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人工智能在预测转移性结直肠癌化疗所致毒性中的应用:一种用于个性化肿瘤学的数据驱动方法。

The Use of Artificial Intelligence in Predicting Chemotherapy-Induced Toxicities in Metastatic Colorectal Cancer: A Data-Driven Approach for Personalized Oncology.

作者信息

Froicu Eliza-Maria, Oniciuc Oriana-Maria, Afrăsânie Vlad-Adrian, Marinca Mihai-Vasile, Riondino Silvia, Dumitrescu Elena Adriana, Alexa-Stratulat Teodora, Radu Iulian, Miron Lucian, Bacoanu Gema, Poroch Vladimir, Gafton Bogdan

机构信息

Department of Medical Oncology, Regional Institute of Oncology, 700483 Iasi, Romania.

Department of Oncology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.

出版信息

Diagnostics (Basel). 2024 Sep 19;14(18):2074. doi: 10.3390/diagnostics14182074.

Abstract

BACKGROUND

Machine learning models learn about general behavior from data by finding the relationships between features. Our purpose was to develop a predictive model to identify and predict which subset of colorectal cancer patients are more likely to experience chemotherapy-induced toxicity and to determine the specific attributes that influence the presence of treatment-related side effects.

METHODS

The predictor was general toxicity, and for the construction of our data training, we selected 95 characteristics that represent the health state of 74 patients prior to their first round of chemotherapy. After the data were processed, Random Forest models were trained to offer an optimal balance between accuracy and interpretability.

RESULTS

We constructed a machine learning predictor with an emphasis on assessing the importance of numerical and categorical variables in relation to toxicity.

CONCLUSIONS

The incorporation of artificial intelligence in personalizing colorectal cancer management by anticipating and overseeing toxicities more effectively illustrates a pivotal shift towards more personalized and precise medical care.

摘要

背景

机器学习模型通过发现特征之间的关系从数据中学习一般行为。我们的目的是开发一种预测模型,以识别和预测哪些结直肠癌患者更有可能经历化疗引起的毒性,并确定影响治疗相关副作用存在的具体属性。

方法

预测指标为总体毒性,在构建数据训练时,我们选择了代表74例患者首轮化疗前健康状况的95个特征。数据处理后,训练随机森林模型以在准确性和可解释性之间提供最佳平衡。

结果

我们构建了一个机器学习预测指标,重点评估数值变量和分类变量与毒性的相关性。

结论

通过更有效地预测和监测毒性将人工智能纳入结直肠癌个性化管理,说明了向更个性化和精确医疗护理的关键转变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a3f/11431340/8cb419226bbc/diagnostics-14-02074-g001.jpg

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