Fawaz Alaa, Ferraresi Alessandra, Isidoro Ciro
Laboratory of Molecular Pathology, Department of Health Sciences, Università del Piemonte Orientale, 28100 Novara, Italy.
J Pers Med. 2023 Nov 10;13(11):1590. doi: 10.3390/jpm13111590.
Cancer is the second major cause of disease-related death worldwide, and its accurate early diagnosis and therapeutic intervention are fundamental for saving the patient's life. Cancer, as a complex and heterogeneous disorder, results from the disruption and alteration of a wide variety of biological entities, including genes, proteins, mRNAs, miRNAs, and metabolites, that eventually emerge as clinical symptoms. Traditionally, diagnosis is based on clinical examination, blood tests for biomarkers, the histopathology of a biopsy, and imaging (MRI, CT, PET, and US). Additionally, omics biotechnologies help to further characterize the genome, metabolome, microbiome traits of the patient that could have an impact on the prognosis and patient's response to the therapy. The integration of all these data relies on gathering of several experts and may require considerable time, and, unfortunately, it is not without the risk of error in the interpretation and therefore in the decision. Systems biology algorithms exploit Artificial Intelligence (AI) combined with omics technologies to perform a rapid and accurate analysis and integration of patient's big data, and support the physician in making diagnosis and tailoring the most appropriate therapeutic intervention. However, AI is not free from possible diagnostic and prognostic errors in the interpretation of images or biochemical-clinical data. Here, we first describe the methods used by systems biology for combining AI with omics and then discuss the potential, challenges, limitations, and critical issues in using AI in cancer research.
癌症是全球疾病相关死亡的第二大主要原因,其准确的早期诊断和治疗干预是挽救患者生命的基础。癌症是一种复杂的异质性疾病,由包括基因、蛋白质、mRNA、miRNA和代谢物在内的多种生物实体的破坏和改变引起,最终表现为临床症状。传统上,诊断基于临床检查、生物标志物血液检测、活检的组织病理学以及影像学检查(MRI、CT、PET和超声)。此外,组学生物技术有助于进一步表征患者的基因组、代谢组、微生物组特征,这些特征可能会影响预后以及患者对治疗的反应。整合所有这些数据依赖于召集多位专家,可能需要相当长的时间,而且不幸的是,在解释过程中以及因此在决策过程中并非没有出错的风险。系统生物学算法利用人工智能(AI)结合组学技术对患者的大数据进行快速准确的分析和整合,并支持医生进行诊断和制定最合适的治疗干预方案。然而,在图像或生化临床数据的解释中,AI也并非没有可能出现诊断和预后错误的情况。在此,我们首先描述系统生物学将AI与组学相结合所使用的方法,然后讨论在癌症研究中使用AI的潜力、挑战、局限性和关键问题。