• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

人工智能驱动的药物警戒:利用深度学习和自然语言处理增强药物不良反应检测

AI-driven pharmacovigilance: Enhancing adverse drug reaction detection with deep learning and NLP.

作者信息

Khemani Dr Bharti, Malave Dr Sachin, Shinde Samyukta, Shukla Mandvi, Shikalgar Razzaq, Talwar Harshita

机构信息

Assistant Professor, A. P. SHAH Institute of Technology, Survey No 12, 13, Opp. Hypercity Mall, Kasarvadavali, Ghodbunder Road, Thane West, Thane, Maharashtra 400615, India.

Head of Computer Engineering Department, A. P. SHAH Institute of Technology, Survey No 12, 13, Opp. Hypercity Mall, Kasarvadavali, Ghodbunder Road, Thane West, Thane, Maharashtra 400615, India.

出版信息

MethodsX. 2025 Jun 23;15:103460. doi: 10.1016/j.mex.2025.103460. eCollection 2025 Dec.

DOI:10.1016/j.mex.2025.103460
PMID:40678458
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12268696/
Abstract

In the healthcare industry, the ever-increasing volume of clinical trial data presents challenges for ensuring drug safety and detecting adverse drug reactions (ADRs). This study aims to address the challenge of accurately detecting Serious Adverse Events (SAEs) in pharmacovigilance, a critical component in ensuring drug safety during and after clinical trials. The key problem lies in the underreporting and delayed detection of Adverse Drug Reactions (ADRs) due to the heterogeneous nature of medical data, class imbalance, and the limited scope of traditional monitoring techniques. This study proposes a hybrid AI-driven framework that integrates structured (e.g., patient demographics, lab results) and unstructured data (e.g., clinical notes) to detect ADRs using advanced deep learning and NLP methods. The objective is to outperform traditional signal detection methods and provide interpretable predictions to aid clinicians in real-time. By leveraging advanced Machine Learning (ML) and Deep Learning (DL) techniques, including Random Forests, Gradient Boosting Machines, and Convolutional Neural Networks (CNNs), our model aims to identify potential ADRs across different patient subgroups. Through meticulous feature engineering and the application of techniques to address data imbalance, our model demonstrates improved accuracy and interpretability in predicting ADRs. The CNN model achieved an accuracy of 85 %, outperforming traditional models, such as Logistic Regression (78 %) and Support Vector Machines (80 %). These findings suggest that specific demographic and clinical factors significantly influence the likelihood of adverse reactions, offering valuable insights for targeted monitoring and risk mitigation strategies[11]. This research underscores the potential of predictive modeling to enhance pharmacovigilance efforts and ensure safer clinical trial outcomes.•The research methodology includes a comparison of supervised learning algorithms, such as Logistic Regression, Random Forest, Gradient Boost, CNN, and genetic algorithms, to identify patterns and anomalies in clinical trial data. BERT and GPT, were also employed to provide the functionality of textual interactions over medical data.•Performance metrics such as accuracy, precision, recall, and F1-score were systematically applied to evaluate each model's performance. Among the models tested, the CNN model with BERT achieved the highest accuracy, providing valuable insights into the potential of deep learning for enhancing pharmacovigilance practices.•These findings suggest that an inclusion of diverse clinical data when supplied to advanced ML and NLP techniques can significantly improve the detection of ADRs, leading to better alignment with the fundamental principles of Good Clinical Practice (GCP).

