Messiou Christina, Lee Richard, Salto-Tellez Manuel
Imaging and Data Science Theme lead and Director of the Imaging AI hub at The Royal Marsden and Institute of Cancer Research, National Institute for Health Research Biomedical Research Centre, Sutton SM2 5PT, UK.
Consultant Respiratory Physician & Champion for Early Diagnosis Early Diagnosis and Detection Centre, NIHR Biomedical Research Centre at the Royal Marsden and ICR, National Heart and Lung Institute, Imperial College London, UK.
Comput Struct Biotechnol J. 2023 Sep 15;21:4536-4539. doi: 10.1016/j.csbj.2023.09.014. eCollection 2023.
We propose that an information technology and computational framework that would unify access to hospital digital information silos, and enable integration of this information using machine learning methods, would bring a new paradigm to patient management and research. This is the core principle of Integrated Diagnostics (ID): . This has the potential to transform the practice of personalized oncology at a time at which it is very much needed. In this article we present different models from the literature that contribute to the vision of ID and we provide published exemplars of ID tools. We briefly describe ongoing efforts within a universal healthcare system to create national clinical datasets. Following this, we argue the case to create "hospital units" to leverage this multi-modal analysis, data integration and holistic clinical decision-making. Finally, we describe the joint model created in our institutions.
我们提出,一个信息技术和计算框架能够统一对医院数字信息孤岛的访问,并使用机器学习方法实现这些信息的整合,这将为患者管理和研究带来新的范例。这是综合诊断(ID)的核心原则。在非常需要的时候,这有可能改变个性化肿瘤学的实践。在本文中,我们展示了文献中有助于实现ID愿景的不同模型,并提供了ID工具的已发表示例。我们简要描述了在一个全民医疗系统内为创建国家临床数据集所做的持续努力。在此之后,我们论证创建“医院单元”以利用这种多模态分析、数据整合和整体临床决策的理由。最后,我们描述了我们机构创建的联合模型。