JNTUH University, India; CVR College of Engineering, ECE, Hyderabad, India.
Esther Rani Thuraka, CVR College of Engineering, ECE, Hyderabad, India.
Clin Chim Acta. 2024 Jan 1;552:117669. doi: 10.1016/j.cca.2023.117669. Epub 2023 Nov 23.
This review article delves into the rapidly advancing domain of prenatal diagnostics, with a primary focus on the detection and management of chromosomal abnormalities such as trisomy 13 ("Patau syndrome)", "trisomy 18 (Edwards syndrome)", and "trisomy 21 (Down syndrome)". The objective of the study is to examine the utilization and effectiveness of novel computational methodologies, such as "machine learning (ML)", "deep learning (DL)", and data analysis, in enhancing the detection rates and accuracy of these prenatal conditions. The contribution of the article lies in its comprehensive examination of advancements in "Non-Invasive Prenatal Testing (NIPT)", prenatal screening, genomics, and medical imaging. It highlights the potential of these techniques for prenatal diagnosis and the contributions of ML and DL to these advancements. It highlights the application of ensemble models and transfer learning to improving model performance, especially with limited datasets. This also delves into optimal feature selection and fusion of high-dimensional features, underscoring the need for future research in these areas. The review finds that ML and DL have substantially improved the detection and management of prenatal conditions, despite limitations such as small sample sizes and issues related to model generalizability. It recognizes the promising results achieved through the use of ensemble models and transfer learning in prenatal diagnostics. The review also notes the increased importance of feature selection and high-dimensional feature fusion in the development and training of predictive models. The findings underline the crucial role of AI and machine learning techniques in early detection and improved therapeutic strategies in prenatal diagnostics, highlighting a pressing need for further research in this area.
这篇综述文章深入探讨了产前诊断领域的快速发展,主要关注染色体异常的检测和管理,如三体 13(“帕陶综合征”)、三体 18(爱德华兹综合征)和三体 21(唐氏综合征)。研究的目的是检查新型计算方法,如“机器学习(ML)”、“深度学习(DL)”和数据分析,在提高这些产前疾病的检测率和准确性方面的应用和有效性。本文的贡献在于全面考察了“非侵入性产前检测(NIPT)”、产前筛查、基因组学和医学成像方面的进展。它强调了这些技术在产前诊断中的潜力以及 ML 和 DL 对这些进展的贡献。它突出了集成模型和迁移学习在提高模型性能方面的应用,特别是在数据集有限的情况下。这还深入探讨了最佳特征选择和高维特征融合,强调了未来这些领域研究的必要性。综述发现,尽管存在样本量小和模型可推广性等问题,但 ML 和 DL 大大提高了产前疾病的检测和管理水平。它认识到在产前诊断中使用集成模型和迁移学习取得的有希望的结果。该综述还指出了特征选择和高维特征融合在预测模型的开发和训练中的重要性日益增加。研究结果强调了人工智能和机器学习技术在产前诊断中的早期检测和改进治疗策略中的关键作用,突出了这一领域进一步研究的迫切需要。