基于PRO的分层改进了对头癌患者毒性和生存的模型预测
IEEE journal of biomedical and health informatics
|March 3, 2025
概括
将预测的患者报告结果 (PRO) 整合到风险模型中,可以显著提高头癌患者的辐射诱导毒性和生存率的预测.
科学领域:
- 在瘤学瘤学.
- 医疗信息学 医疗信息学
- 机器学习 机器学习
背景情况:
- 患者报告的结果 (PROs) 提供了直接的患者健康状况信息,包括症状评级.
- 诊断器对于临床决策至关重要,并且在机器学习中越来越多地用于风险预测.
- 头癌治疗涉及显著的毒性,需要改进风险预测模型.
研究的目的:
- 评估基于预测的12个月治疗后的患者分层是否改善了风险预测.
- 评估对预测辐射诱导毒性和头癌的整体存活率的影响.
- 使用机器学习衍生的患者分层来提高预后准确性.
主要方法:
- 使用双向长期短期存储器 (Bi-LSTM) 网络来建模纵向PRO数据.
- 在治疗后12个月的预测患者症状评级.
- 根据预测的PROs,使用等级分类来对患者进行分层.
- 训练后勤回归用于 Xerostomia 预测和Cox 回归用于整体生存预测.
主要成果:
- 包括症状负担集群改善了对辐射诱导毒性的预测准确度.
- 改进后的模型可以更好地预测头癌患者的整体存活率.
- 基于PRO的分层有效地确定了具有不同风险概况的患者子组.
结论:
- 使用预测PRO的患者分层显著增强风险预测模型.
- 这种方法为个性化治疗监测和预测头瘤的结果提供了一个有前途的方法.
- 机器学习与PRO集成可以带来更准确和个性化的患者护理.
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