{"title":"Detecting the Undetected: Machine Learning in Early Disease Diagnosis","authors":"Kanika Rathi, Sakshi Sharma, Anil Barnwal","doi":"10.1111/bcpt.70104","DOIUrl":null,"url":null,"abstract":"<p>Early detection of diseases is a critical pillar in advancing modern healthcare, offering timely interventions and better patient outcomes. This overview highlights a range of machine learning (ML) approaches that are transforming early disease diagnosis. We discuss how traditional supervised and unsupervised methods, alongside advanced deep learning and reinforcement learning techniques, are utilized to detect early disease markers, often before clinical symptoms appear. The paper begins with a discussion of ML fundamentals within healthcare, along with standard evaluation metrics such as accuracy, precision, recall, F1-score and AUC-ROC. It then explores various ML models, including supervised algorithms (support vector machines, decision trees and random forests), unsupervised methods (<i>K</i>-means, hierarchical clustering and principal component analysis) and deep learning architectures (convolutional neural networks, recurrent neural networks and transformers). Reinforcement learning's emerging role in healthcare is also examined. Practical applications across disease areas such as cancer, cardiovascular diseases, neurological disorders and infectious diseases are reviewed. We emphasize the importance of high-quality datasets, balanced data distribution and clinical relevance. Key challenges such as data scarcity, model interpretability, privacy, the risk of overdiagnosis and clinical integration are critically discussed. It underscores that the successful translation of these technologies from code to clinic hinges on a deep, bidirectional collaboration between data scientists and clinical experts to ensure that newly developed tools address real-world patient needs. The overview concludes with future directions, including explainable AI, federated learning, multimodal data fusion, real-time applications and quantum ML, charting the evolving path of early disease detection.</p>","PeriodicalId":8733,"journal":{"name":"Basic & Clinical Pharmacology & Toxicology","volume":"137 4","pages":""},"PeriodicalIF":3.3000,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bcpt.70104","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Basic & Clinical Pharmacology & Toxicology","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/bcpt.70104","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PHARMACOLOGY & PHARMACY","Score":null,"Total":0}
引用次数: 0
Abstract
Early detection of diseases is a critical pillar in advancing modern healthcare, offering timely interventions and better patient outcomes. This overview highlights a range of machine learning (ML) approaches that are transforming early disease diagnosis. We discuss how traditional supervised and unsupervised methods, alongside advanced deep learning and reinforcement learning techniques, are utilized to detect early disease markers, often before clinical symptoms appear. The paper begins with a discussion of ML fundamentals within healthcare, along with standard evaluation metrics such as accuracy, precision, recall, F1-score and AUC-ROC. It then explores various ML models, including supervised algorithms (support vector machines, decision trees and random forests), unsupervised methods (K-means, hierarchical clustering and principal component analysis) and deep learning architectures (convolutional neural networks, recurrent neural networks and transformers). Reinforcement learning's emerging role in healthcare is also examined. Practical applications across disease areas such as cancer, cardiovascular diseases, neurological disorders and infectious diseases are reviewed. We emphasize the importance of high-quality datasets, balanced data distribution and clinical relevance. Key challenges such as data scarcity, model interpretability, privacy, the risk of overdiagnosis and clinical integration are critically discussed. It underscores that the successful translation of these technologies from code to clinic hinges on a deep, bidirectional collaboration between data scientists and clinical experts to ensure that newly developed tools address real-world patient needs. The overview concludes with future directions, including explainable AI, federated learning, multimodal data fusion, real-time applications and quantum ML, charting the evolving path of early disease detection.
期刊介绍:
Basic & Clinical Pharmacology and Toxicology is an independent journal, publishing original scientific research in all fields of toxicology, basic and clinical pharmacology. This includes experimental animal pharmacology and toxicology and molecular (-genetic), biochemical and cellular pharmacology and toxicology. It also includes all aspects of clinical pharmacology: pharmacokinetics, pharmacodynamics, therapeutic drug monitoring, drug/drug interactions, pharmacogenetics/-genomics, pharmacoepidemiology, pharmacovigilance, pharmacoeconomics, randomized controlled clinical trials and rational pharmacotherapy. For all compounds used in the studies, the chemical constitution and composition should be known, also for natural compounds.