Moon Hojin, Tran Lauren, Lee Andrew, Kwon Taeksoo, Lee Minho
Department of Mathematics and Statistics, California State University, Long Beach, Long Beach, CA, USA.
Department of Epidemiology, School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA.
Cancer Inform. 2024 Oct 14;23:11769351241272397. doi: 10.1177/11769351241272397. eCollection 2024.
The primary goal of this research is to develop treatment-related genomic predictive markers for non-small cell lung cancer by integrating various machine learning algorithms that recommends near-optimal individualized patient treatment for chemotherapy in an effort to maximize efficacy or minimize treatment-related toxicity. This research can contribute toward developing a more refined, accurate and effective therapy accounting for specific patient needs.
To accomplish our research goal, we implement ensemble learning algorithms, bagging with regularized Cox regression models and nonparametric tree-based models via Random Survival Forests. A comprehensive meta-database was compiled from the NCBI Gene Expression Omnibus data repository for lung cancer patients to capture and utilize complex genomic patterns that can predict treatment outcomes more accurately.
The developed novel prediction algorithm demonstrates the ability to support complex clinical decision-making processes in the treatment of NSCLC. It effectively addresses patient heterogeneity, offering predictions that are both refined and personalized in improving the precision of chemotherapy regimens prescribed to the eligible patients.
This research should contribute substantial advancement of cancer treatments by improving the accuracy and efficacy of chemotherapy treatments for a targeted group of patients who need the right treatment. The integration of complex machine learning techniques with genomic data holds substantial potential to transform current cancer treatment paradigms by providing robust support in clinical decision-making.
本研究的主要目标是通过整合各种机器学习算法,开发非小细胞肺癌的治疗相关基因组预测标志物,为化疗推荐接近最优的个体化患者治疗方案,以实现疗效最大化或治疗相关毒性最小化。本研究有助于开发一种更精细、准确和有效的疗法,以满足特定患者的需求。
为实现我们的研究目标,我们通过随机生存森林实现集成学习算法、带正则化Cox回归模型的装袋法和基于非参数树的模型。从NCBI基因表达综合数据库中为肺癌患者编制了一个综合元数据库,以捕捉和利用能够更准确预测治疗结果的复杂基因组模式。
所开发的新型预测算法展示了在非小细胞肺癌治疗中支持复杂临床决策过程的能力。它有效地解决了患者异质性问题,在提高为符合条件的患者规定的化疗方案的精确性方面提供了精细且个性化的预测。
本研究应通过提高针对需要正确治疗的特定患者群体的化疗治疗的准确性和疗效,为癌症治疗带来实质性进展。将复杂的机器学习技术与基因组数据相结合,在临床决策中提供有力支持,具有改变当前癌症治疗模式的巨大潜力。