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Research on optimization of personalized recommendation method based on RFMQ model- taking outdoor sports products in cross-border e-commerce as an example. 基于RFMQ模型的个性化推荐方法优化研究——以跨境电商户外运动产品为例
IF 2.4 Q3 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2025-10-14 eCollection Date: 2025-01-01 DOI: 10.3389/fdata.2025.1680669
Qianlan Chen, Chupeng Chen, Zubai Jiang, Chaoling Li, Yangxizi Tan, Niannian Li, Bolin Zhou, Bingxian Yang

With the rapid development of the global digital economy, cross-border e-commerce has rapidly emerged and developed at a high speed, and has become a crucial bridge connecting global markets. This research focuses on the cross-border e-commerce sector of outdoor sports products, in response to the common problems in the cross-border e-commerce field, such as "information overload" and "insufficient recommendation accuracy," a personalized recommendation optimization framework integrating customer value segmentation and collaborative filtering is proposed. Based on the classic RFM model, the purchase quantity indicator (Quantity) is introduced to construct the RFMQ model, thereby more comprehensively characterizing user behavior characteristics. Further, the customer value stratification is achieved by using the indicator segmentation method and the K-means clustering algorithm, and a differentiated collaborative filtering recommendation mechanism is designed based on the segmented groups. Through a five-fold cross-validation experiment, it is shown that the proposed method significantly outperforms the traditional collaborative filtering model in the TOPN recommendation task. Specifically, when the number of recommended products is between 3 and 7, the RFMQ recommendation model based on indicator segmentation performs best in terms of F1 score (for example, when TOPN = 5, the F1 value increases from 0.1709 to 0.3093), and the method based on K-means clustering also shows a stable improvement (with the F1 value reaching 0.267 at the same time). The results indicate that the indicator segmentation method has a significant advantage in smaller recommendation quantity scenarios. This study verifies the effectiveness of the RFMQ model in customer segmentation and recommendation performance optimization, providing an operational solution for e-commerce platforms to implement precise marketing, enhance user stickiness and commercial competitiveness, and is particularly suitable for low-cost and high-efficiency personalized recommendation scenarios of small and medium-sized enterprises.

随着全球数字经济的快速发展,跨境电子商务迅速兴起并高速发展,成为连接全球市场的重要桥梁。本研究以户外运动产品的跨境电商领域为研究对象,针对跨境电商领域普遍存在的“信息过载”、“推荐准确率不足”等问题,提出了一种整合客户价值细分和协同过滤的个性化推荐优化框架。在经典RFM模型的基础上,引入购买数量指标(quantity)构建RFMQ模型,从而更全面地表征用户行为特征。在此基础上,采用指标分割法和k均值聚类算法实现客户价值分层,并基于细分群体设计差异化协同过滤推荐机制。通过五重交叉验证实验,表明该方法在TOPN推荐任务中显著优于传统协同过滤模型。其中,当推荐的产品数量在3 ~ 7个之间时,基于指标分割的RFMQ推荐模型在F1得分上表现最好(如TOPN = 5时,F1值从0.1709上升到0.3093),基于K-means聚类的方法也表现出稳定的提升(F1值同时达到0.267)。结果表明,指标分割方法在推荐量较小的场景下具有明显的优势。本研究验证了RFMQ模型在客户细分和推荐性能优化方面的有效性,为电商平台实施精准营销、增强用户粘性和商业竞争力提供了一种运营解决方案,特别适用于中小企业低成本、高效率的个性化推荐场景。
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引用次数: 0
AI biases as asymmetries: a review to guide practice. 作为不对称的人工智能偏见:指导实践的回顾。
IF 2.4 Q3 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2025-10-13 eCollection Date: 2025-01-01 DOI: 10.3389/fdata.2025.1532397
Gabriella Waters, Phillip Honenberger

The understanding of bias in AI is currently undergoing a revolution. Often assumed to be errors or flaws, biases are increasingly recognized as integral to AI systems and sometimes preferable to less biased alternatives. In this paper we review the reasons for this changed understanding and provide new guidance on three questions: First, how should we think about and measure biases in AI systems, consistent with the new understanding? Second, what kinds of bias in an AI system should we accept or even amplify, and why? And, third, what kinds should we attempt to minimize or eliminate, and why? In answer to the first question, we argue that biases are "violations of a symmetry standard" (following Kelly). Per this definition, many biases in AI systems are benign. This raises the question of how to identify biases that are problematic or undesirable when they occur. To address this question, we distinguish three main ways that asymmetries in AI systems can be problematic or undesirable-erroneous representation, unfair treatment, and violation of process ideals-and highlight places in the pipeline of AI development and application where bias of these types can occur.

