检测未检测:早期疾病诊断中的机器学习

IF 3.3 4区 医学 Q2 PHARMACOLOGY & PHARMACY
Kanika Rathi, Sakshi Sharma, Anil Barnwal
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引用次数: 0

摘要

早期发现疾病是推进现代医疗保健、提供及时干预和改善患者预后的关键支柱。本综述强调了一系列正在改变早期疾病诊断的机器学习(ML)方法。我们讨论了如何利用传统的监督和无监督方法,以及先进的深度学习和强化学习技术来检测早期疾病标志物,通常是在临床症状出现之前。本文首先讨论了医疗保健中的机器学习基础知识,以及准确性、精密度、召回率、f1分数和AUC-ROC等标准评估指标。然后探索各种ML模型,包括监督算法(支持向量机,决策树和随机森林),无监督方法(K-means,分层聚类和主成分分析)和深度学习架构(卷积神经网络,循环神经网络和变压器)。强化学习在医疗保健中的新兴作用也进行了检查。综述了癌症、心血管疾病、神经系统疾病和传染病等疾病领域的实际应用。我们强调高质量数据集、平衡数据分布和临床相关性的重要性。关键的挑战,如数据稀缺,模型可解释性,隐私,过度诊断和临床整合的风险进行了批判性的讨论。它强调,这些技术从代码到临床的成功转化取决于数据科学家和临床专家之间深入的双向合作,以确保新开发的工具满足现实世界患者的需求。概述了未来的发展方向,包括可解释的人工智能、联邦学习、多模态数据融合、实时应用和量子机器学习,描绘了早期疾病检测的发展路径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Detecting the Undetected: Machine Learning in Early Disease Diagnosis

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.

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来源期刊
CiteScore
5.60
自引率
6.50%
发文量
126
审稿时长
1 months
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.
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