在瘤学中使用机器学习的临床预测模型:挑战和建议
Gary S Collins1, Mae Chester-Jones2, Stephen Gerry2
1Department of Applied Health Sciences, University of Birmingham, Birmingham, UK.
BMJ oncology
|October 10, 2025
概括
在瘤学中开发强大的临床预测模型需要对方法和实施给予密切关注. 解决数据挑战,确保公平性和评估临床实用性对于将这些工具转化为实践至关重要.
科学领域:
- 在瘤学瘤学.
- 生物统计学 生物统计学
- 医疗信息学 医疗信息学
背景情况:
- 临床预测模型在瘤学中对于个性化诊断和预后至关重要.
- 机器学习越来越多地被使用,但方法上的缺陷阻碍了实施.
研究的目的:
- 概述开发强大和公平的癌症预测模型的关键考虑因素.
- 识别模型开发,评估和实施中的挑战.
主要方法:
- 审查关键步骤:系统审查,协议开发,注册,最终用户参与,样本规模和数据代表性.
- 应对技术挑战:缺少数据,公平性,复杂的数据结构 (审查,竞争风险,集群).
- 综合性评估:统计性能 (区分,校准) 和临床实用性.
主要成果:
- 由于方法和翻译方面的挑战,大多数癌症预测模型仍然未实施.
- 障碍包括利益相关者参与度有限,临床实用性证据不足,工作流集成问题以及部署后监测的缺乏.
结论:
- 解决发展到实践的差距需要从研究设计到实施后监测的关注.
- 开发可靠的工具对于实现个性化癌症护理的潜力至关重要.
关键词:
流行病学 流行病学更多相关视频
06:19Constructing and Visualizing Models using Mime-based Machine-learning Framework
Published on: July 22, 2025
2.3K
04:09Predicting Treatment Response to Image-Guided Therapies Using Machine Learning: An Example for Trans-Arterial Treatment of Hepatocellular Carcinoma
Published on: October 10, 2018
8.6K
相关概念视频
Cancer Survival Analysis
645
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
645
Mouse Models of Cancer Study
6.4K
Mice have long served as models for studying human biology and pathology because of their phylogenetic and physiological similarity with humans. They are also easy to maintain and breed in the laboratory, and hence, many inbred strains are now available for research. Studies on mice have contributed immeasurably to our understanding of cancer biology.
The development of transgenic, knockout, and knock-in mice has led to an exponential increase in their use as model organisms in research,...
The development of transgenic, knockout, and knock-in mice has led to an exponential increase in their use as model organisms in research,...
6.4K
Combination Therapies and Personalized Medicine
5.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.9K
