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一个优化框架,以指导基于风险的癌症查门的选择
Adam R Brentnall1, Emma C Atakpa2, Harry Hill3
1Wolfson Institute of Population Health, Queen Mary University of London, London, UK. a.brentnall@qmul.ac.uk.
NPJ digital medicine
|November 28, 2023
概括
这项研究引入了使用人工智能 (AI) 模型选择风险组的新框架,以优化乳腺癌查间隔. 人工智能模型旨在通过根据个体风险量身定制查频率来减少晚期癌症诊断.
科学领域:
- 在瘤学瘤学.
- 医疗成像医学成像
- 人工智能在医学中的应用
背景情况:
- 癌症查的风险分层往往忽视了模型性能以及干预的可用性.
- 人工智能 (AI) 模型为改善癌症风险评估提供了潜力,但需要仔细整合到查计划中.
研究的目的:
- 通过考虑人工智能模型性能和可用的干预措施,开发和应用一个选择风险组的框架.
- 使用人工智能模型指导乳腺癌查间隔,以尽量减少晚期癌症发病率.
主要方法:
- 开发了一个使用线性编程来定义风险组的框架,以尽量减少在资源限制下预期的晚期癌症发病率.
- 使用人工智能模型将框架应用于乳腺癌查间隔,从病例控制研究和查试验中的其他参数估计性能.
主要成果:
- 人工智能模型推量身定制的查间隔:最高4%的风险为1年,中等64%为3年,最低32%为4年.
- 预计这种方法将使晚期癌症诊断减少大约18/1000,同时保持相似的平均查频率.
- 灵敏度分析表明,模型参数的值选择是可靠的,尽管先进的癌症减少估计需要进一步验证.
结论:
- 开发的框架有效地定义了风险适应查的风险值,旨在减少癌症对人口健康的负担.
- 建议通过健康经济建模和现实研究进行进一步评估,以验证该框架对晚期癌症减少的影响.
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