摘要

在医疗保健行业,临床试验数据量的不断增加给确保药物安全和检测药物不良反应(ADR)带来了挑战。本研究旨在应对药物警戒中准确检测严重不良事件(SAE)的挑战,这是确保临床试验期间及之后药物安全的关键组成部分。关键问题在于,由于医疗数据的异质性、类别不平衡以及传统监测技术的有限范围,药物不良反应(ADR)报告不足且检测延迟。本研究提出了一个混合人工智能驱动的框架,该框架整合结构化数据(如患者人口统计学数据、实验室检查结果)和非结构化数据(如临床记录),使用先进的深度学习和自然语言处理方法来检测药物不良反应。目标是超越传统的信号检测方法,并提供可解释的预测结果,以帮助临床医生进行实时决策。通过利用先进的机器学习(ML)和深度学习(DL)技术,包括随机森林、梯度提升机和卷积神经网络(CNN),我们的模型旨在识别不同患者亚组中的潜在药物不良反应。通过精心的特征工程和应用解决数据不平衡的技术,我们的模型在预测药物不良反应方面表现出更高的准确性和可解释性。CNN模型的准确率达到了85%,优于传统模型,如逻辑回归(78%)和支持向量机(80%)。这些发现表明,特定的人口统计学和临床因素会显著影响不良反应的发生可能性,为有针对性的监测和风险缓解策略提供了有价值的见解[11]。本研究强调了预测建模在加强药物警戒工作和确保更安全的临床试验结果方面的潜力。

•研究方法包括对逻辑回归、随机森林、梯度提升、CNN和遗传算法等监督学习算法进行比较,以识别临床试验数据中的模式和异常情况。还采用了BERT和GPT来提供对医疗数据进行文本交互的功能。

•系统地应用了准确率、精确率、召回率和F1分数等性能指标来评估每个模型的性能。在测试的模型中,带有BERT的CNN模型准确率最高,为深度学习在加强药物警戒实践中的潜力提供了有价值的见解。

•这些发现表明,将多样化的临床数据提供给先进的ML和NLP技术时,能够显著提高药物不良反应的检测率,从而更好地符合良好临床实践(GCP)的基本原则。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/2b35ad973a8a/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/ba28881c1be4/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/16c0685eb480/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/cb3d9ef61e5c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/707ecfc46242/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/fda3b5922a69/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/2ea8949c5d62/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/53bdeaf3c7a8/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/dee928780ead/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/2b35ad973a8a/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/ba28881c1be4/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/16c0685eb480/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/cb3d9ef61e5c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/707ecfc46242/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/fda3b5922a69/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/2ea8949c5d62/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/53bdeaf3c7a8/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/dee928780ead/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6505/12268696/2b35ad973a8a/gr8.jpg

相似文献

1
AI-driven pharmacovigilance: Enhancing adverse drug reaction detection with deep learning and NLP.人工智能驱动的药物警戒:利用深度学习和自然语言处理增强药物不良反应检测
MethodsX. 2025 Jun 23;15:103460. doi: 10.1016/j.mex.2025.103460. eCollection 2025 Dec.
2
Stabilizing machine learning for reproducible and explainable results: A novel validation approach to subject-specific insights.稳定机器学习以获得可重复和可解释的结果:一种针对特定个体见解的新型验证方法。
Comput Methods Programs Biomed. 2025 Jun 21;269:108899. doi: 10.1016/j.cmpb.2025.108899.
3
A deep learning approach to direct immunofluorescence pattern recognition in autoimmune bullous diseases.深度学习方法在自身免疫性大疱性疾病中的直接免疫荧光模式识别。
Br J Dermatol. 2024 Jul 16;191(2):261-266. doi: 10.1093/bjd/ljae142.
4
Sentiment Analysis Using a Large Language Model-Based Approach to Detect Opioids Mixed With Other Substances Via Social Media: Method Development and Validation.使用基于大语言模型的方法通过社交媒体检测与其他物质混合的阿片类药物的情感分析:方法开发与验证
JMIR Infodemiology. 2025 Jun 19;5:e70525. doi: 10.2196/70525.
5
Development and Validation of a Convolutional Neural Network Model to Predict a Pathologic Fracture in the Proximal Femur Using Abdomen and Pelvis CT Images of Patients With Advanced Cancer.利用晚期癌症患者腹部和骨盆 CT 图像建立卷积神经网络模型预测股骨近端病理性骨折的研究
Clin Orthop Relat Res. 2023 Nov 1;481(11):2247-2256. doi: 10.1097/CORR.0000000000002771. Epub 2023 Aug 23.
6
Proposal for Using AI to Assess Clinical Data Integrity and Generate Metadata: Algorithm Development and Validation.关于使用人工智能评估临床数据完整性并生成元数据的提案:算法开发与验证
JMIR Med Inform. 2025 Jun 30;13:e60204. doi: 10.2196/60204.
7
Are Current Survival Prediction Tools Useful When Treating Subsequent Skeletal-related Events From Bone Metastases?当前的生存预测工具在治疗骨转移后的骨骼相关事件时有用吗?
Clin Orthop Relat Res. 2024 Sep 1;482(9):1710-1721. doi: 10.1097/CORR.0000000000003030. Epub 2024 Mar 22.
8
Gaps in Artificial Intelligence Research for Rural Health in the United States: A Scoping Review.美国农村卫生人工智能研究的差距:一项范围综述
medRxiv. 2025 Jun 27:2025.06.26.25330361. doi: 10.1101/2025.06.26.25330361.
9
Development of an interpretable machine learning model for frailty risk prediction in older adult care institutions: a mixed-methods, cross-sectional study in China.老年护理机构衰弱风险预测的可解释机器学习模型的开发:中国的一项混合方法横断面研究。
BMJ Open. 2025 Jul 5;15(7):e095460. doi: 10.1136/bmjopen-2024-095460.
10
Advancing personalized healthcare: leveraging explainable AI for BPPV risk assessment.推进个性化医疗:利用可解释人工智能进行良性阵发性位置性眩晕风险评估。
Health Inf Sci Syst. 2024 Nov 24;13(1):1. doi: 10.1007/s13755-024-00317-3. eCollection 2025 Dec.

