对人口药理动力学建模和机器学习方法进行比较,以预测重症患者中沃里可纳的最低度
Yinxuan Huang1, Yang Zhou2, Dongdong Liu3
1Department of Pharmacy, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China; School of Pharmacy, Guangzhou Medical University, Guangzhou, China.
International journal of antimicrobial agents
|December 28, 2024
概括
机器学习模型,特别是XGBoost,在预测voriconazole度方面表现出优异的准确性,相比于对重症监护病人的传统人口药物动力学模型.
科学领域:
- 药理学 药理学是指药理学的学科.
- 人工智能的人工智能
- 临床药房 临床药房
背景情况:
- 沃里康纳的高可变性会影响疗效,特别是在ICU患者中.
- 机器学习 (ML) 为个性化医疗提供了潜力.
- 在此之前,ML与人口药理动力学 (popPK) 模型对沃里可纳预测的比较有效性尚不清楚.
研究的目的:
- 为了确定最有效的建模策略来预测voriconazole度.
- 将ML模型与ICU患者的传统popPK模型的性能进行比较.
主要方法:
- 开发了6个ML模型,使用62名患者的244个voriconazole度的数据集.
- 外部验证的ML模型和5个公布的popPK模型使用来自177名患者的282个最低度的独立数据集.
- 采用基于预测的诊断,基于模拟的诊断和贝叶斯预测用于模型评估.
主要成果:
- XGBoost ML模型表现出卓越的预测性能,R2为0.73.
- 在包括RMSE,中位数绝对预测误差和F20/F30值在内的关键指标上,XGBoost的表现优于最好的popPK模型.
- ML模型在预测voriconazole的药理动力学方面显示出更高的准确性和精确性.
结论:
- 无论是ML还是popPK模型都可以支持个性化的沃里康纳治疗.
- 这项研究为预测voriconazole度的最佳建模方法提供了宝贵的见解.
- 这些发现表明,ML模型可能为治疗药物监测提供更高的精度.
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