同器官,临床表现极为异质性。这种复杂性使得疾病的早期诊断及后续的亚型分类变得困难。这阻碍了临床实践中的个性化治疗方法。在此背景下,机器学习(ML)作为人工智能(AI)的一个分支,能够识别数据中的关系并预测结果。
在此,我们对ML在SSc中的应用进行了叙述性综述,以界定当前的技术水平,并评估其在精准医学背景下的作用。
目前,ML已被用于对SSc患者进行分层,并识别那些有严重并发症高风险的患者。此外,ML在器官受累的早期检测中可能有用。此外,ML在靶向治疗方法和预测药物反应方面可能也有作用。
关于ML在SSc中的效用的现有证据虽少但很有前景。该领域未来的进展可能会朝着精准医学迈出一大步。需要进一步研究以确定ML在临床实践中的应用。