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提高肿瘤患者发热性中性粒细胞减少症的管理水平:人工智能和机器学习的作用。

Improving management of febrile neutropenia in oncology patients: the role of artificial intelligence and machine learning.

机构信息

Hospital Clinic of Barcelona-IDIBAPS, University of Barcelona, Barcelona, Spain.

出版信息

Expert Rev Anti Infect Ther. 2024 Apr;22(4):179-187. doi: 10.1080/14787210.2024.2322445. Epub 2024 Mar 8.

Abstract

INTRODUCTION

Artificial intelligence (AI) and machine learning (ML) have the potential to revolutionize the management of febrile neutropenia (FN) and drive progress toward personalized medicine.

AREAS COVERED

In this review, we detail how the collection of a large number of high-quality data can be used to conduct precise mathematical studies with ML and AI. We explain the foundations of these techniques, covering the fundamentals of supervised and unsupervised learning, as well as the most important challenges, e.g. data quality, 'black box' model interpretation and overfitting. To conclude, we provide detailed examples of how AI and ML have been used to enhance predictions of chemotherapy-induced FN, detection of bloodstream infections (BSIs) and multidrug-resistant (MDR) bacteria, and anticipation of severe complications and mortality.

EXPERT OPINION

There is promising potential of implementing accurate AI and ML models whilst managing FN. However, their integration as viable clinical tools poses challenges, including technical and implementation barriers. Improving global accessibility, fostering interdisciplinary collaboration, and addressing ethical and security considerations are essential. By overcoming these challenges, we could transform personalized care for patients with FN.

摘要

简介

人工智能(AI)和机器学习(ML)有可能彻底改变发热性中性粒细胞减少症(FN)的管理方式,并推动个性化医疗的发展。

涵盖领域

在这篇综述中,我们详细介绍了如何利用大量高质量数据,通过 ML 和 AI 进行精确的数学研究。我们解释了这些技术的基础,涵盖监督学习和无监督学习的基础知识,以及最重要的挑战,例如数据质量、“黑箱”模型解释和过拟合。最后,我们提供了详细的示例,说明如何使用 AI 和 ML 来增强对化疗引起的 FN、血流感染(BSI)和多重耐药(MDR)细菌的预测,以及对严重并发症和死亡率的预测。

专家意见

在管理 FN 时,实施准确的 AI 和 ML 模型具有很大的潜力。然而,将其整合为可行的临床工具存在挑战,包括技术和实施障碍。提高全球可及性、促进跨学科合作以及解决伦理和安全问题至关重要。通过克服这些挑战,我们可以为 FN 患者提供个性化的护理。

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