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人工智能揭示儿童急性白血病血液学指标的预测。

Artificial intelligence reveals the predictions of hematological indexes in children with acute leukemia.

机构信息

Department of Clinical Laboratory, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510120, Guangdong, China.

MRC Biostatistics Unit, University of Cambridge, Cambridge, CB2 0SR, UK.

出版信息

BMC Cancer. 2024 Aug 12;24(1):993. doi: 10.1186/s12885-024-12646-3.

Abstract

Childhood leukemia is a prevalent form of pediatric cancer, with acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML) being the primary manifestations. Timely treatment has significantly enhanced survival rates for children with acute leukemia. This study aimed to develop an early and comprehensive predictor for hematologic malignancies in children by analyzing nutritional biomarkers, key leukemia indicators, and granulocytes in their blood. Using a machine learning algorithm and ten indices, the blood samples of 826 children with ALL and 255 children with AML were compared to a control group of 200 healthy children. The study revealed notable differences, including higher indicators in boys compared to girls and significant variations in most biochemical indicators between leukemia patients and healthy children. Employing a random forest model resulted in an area under the curve (AUC) of 0.950 for predicting leukemia subtypes and an AUC of 0.909 for forecasting AML. This research introduces an efficient diagnostic tool for early screening of childhood blood cancers and underscores the potential of artificial intelligence in modern healthcare.

摘要

儿童白血病是一种常见的儿科癌症,主要表现为急性淋巴细胞白血病(ALL)和急性髓细胞白血病(AML)。及时治疗极大地提高了儿童急性白血病的存活率。本研究旨在通过分析营养生物标志物、关键白血病指标和血液中的粒细胞,为儿童血液恶性肿瘤建立早期和全面的预测指标。该研究使用机器学习算法和十个指标,比较了 826 名 ALL 患儿和 255 名 AML 患儿的血液样本与 200 名健康儿童的对照组。研究发现了显著差异,包括男孩的指标高于女孩,白血病患者与健康儿童之间大多数生化指标存在显著差异。采用随机森林模型预测白血病亚型的曲线下面积(AUC)为 0.950,预测 AML 的 AUC 为 0.909。本研究为儿童血液癌症的早期筛查提供了一种有效的诊断工具,并强调了人工智能在现代医疗保健中的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be36/11318239/94b3859c2374/12885_2024_12646_Fig1_HTML.jpg

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