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人工智能在泌尿科的应用:机器学习模型预测普通人群尿路结石风险。

Artificial Intelligence in Urology: Application of a Machine Learning Model to Predict the Risk of Urolithiasis in a General Population.

机构信息

Clínica MEDS, Santiago, Chile.

Faculty of Medicine, University of Chile, Santiago, Chile.

出版信息

J Endourol. 2024 Aug;38(8):712-718. doi: 10.1089/end.2023.0702. Epub 2024 Jul 4.

Abstract

This research presents our application of artificial intelligence (AI) in predicting urolithiasis risk. Previous applications, including AI for stone disease, have focused on stone composition and aiding diagnostic imaging. AI applications centered around patient-specific characteristics, lifestyle considerations, and diet have been limited. Our study comprised a robust sample size of 976 Chilean participants, with meticulously analyzed demographic, lifestyle, and health data through a comprehensive questionnaire. We developed a predictive model using various classifiers, including logistic regression, decision trees, random forests, and extra trees, reaching high accuracy (88%) in identifying individuals at risk of kidney stone formation. Key protective factors highlighted by the algorithm include the pivotal role of hydration, physical activity, and dietary patterns that played a crucial role, emphasizing the protective nature of higher fruit and vegetable intake, balanced dairy consumption, and the nuanced impact of specific protein sources on kidney stone risk. In contrast, identified risk factors encompassed gender disparities with males found to be 2.31 times more likely to develop kidney stones than females. Thirst and self-perceived dark urine color emerged as strong predictors, with a significant increase in the likelihood of stone formation. The development of predictive tools with AI, in urolithiasis management signifies a paradigm shift toward more precise and personalized health care. The algorithm's ability to process extensive datasets, including dietary habits, heralds a new era of data-driven medical practice. This research underscores the transformative impact of AI in medical diagnostics and prevention, paving the way for a future where health care interventions are not only more effective but also tailored to individual patient needs. In this case, AI is an important tool that can help patients stay healthy, prevent diseases, and make informed decisions about their overall well-being.

摘要

这项研究展示了我们在预测尿石症风险方面应用人工智能 (AI) 的成果。之前的应用,包括 AI 在结石病方面的应用,主要集中在结石成分和辅助诊断成像上。而以患者个体特征、生活方式考虑和饮食为中心的 AI 应用则相对较少。我们的研究纳入了 976 名智利参与者,通过全面的问卷调查,对他们的人口统计学、生活方式和健康数据进行了精心分析。我们使用多种分类器(包括逻辑回归、决策树、随机森林和 ExtraTrees)开发了一个预测模型,该模型在识别结石形成风险个体方面具有较高的准确性(88%)。该算法突出强调的关键保护因素包括水合作用、体力活动和饮食模式的重要性,这些因素发挥了至关重要的作用,强调了更高的水果和蔬菜摄入量、平衡的乳制品消费以及特定蛋白质来源对肾结石风险的细微影响的保护作用。相反,确定的风险因素包括性别差异,男性患肾结石的风险是女性的 2.31 倍。口渴和自我感知的尿液颜色深是强有力的预测指标,结石形成的可能性显著增加。AI 在尿石症管理中开发预测工具标志着向更精确和个性化医疗保健的范式转变。该算法处理广泛数据集(包括饮食习惯)的能力预示着数据驱动医疗实践的新时代。这项研究强调了 AI 在医学诊断和预防方面的变革性影响,为未来医疗保健干预不仅更加有效,而且针对个体患者需求的时代铺平了道路。在这种情况下,AI 是一种重要的工具,可以帮助患者保持健康,预防疾病,并就他们的整体健康做出明智的决策。

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