目前,人工智能对偏见的理解正在经历一场革命。偏见通常被认为是错误或缺陷,越来越多的人认为它是人工智能系统不可或缺的一部分,有时比不那么有偏见的替代方案更可取。在本文中,我们回顾了这种改变理解的原因,并就三个问题提供了新的指导:首先,我们应该如何思考和衡量人工智能系统中的偏见,与新的理解保持一致?第二,我们应该接受甚至放大人工智能系统中的哪些偏见,为什么?第三,我们应该尽量减少或消除哪些类型,为什么?在回答第一个问题时,我们认为偏见是“对对称标准的违反”(遵循Kelly)。根据这个定义,人工智能系统中的许多偏见是良性的。这就提出了一个问题,即当偏见出现时,如何识别它们是有问题的或不受欢迎的。为了解决这个问题,我们区分了人工智能系统中的不对称可能成为问题或不受欢迎的三种主要方式——错误表示、不公平对待和违反过程理想——并强调了人工智能开发和应用管道中可能发生这些类型偏见的地方。
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引用次数: 0
Predicting deep vein thrombosis using machine learning and blood routine analysis. 利用机器学习和血常规分析预测深静脉血栓形成。
IF 2.4 Q3 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2025-10-06 eCollection Date: 2025-01-01 DOI: 10.3389/fdata.2025.1605258
Jie Su, Yuechao Tang, Yanan Wang, Chao Chen, Biao Song

Objective: Lower limb deep vein thrombosis (DVT) is a serious health problem, causing local discomfort and hindering walking. It can lead to severe complications, including pulmonary embolism, chronic post-thrombotic syndrome, and limb amputation, posing risks of death or severe disability. This study aims to develop a diagnostic model for DVT using routine blood analysis and evaluate its effectiveness in early diagnosis.

Methods: This study retrospectively analyzed patient medical records from January 2022 to June 2023, including 658 DVT patients (case group) and 1,418 healthy subjects (control group). SHAP (SHapley Additive exPlanations) analysis was employed for feature selection to identify key blood indices significantly impacting DVT risk prediction. Based on the selected features, six machine learning models were constructed: k-Nearest Neighbors (kNN), Logistic Regression (LR), Decision Tree (DT), Random Forest (RF), Support Vector Machine (SVM), and Artificial Neural Network (ANN). Model performance was assessed using the area under the curve (AUC).

Results: SHAP analysis identified ten key blood routine indices. The six models constructed using these indices demonstrated strong predictive performance, with AUC values exceeding 0.8, accuracy above 70%, and sensitivity and specificity over 70%. Notably, the RF model exhibited superior performance in assessing the risk of DVT.

Conclusions: Our study successfully developed machine learning models for predicting DVT risk using routine blood tests. These models achieved high predictive performance, suggesting their potential for early DVT diagnosis without additional medical burden on patients. Future research will focus on further validation and refinement of these models to enhance their clinical applicability.

