Xu Liang, Li Jing, Gong Wei
Department of Oncology, Xiangyang Central Hospital, affiliated hospital of Hubei University of Arts and Science, Xiangyang 441021, China.
Institute of Oncology, Xiangyang Central Hospital, affiliated hospital of Hubei University of Arts and Science, Xiangyang 441021, China.
Comput Struct Biotechnol J. 2025 Jun 6;27:2460-2472. doi: 10.1016/j.csbj.2025.06.014. eCollection 2025.
Precision medicine for tumors represents a pivotal focus in contemporary medical research. Nonetheless, the diversity of tumor types and the complexity of their pathogenesis present significant challenges in the diagnostic process. Extracellular vesicles (EVs), as a category of nanoparticles, carry a wealth of biological information and play a crucial role in tumor initiation and progression, thereby offering novel approaches for early tumor diagnosis. In recent years, machine learning (ML) technology in the medical field has gained momentum, which utilize various algorithms to analyze input data, identify potential patterns and trends, develop predictive models, and generate high-precision predictions of unknown data, demonstrating its clinical potential in disease diagnosis. This review provides a comprehensive summary of advancements in EVs analysis technology based on ML for auxiliary tumor diagnosis, including early diagnosis, classification, stage recognition, and molecular diagnosis, and discusses their advantages in clinical applications. Additionally, the article anticipates future development trends in the field, aiming to serve as a reference for researchers engaged in ML-assisted liquid biopsy for tumor diagnosis.
肿瘤的精准医学是当代医学研究的一个关键重点。然而,肿瘤类型的多样性及其发病机制的复杂性在诊断过程中带来了重大挑战。细胞外囊泡(EVs)作为一类纳米颗粒,携带丰富的生物信息,在肿瘤的发生和发展中起着关键作用,从而为早期肿瘤诊断提供了新方法。近年来,医学领域的机器学习(ML)技术发展势头迅猛,它利用各种算法分析输入数据,识别潜在模式和趋势,开发预测模型,并对未知数据进行高精度预测,显示出其在疾病诊断中的临床潜力。本综述全面总结了基于ML的EVs分析技术在辅助肿瘤诊断方面的进展,包括早期诊断、分类、分期识别和分子诊断,并讨论了它们在临床应用中的优势。此外,文章还展望了该领域未来的发展趋势,旨在为从事ML辅助液体活检进行肿瘤诊断的研究人员提供参考。