School of Engineering Medicine, Beihang University, Beijing 100191, China.
School of Biological Science and Medical Engineering, Beihang University, Beijing 100191, China.
Yi Chuan. 2024 Oct;46(10):820-832. doi: 10.16288/j.yczz.24-156.
The high heterogeneity within and between breast cancer patients complicates treatment determination and prognosis assessment. Treatment decision-making is influenced by various factors, such as tumor subtype, histological grade, and genotype, necessitating personalized treatment strategies. Prognostic outcomes vary significantly depending on patient-specific conditions. As a critical branch of artificial intelligence, machine learning efficiently handles large datasets and automates decision-making processes. The introduction of machine learning offers new solutions for breast cancer treatment selection and prognosis assessment. In the field of cancer therapy, traditional methods for predicting treatment and survival outcomes often rely on single or few biomarkers, limiting their ability to capture the complexity of biological processes comprehensively. Machine learning analyzes patients' multi-omic data and the intricate patterns of variations during cancer initiation and progression to predict patients' survival and treatment outcomes. Consequently, it facilitates the selection of appropriate therapeutic interventions to implement early intervention and improve treatment efficacy for patients. Here, we first introduce common machine learning methods, and then elaborate on the application of machine learning in the field of survival prediction and prognosis from two aspects: evaluating survival and predicting treatment outcomes for breast cancer patients. The aim is to provide breast cancer patients with precise treatment strategies to improve therapeutic outcomes and quality of life.
乳腺癌患者之间和内部存在高度异质性,这使得治疗方案的确定和预后评估变得复杂。治疗决策受到多种因素的影响,如肿瘤亚型、组织学分级和基因型,这需要制定个性化的治疗策略。预后结果因患者的具体情况而异。作为人工智能的一个重要分支,机器学习可以高效地处理大型数据集并实现决策过程的自动化。机器学习的引入为乳腺癌的治疗选择和预后评估提供了新的解决方案。在癌症治疗领域,传统的预测治疗和生存结果的方法通常依赖于单个或少数生物标志物,这限制了它们全面捕捉生物过程复杂性的能力。机器学习可以分析患者的多组学数据以及癌症发生和进展过程中的复杂变化模式,从而预测患者的生存和治疗结果。因此,它有助于选择合适的治疗干预措施,以便为患者实施早期干预并提高治疗效果。在这里,我们首先介绍常见的机器学习方法,然后从评估生存和预测治疗结果两个方面详细阐述机器学习在生存预测和预后领域的应用,旨在为乳腺癌患者提供精确的治疗策略,以改善治疗效果和生活质量。