目的:下肢深静脉血栓形成(DVT)是一种严重的健康问题,可引起局部不适并妨碍行走。它可导致严重并发症,包括肺栓塞、慢性血栓后综合征和肢体截肢,造成死亡或严重残疾的风险。本研究旨在建立一种基于血常规分析的深静脉血栓诊断模型,并评估其在早期诊断中的有效性。方法:回顾性分析2022年1月至2023年6月期间DVT患者的医疗记录,包括658例DVT患者(病例组)和1418例健康受试者(对照组)。采用SHapley加性解释(SHapley Additive explanation)分析进行特征选择,以确定对DVT风险预测有显著影响的关键血液指标。基于选择的特征,构建了k-近邻(kNN)、逻辑回归(LR)、决策树(DT)、随机森林(RF)、支持向量机(SVM)和人工神经网络(ANN) 6种机器学习模型。使用曲线下面积(AUC)评估模型性能。结果:通过SHAP分析确定了10项关键血常规指标。使用这些指标构建的6个模型具有较强的预测性能,AUC值均超过0.8,准确率均在70%以上,灵敏度和特异性均在70%以上。值得注意的是,RF模型在评估DVT风险方面表现出优越的性能。结论:我们的研究成功开发了通过常规血液检查预测深静脉血栓风险的机器学习模型。这些模型具有很高的预测性能,表明它们具有早期DVT诊断的潜力,而不会给患者带来额外的医疗负担。未来的研究将集中在进一步验证和完善这些模型,以提高其临床适用性。
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引用次数: 0
Editorial: Navigating the nexus of big data, AI, and public health: transformations, triumphs, and trials in multiple sclerosis care access. 社论:驾驭大数据、人工智能和公共卫生的关系:多发性硬化症治疗途径的转变、胜利和试验。
IF 2.4 Q3 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2025-10-01 eCollection Date: 2025-01-01 DOI: 10.3389/fdata.2025.1682151
Immanuel Azaad Moonesar, M V Manoj Kumar, Khulood Alsayegh, Ayat Abu-Agla, Likewin Thomas
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引用次数: 0
Domain-independent deception: a new taxonomy and linguistic analysis. 领域独立欺骗:一种新的分类和语言学分析。
IF 2.4 Q3 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2025-09-30 eCollection Date: 2025-01-01 DOI: 10.3389/fdata.2025.1581734
Rakesh M Verma, Nachum Dershowitz, Victor Zeng, Dainis Boumber, Xuting Liu

Introduction: Internet-based economies and societies are drowning in deceptive attacks. These attacks take many forms, such as fake news, phishing, and job scams, which we call "domains of deception." Machine learning and natural language processing researchers have been attempting to ameliorate this precarious situation by designing domain-specific detectors. Only a few recent works have considered domain-independent deception. We collect these disparate threads of research and investigate domain-independent deception.

Methods: First, we provide a new computational definition of deception and break down deception into a new taxonomy. Then, we briefly mention the debate on linguistic cues for deception. We build a new comprehensive real-world dataset for studying deception. We investigate common linguistic features for deception using both classical and deep learning models in a variety of situations including cross-domain experiments.

Results: We find common linguistic cues for deception and give significant evidence for knowledge transfer across different forms of deception.

Discussion: We list several directions for future work based on our results.

导言:基于互联网的经济和社会正淹没在欺骗性攻击中。这些攻击采取多种形式,如假新闻、网络钓鱼和工作诈骗,我们称之为“欺骗领域”。机器学习和自然语言处理研究人员一直试图通过设计特定领域的检测器来改善这种不稳定的状况。只有少数最近的作品考虑了领域无关的欺骗。我们收集这些不同的研究线索,调查与领域无关的欺骗行为。方法:首先,我们给出了欺骗的一个新的计算定义,并将欺骗分解成一个新的分类。然后,我们简要地提到关于欺骗的语言线索的争论。我们建立了一个新的全面的真实世界数据集来研究欺骗。我们在包括跨领域实验在内的各种情况下使用经典和深度学习模型研究欺骗的共同语言特征。结果:我们发现了欺骗的共同语言线索,并为不同形式的欺骗提供了重要的知识转移证据。讨论:根据我们的结果,我们列出了未来工作的几个方向。
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引用次数: 0
Structure and dynamics mapping of illicit firearms trafficking using artificial intelligence models. 使用人工智能模型绘制非法枪支贩运的结构和动态图。
IF 2.4 Q3 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2025-09-25 eCollection Date: 2025-01-01 DOI: 10.3389/fdata.2025.1648730
Willy A Valdivia-Granda

Illicit firearms trafficking imposes severe social and economic costs, eroding public safety, distorting markets, and weakening state capacity while affecting vulnerable populations. Despite its profound consequences for global health, trade, and security, the network structure and dynamics of illicit firearms trafficking are one of the most elusive dimensions of transnational organized crime. News reports documenting these events are fragmented across countries, languages, and outlets with different levels of quality and bias. Motivated by the disproportionate impact in Latin America, this study operationalizes the International Classification of Crime for Statistical Purposes (ICCS) to convert multilingual news into structured and auditable indicators through a three-part analytic pipeline using BERT architecture and zero-shot prompts for entity resolution. This analytical approach generated outputs enriched with named entities, geocodes, and timestamps and stored as structured JSON, enabling reproducible analysis. The results of this implementation identified 8,171 firearms trafficking reports published from 2014 through July 2024. The number of firearms-related reports rose sharply over the decade. Incidents increase roughly tenfold, and the geographic footprint expands from about twenty to more than eighty countries, with a one hundred fifty five percent increase from 2022 to 2023. Correlation analysis links firearms trafficking to twelve other ICCS Level 1 categories, including drug trafficking, human trafficking, homicide, terrorism, and environmental crimes. Entity extraction and geocoding show a clear maritime bias; ports are referenced about six times more often than land or air routes. The analysis yielded eighty-five distinct points of entry or exit and forty-one named transnational criminal organizations, though attribution appears in only about forty percent of reports. This is the first automated and multilingual application of ICCS to firearms trafficking using modern language technologies. The outputs enable early warning through signals associated with ICCS categories, cross-border coordination focused on recurrent routes and high-risk ports, and evaluation of interventions. In short, embedding ICCS in a reproducible pipeline transforms fragmented media narratives into comparable evidence for strategic, tactical, and operational environments.