本文引用的文献

1
Detecting health misinformation: A comparative analysis of machine learning and graph convolutional networks in classification tasks.检测健康错误信息:机器学习与图卷积网络在分类任务中的比较分析
MethodsX. 2024 Apr 28;12:102737. doi: 10.1016/j.mex.2024.102737. eCollection 2024 Jun.
2
Artificial intelligence-powered pharmacovigilance: A review of machine and deep learning in clinical text-based adverse drug event detection for benchmark datasets.人工智能驱动的药物警戒:基于机器学习和深度学习的临床文本药物不良事件检测基准数据集综述。
J Biomed Inform. 2024 Apr;152:104621. doi: 10.1016/j.jbi.2024.104621. Epub 2024 Mar 5.
3
Extracting adverse drug events from clinical Notes: A systematic review of approaches used.
从临床记录中提取药物不良事件:对所用方法的系统评价
J Biomed Inform. 2024 Mar;151:104603. doi: 10.1016/j.jbi.2024.104603. Epub 2024 Feb 6.
4
Machine learning models to detect and predict patient safety events using electronic health records: A systematic review.使用电子健康记录的机器学习模型来检测和预测患者安全事件:系统评价。
Int J Med Inform. 2023 Dec;180:105246. doi: 10.1016/j.ijmedinf.2023.105246. Epub 2023 Oct 9.
5
Artificial Intelligence and Data Mining for the Pharmacovigilance of Drug-Drug Interactions.用于药物相互作用药物警戒的人工智能与数据挖掘
Clin Ther. 2023 Feb;45(2):117-133. doi: 10.1016/j.clinthera.2023.01.002. Epub 2023 Jan 31.
6
Fine-tuning BERT for automatic ADME semantic labeling in FDA drug labeling to enhance product-specific guidance assessment.在FDA药品标签中微调BERT以进行自动ADME语义标注,以加强特定产品的指导评估。
J Biomed Inform. 2023 Feb;138:104285. doi: 10.1016/j.jbi.2023.104285. Epub 2023 Jan 9.
7
Developing a deep learning natural language processing algorithm for automated reporting of adverse drug reactions.开发一种深度学习自然语言处理算法,用于自动报告药物不良反应。
J Biomed Inform. 2023 Jan;137:104265. doi: 10.1016/j.jbi.2022.104265. Epub 2022 Dec 1.
8
Role of Artificial Intelligence in Patient Safety Outcomes: Systematic Literature Review.人工智能在患者安全结果中的作用:系统文献综述
JMIR Med Inform. 2020 Jul 24;8(7):e18599. doi: 10.2196/18599.