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迈向肌肉减少症评估的精准化:人工智能时代多模态数据分析的挑战

Towards Precision in Sarcopenia Assessment: The Challenges of Multimodal Data Analysis in the Era of AI.

作者信息

Caputo Valerio, Letteri Ivan, Santini Silvano Junior, Sinatti Gaia, Balsano Clara

机构信息

Department of Life, Health and Environmental Sciences, University of L'Aquila, P.le Salvatore Tommasi, 67100 L'Aquila, Italy.

Geriatric Unit, Department of Life, Health and Environmental Sciences, University of L'Aquila, P.le Salvatore Tommasi, 67100 L'Aquila, Italy.

出版信息

Int J Mol Sci. 2025 May 7;26(9):4428. doi: 10.3390/ijms26094428.

DOI:10.3390/ijms26094428
PMID:40362666
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12073030/
Abstract

Sarcopenia, a condition characterised by the progressive decline in skeletal muscle mass and function, presents significant challenges in geriatric healthcare. Despite advances in its management, complex etiopathogenesis and the heterogeneity of diagnostic criteria underlie the limited precision of existing assessment methods. Therefore, efforts are needed to improve the knowledge and pave the way for more effective management and a more precise diagnosis. To this purpose, emerging technologies such as artificial intelligence (AI) can facilitate the identification of novel and accurate biomarkers by modelling complex data resulting from high-throughput technologies, fostering the setting up of a more precise approach. Based on such considerations, this review explores AI's transformative potential, illustrating studies that integrate AI, especially machine learning and deep learning, with heterogeneous data such as clinical, anthropometric and molecular data. Overall, the present review will highlight the relevance of large-scale, standardised studies to validate biomarker signatures using AI-driven approaches.

摘要

肌肉减少症是一种以骨骼肌质量和功能进行性下降为特征的病症,给老年医疗保健带来了重大挑战。尽管在其管理方面取得了进展,但复杂的病因和诊断标准的异质性导致现有评估方法的精度有限。因此,需要努力提高认识,为更有效的管理和更精确的诊断铺平道路。为此,人工智能(AI)等新兴技术可以通过对高通量技术产生的复杂数据进行建模,促进新型准确生物标志物的识别,推动建立更精确的方法。基于这些考虑,本综述探讨了人工智能的变革潜力,阐述了将人工智能,特别是机器学习和深度学习,与临床、人体测量和分子数据等异质数据相结合的研究。总体而言,本综述将强调大规模标准化研究对于使用人工智能驱动方法验证生物标志物特征的相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c2/12073030/70637d5ae370/ijms-26-04428-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c2/12073030/70637d5ae370/ijms-26-04428-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c2/12073030/70637d5ae370/ijms-26-04428-g001.jpg

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本文引用的文献

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Optimizing Nutritional Care with Machine Learning: Identifying Sarcopenia Risk Through Body Composition Parameters in Cancer Patients-Insights from the NUTritional and Sarcopenia RIsk SCREENing Project (NUTRISCREEN).利用机器学习优化营养护理:通过癌症患者的身体成分参数识别肌肉减少症风险——来自营养与肌肉减少症风险筛查项目(NUTRISCREEN)的见解
Nutrients. 2025 Apr 18;17(8):1376. doi: 10.3390/nu17081376.
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Comparative study of XGBoost and logistic regression for predicting sarcopenia in postsurgical gastric cancer patients.XGBoost与逻辑回归用于预测胃癌术后患者肌肉减少症的比较研究
Sci Rep. 2025 Apr 14;15(1):12808. doi: 10.1038/s41598-025-98075-z.
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Artificial intelligence for body composition assessment focusing on sarcopenia.
聚焦肌肉减少症的身体成分评估人工智能
Sci Rep. 2025 Jan 8;15(1):1324. doi: 10.1038/s41598-024-83401-8.
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Generative Artificial Intelligence in Pathology and Medicine: A Deeper Dive.病理学与医学中的生成式人工智能:深入探讨
Mod Pathol. 2025 Apr;38(4):100687. doi: 10.1016/j.modpat.2024.100687. Epub 2024 Dec 15.
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Decoding aging clocks: New insights from metabolomics.解读衰老时钟:代谢组学的新见解
Cell Metab. 2025 Jan 7;37(1):34-58. doi: 10.1016/j.cmet.2024.11.007. Epub 2024 Dec 9.
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Machine learning-based prediction of sarcopenia in community-dwelling middle-aged and older adults: findings from the CHARLS.基于机器学习对社区中老年人肌肉减少症的预测:来自中国健康与养老追踪调查(CHARLS)的结果
Psychogeriatrics. 2025 Jan;25(1):e13205. doi: 10.1111/psyg.13205. Epub 2024 Oct 23.
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Nat Rev Dis Primers. 2024 Sep 19;10(1):68. doi: 10.1038/s41572-024-00550-w.
8
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J Cachexia Sarcopenia Muscle. 2024 Dec;15(6):2476-2486. doi: 10.1002/jcsm.13582. Epub 2024 Sep 4.
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LC/MS-Based Untargeted Lipidomics Reveals Lipid Signatures of Sarcopenia.基于 LC/MS 的非靶向脂质组学揭示了肌少症的脂质特征。
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