非法枪支贩运造成了严重的社会和经济代价,破坏了公共安全,扭曲了市场,削弱了国家能力,同时影响到弱势群体。尽管非法贩运枪支对全球卫生、贸易和安全产生深远影响,但其网络结构和动态是跨国有组织犯罪最难以捉摸的方面之一。记录这些事件的新闻报道因国家、语言和媒体的不同而支离破碎,质量和偏见各不相同。受拉丁美洲不成比例影响的启发,本研究运用国际犯罪统计分类(ICCS),通过使用BERT架构和零射击提示进行实体解析的三部分分析管道,将多语言新闻转换为结构化和可审计的指标。这种分析方法生成的输出丰富了命名实体、地理编码和时间戳,并存储为结构化JSON,支持可再现的分析。实施的结果确定了2014年至2024年7月发布的8171份枪支贩运报告。在过去十年中,与枪支有关的报告数量急剧上升。事件增加了大约10倍,地理足迹从大约20个国家扩大到80多个国家,从2022年到2023年增长了55%。相关分析将枪支贩运与其他12个ICCS 1级类别联系起来,包括贩毒、人口贩运、杀人、恐怖主义和环境犯罪。实体提取和地理编码显示出明显的海事偏差;港口被引用的频率大约是陆路或航线的六倍。分析得出了85个不同的入境或出境点和41个被点名的跨国犯罪组织,尽管只有大约40%的报告出现了归因。这是首次使用现代语言技术将国际刑事系统自动化和多语文应用于枪支贩运。这些产出能够通过与国际刑事公约类别有关的信号进行早期预警,以经常性路线和高风险港口为重点的跨界协调,以及对干预措施进行评估。简而言之,将ICCS嵌入可复制的管道中,将分散的媒体叙述转化为战略、战术和作战环境的可比证据。
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引用次数: 0
ULBERT: a domain-adapted BERT model for bilingual information retrieval from Pakistan's constitution. 一个适用于巴基斯坦宪法中双语信息检索的领域适应BERT模型。
IF 2.4 Q3 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2025-09-22 eCollection Date: 2025-01-01 DOI: 10.3389/fdata.2025.1448785
Qaiser Abbas, Waqas Nawaz, Sadia Niazi, Muhammad Awais

Introduction: Navigating legal texts like a national constitution is notoriously difficult due to specialized jargon and complex internal references. For the Constitution of Pakistan, no automated, user-friendly search tool existed to address this challenge. This paper introduces ULBERT, a novel AI-powered information retrieval framework designed to make the constitution accessible to all users, from legal experts to ordinary citizens, in both English and Urdu.

Methods: The system is built around a custom AI model that moves beyond keyword matching to understand the semantic meaning of a user's query. It processes questions in English or Urdu and compares them to the constitutional text, identifying the most relevant passages based on contextual and semantic similarity.

Results: In performance testing, the ULBERT framework proved highly effective. It successfully retrieved the correct constitutional information with an accuracy of 86% for English queries and 73% for Urdu queries.

Discussion: These results demonstrate a significant breakthrough in enhancing the accessibility of foundational legal documents through artificial intelligence. The framework provides an effective and intuitive tool for legal inquiry, empowering a broader audience to understand the Constitution of Pakistan.

