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如何解决情绪障碍中的临床挑战;使用电生理标记物的机器学习方法

How to Solve Clinical Challenges in Mood Disorders; Machine Learning Approaches Using Electrophysiological Markers.

作者信息

Song Young Wook, Lee Ho Sung, Kim Sungkean, Kim Kibum, Kim Bin-Na, Kim Ji Sun

机构信息

Department of Applied Artificial Intelligence, Hanyang University, Ansan, Korea.

Department of Pulmonology and Allergy, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.

出版信息

Clin Psychopharmacol Neurosci. 2024 Aug 31;22(3):416-430. doi: 10.9758/cpn.24.1165. Epub 2024 May 3.

DOI:10.9758/cpn.24.1165
PMID:39069681
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11289601/
Abstract

Differentiating between the diagnoses of mood disorders and other psychiatric disorders, and predicting treatment response in depression has long been a concern for clinicians. Machine learning (ML) is one part of artificial intelligence that focuses on instructing computers to mimic the cognitive abilities of the human brain through training. This study will review the research on the use of ML techniques to differentiate diagnoses and predict treatment responses in mood disorders based on electroencephalography (EEG) data. There have been several attempts to differentiate between the diagnoses of bipolar disorder and major depressive disorder , mood disorders, and other psychiatric disorders using ML techniques found on EEG markers. Previous studies have shown that accuracy varies depending on which EEG markers are used, the sample size, and the ML technique. Also, precise and improved ML approaches can be developed by adapting the various feature selection and validation methods that reflect each disease's characteristics. Although ML faces some limitations and challenges in solving for consistent and improved accuracy in the diagnosis and treatment of mood disorders, it has a great potential to understand mood disorders better and provide valuable tools to personalize both identification and treatment.

摘要

区分情绪障碍和其他精神障碍的诊断,并预测抑郁症的治疗反应,长期以来一直是临床医生关注的问题。机器学习(ML)是人工智能的一部分,专注于通过训练指导计算机模仿人类大脑的认知能力。本研究将回顾基于脑电图(EEG)数据使用ML技术区分情绪障碍诊断和预测治疗反应的研究。已经有几次尝试使用基于EEG标记的ML技术来区分双相情感障碍和重度抑郁症、情绪障碍以及其他精神障碍的诊断。先前的研究表明,准确性因所使用的EEG标记、样本大小和ML技术而异。此外,通过采用反映每种疾病特征的各种特征选择和验证方法,可以开发出精确且改进的ML方法。尽管ML在解决情绪障碍诊断和治疗中一致性和准确性的提高方面面临一些局限性和挑战,但它在更好地理解情绪障碍以及提供个性化识别和治疗的有价值工具方面具有巨大潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2264/11289601/9b3c0697188c/cpn-22-3-416-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2264/11289601/9b3c0697188c/cpn-22-3-416-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2264/11289601/9b3c0697188c/cpn-22-3-416-f1.jpg

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Mol Psychiatry. 2024 Apr;29(4):1088-1098. doi: 10.1038/s41380-023-02395-3. Epub 2024 Jan 24.
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An Overview of Bipolar Disorder Diagnosis Using Machine Learning Approaches: Clinical Opportunities and Challenges.使用机器学习方法进行双相情感障碍诊断概述:临床机遇与挑战
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Health Sci Rep. 2022 Dec 28;6(1):e962. doi: 10.1002/hsr2.962. eCollection 2023 Jan.
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