癌症相关血栓的机器学习:是炒作还是解开血栓的希望

R. Patell, Jeffrey I. Zwicker, Rohan Singh, Simon Mantha
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摘要

机器学习(ML)的目标是通过利用大型数据集来推导计算算法,从而创造出信息丰富的信号和有用的任务。通过提高生产力、加强安全有效的患者护理以及减轻临床医生的负担,机器学习有可能彻底改变医疗保健行业。除了从机理上深入了解癌症相关性血栓形成(CAT),ML 还可用于改善患者预后、简化医疗服务流程并促进创新。我们的综述论文深入探讨了这一前沿技术的当前和潜在应用,包括三个领域:i) 计算机视觉辅助诊断放射学数据中的血栓栓塞;ii) 利用自然语言处理从电子健康记录中检测病例;iii) CAT 预测和风险分层算法。要在医疗卫生领域有效地开发 ML,必须克服的挑战包括:大型、有详细标注的高质量数据集的可用性、过度拟合、有限的普适性、传播固有偏见的风险以及患者和临床医生之间缺乏透明度。为确保利用这一强大工具最大限度地推动计算机辅助医疗领域的创新,临床医生可以与计算机科学家、监管机构和患者团体等利益相关方合作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Machine learning in cancer-associated thrombosis: hype or hope in untangling the clot
The goal of machine learning (ML) is to create informative signals and useful tasks by leveraging large datasets to derive computational algorithms. ML has the potential to revolutionize the healthcare industry by boosting productivity, enhancing safe and effective patient care, and lightening the load on clinicians. In addition to gaining mechanistic insights into cancer-associated thrombosis (CAT), ML can be used to improve patient outcomes, streamline healthcare delivery, and spur innovation. Our review paper delves into the present and potential applications of this cutting-edge technology, encompassing three areas: i) computer vision-assisted diagnosis of thromboembolism from radiology data; ii) case detection from electronic health records using natural language processing; iii) algorithms for CAT prediction and risk stratification. The availability of large, well-annotated, high-quality datasets, overfitting, limited generalizability, the risk of propagating inherent bias, and a lack of transparency among patients and clinicians are among the challenges that must be overcome in order to effectively develop ML in the health sector. To guarantee that this powerful instrument can be utilized to maximize innovation in CAT, clinicians can collaborate with stakeholders such as computer scientists, regulatory bodies, and patient groups.
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