导言:浏览像国家宪法这样的法律文本是出了名的困难,因为有专门的术语和复杂的内部参考。对于巴基斯坦宪法,没有自动的、用户友好的搜索工具来解决这一挑战。本文介绍了ULBERT,这是一种新型的人工智能信息检索框架,旨在使从法律专家到普通公民的所有用户都可以使用英语和乌尔都语访问宪法。方法:该系统是围绕一个自定义的人工智能模型构建的,该模型超越了关键字匹配,以理解用户查询的语义。它处理英语或乌尔都语的问题,并将它们与宪法文本进行比较,根据上下文和语义相似性识别出最相关的段落。结果:在性能测试中,ULBERT框架是非常有效的。它成功地检索了正确的宪法信息,英语查询的准确率为86%,乌尔都语查询的准确率为73%。讨论:这些结果表明,人工智能在增强基础法律文件可及性方面取得了重大突破。该框架为法律调查提供了一个有效和直观的工具,使更广泛的受众能够了解巴基斯坦宪法。
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引用次数: 0
Enhancing intelligence source performance management through two-stage stochastic programming and machine learning techniques. 通过两阶段随机规划和机器学习技术加强情报源性能管理。
IF 2.4 Q3 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2025-09-22 eCollection Date: 2025-01-01 DOI: 10.3389/fdata.2025.1640539
Lucas Wafula Wekesa, Stephen Korir

Introduction: The effectiveness of intelligence operations depends heavily on the reliability and performance of human intelligence (HUMINT) sources. Yet, source behavior is often unpredictable, deceptive or shaped by operational context, complicating resource allocation and tasking decisions.

Methods: This study developed a hybrid framework combining Machine Learning (ML) techniques and Two-Stage Stochastic Programming (TSSP) for HUMINT source performance management under uncertainty. A synthetic dataset reflecting HUMINT operational patterns was generated and used to train classification and regression models. The extreme Gradient Boosting (XGBoost) and Support Vector Machines (SVM) were applied for behavioral classification and prediction of reliability and deception scores. The predictive outputs were then transformed into scenario probabilities and integrated into the TSSP model to optimize task allocation under varying behavioral uncertainties.

Results: The classifiers achieved 98% overall accuracy, with XGBoost exhibiting higher precision and SVM demonstrating superior recall for rare but operationally significant categories. The regression models achieved R-squared scores of 93% for reliability and 81% for deception. These predictive outputs were transformed into scenario probabilities for integration into the TSSP model, optimizing task allocation under varying behavioral risks. When compared to a deterministic optimization baseline, the hybrid framework delivered a 16.8% reduction in expected tasking costs and a 19.3% improvement in mission success rates.

Discussion and conclusion: The findings demonstrated that scenario-based probabilistic planning offers significant advantages over static heuristics in managing uncertainty in HUMINT operations. While the simulation results are promising, validation through field data is required before operational deployment.

情报行动的有效性在很大程度上取决于人力情报(HUMINT)来源的可靠性和性能。然而,源行为通常是不可预测的、具有欺骗性的或受操作环境影响的,这使资源分配和任务决策变得复杂。方法:本研究开发了一个结合机器学习(ML)技术和两阶段随机规划(TSSP)的混合框架,用于不确定条件下的人力资源性能管理。生成了反映HUMINT操作模式的合成数据集,并用于训练分类和回归模型。采用极端梯度增强(XGBoost)和支持向量机(SVM)对信度和欺骗分数进行行为分类和预测。然后将预测输出转化为情景概率,并将其集成到TSSP模型中,以优化不同行为不确定性下的任务分配。结果:分类器达到了98%的总体准确率,XGBoost表现出更高的精度,支持向量机在罕见但操作重要的类别中表现出更高的召回率。回归模型在可靠性方面的r平方得分为93%,在欺骗方面的r平方得分为81%。将这些预测输出转化为情景概率,整合到TSSP模型中,优化不同行为风险下的任务分配。与确定性优化基线相比,混合框架的预期任务成本降低了16.8%,任务成功率提高了19.3%。讨论和结论:研究结果表明,在管理人工智能操作中的不确定性方面,基于场景的概率规划比静态启发式具有显著优势。虽然模拟结果很有希望,但在实际部署之前需要通过现场数据进行验证。
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引用次数: 0
Multistakeholder fairness in tourism: what can algorithms learn from tourism management? 旅游中的多利益相关者公平:算法能从旅游管理中学到什么?
IF 2.4 Q3 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2025-09-18 eCollection Date: 2025-01-01 DOI: 10.3389/fdata.2025.1632766
Peter Müllner, Anna Schreuer, Simone Kopeinik, Bernhard Wieser, Dominik Kowald

