Ardahan Sevgili Seda, Şenol Selmin
Pediatric Nursing Department, Ege University, Faculty of Nursing, 35100, Bornova-Izmir, Turkey.
Pediatric Nursing Department, Kütahya Health Sciences University, Faculty of Health Sciences, 43100, Kütahya, Turkey.
Pediatr Res. 2023 Jan;93(2):390-395. doi: 10.1038/s41390-022-02356-6. Epub 2022 Oct 27.
Although the overall incidence of pediatric oncological diseases tends to increase over the years, it is among the rare diseases of the pediatric population. The diagnosis, treatment, and healthcare management of this group of diseases are important. Prevention of treatment-related complications is vital for patients, particularly in the pediatric population. Nowadays, the use of artificial intelligence and machine learning technologies in the management of oncological diseases is becoming increasingly important. With the advancement of software technologies, improvements have been made in the early diagnosis of risk groups in oncological diseases, in radiology, pathology, and imaging technologies, in cancer staging and management. In addition, these technologies can be used to predict the outcome in chemotherapy treatment of oncological diseases. In this context, this study identifies artificial intelligence and machine learning methods used in the prediction of complications due to chemotherapeutic agents used in childhood cancer treatment. For this purpose, the concepts of artificial intelligence and machine learning are explained in this review. A general framework for the use of machine learning in healthcare and pediatric oncology has been drawn and examples of studies conducted on this topic in pediatric oncology have been given. IMPACT: Artificial intelligence and machine learning are advanced tools that can be used to predict chemotherapy-related complications. Algorithms can assist clinicians' decision-making processes in the management of complications. Although studies are using these methods, there is a need to increase the number of studies on artificial intelligence applications in pediatric clinics.
尽管多年来儿科肿瘤疾病的总体发病率呈上升趋势,但它仍属于儿科人群中的罕见疾病。这组疾病的诊断、治疗和医疗管理都很重要。预防与治疗相关的并发症对患者至关重要,尤其是在儿科人群中。如今,人工智能和机器学习技术在肿瘤疾病管理中的应用变得越来越重要。随着软件技术的进步,肿瘤疾病风险群体的早期诊断、放射学、病理学和成像技术、癌症分期及管理都有了改进。此外,这些技术可用于预测肿瘤疾病化疗治疗的结果。在此背景下,本研究确定了用于预测儿童癌症治疗中使用的化疗药物所致并发症的人工智能和机器学习方法。为此,本综述解释了人工智能和机器学习的概念。绘制了机器学习在医疗保健和儿科肿瘤学中的应用总体框架,并给出了儿科肿瘤学中关于该主题的研究示例。影响:人工智能和机器学习是可用于预测化疗相关并发症的先进工具。算法可协助临床医生在并发症管理中的决策过程。尽管已有研究使用这些方法,但仍需增加儿科诊所中关于人工智能应用的研究数量。