Algorithmic decision-support systems, i.e., recommender systems, are popular digital tools that help tourists decide which places and attractions to explore. However, algorithms often unintentionally direct tourist streams in a way that negatively affects the environment, local communities, or other stakeholders. This issue can be partly attributed to the computer science community's limited understanding of the complex relationships and trade-offs among stakeholders in the real world. In this work, we draw on the practical findings and methods from tourism management to inform research on multistakeholder fairness in algorithmic decision-support. Leveraging a semi-systematic literature review, we synthesize literature from tourism management as well as literature from computer science. Our findings suggest that tourism management actively tries to identify the specific needs of stakeholders and utilizes qualitative, inclusive and participatory methods to study fairness from a normative and holistic research perspective. In contrast, computer science lacks sufficient understanding of the stakeholder needs and primarily considers fairness through descriptive factors, such as measureable discrimination, while heavily relying on few mathematically formalized fairness criteria that fail to capture the multidimensional nature of fairness in tourism. With the results of this work, we aim to illustrate the shortcomings of purely algorithmic research and stress the potential and particular need for future interdisciplinary collaboration. We believe such a collaboration is a fundamental and necessary step to enhance algorithmic decision-support systems toward understanding and supporting true multistakeholder fairness in tourism.

算法决策支持系统,即推荐系统,是一种流行的数字工具,可以帮助游客决定探索哪些地方和景点。然而,算法往往无意中引导游客流,对环境、当地社区或其他利益相关者产生负面影响。这个问题可以部分归因于计算机科学界对现实世界中利益相关者之间复杂关系和权衡的理解有限。在这项工作中,我们借鉴了旅游管理的实践成果和方法,为算法决策支持中的多利益相关者公平性研究提供了信息。利用半系统的文献综述,我们综合了旅游管理方面的文献和计算机科学方面的文献。研究结果表明,旅游管理者积极尝试识别利益相关者的特定需求,并利用定性、包容性和参与性的方法从规范和整体的研究视角来研究公平。相比之下,计算机科学缺乏对利益相关者需求的充分理解,主要通过描述性因素(如可测量的歧视)来考虑公平性,同时严重依赖少数数学上形式化的公平标准,这些标准未能捕捉到旅游业公平的多维性。通过这项工作的结果,我们旨在说明纯算法研究的缺点,并强调未来跨学科合作的潜力和特别需要。我们认为,这种合作是增强算法决策支持系统的基础和必要步骤,有助于理解和支持旅游业中真正的多方利益相关者公平。
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引用次数: 0
FAST-framework for AI-based surgical transformation. 基于人工智能的手术转化fast框架。
IF 2.4 Q3 COMPUTER SCIENCE, INFORMATION SYSTEMS Pub Date : 2025-09-12 eCollection Date: 2025-01-01 DOI: 10.3389/fdata.2025.1655260
Harmehr Sekhon, Farid Al Zoubi, Paul E Beaulé, Pascal Fallavollita

Background: The use of machine learning (ML) in surgery till date has largely focused on predication of surgical variables, which has not been found to significantly improve operating room efficiencies and surgical success rates (SSR). Due to the long surgery wait times, limited health care resources and an increased population need, innovative ML models are needed. Thus, the Framework for AI-based Surgical Transformation (FAST) was created to make real time recommendations to improve OR efficiency.

Methods: The FAST model was developed and evaluated using a dataset of n=4796 orthopedic cases that utilizes surgery and team specific variables (e.g. specific team composition, OR turnover time, procedure duration), along with regular positive deviance seminars with the stakeholders for adherence and uptake. FAST was created using six ML algorithms, including decision trees and neural networks. The FAST was implemented in orthopedic surgeries at a hospital in Canada's capital (Ottawa).

Results: FAST was found to be feasible and implementable in the hospital orthopedic OR, with good team engagement due to the PD seminars. FAST led to a SSR of 93% over 23 weeks (57 arthroplasty surgery days) compared to 39% at baseline. Key variables impacting SSR included starting the first surgery on time, turnover time, and team composition.

Conclusions: FAST is a novel ML framework that can provide real time feedback for improving OR efficiency and SSR. Stakeholder integration is key in its success in uptake and adherence. This unique framework can be implemented in different hospitals and for diverse surgeries, offering a novel and innovative application of ML for improving OR efficiency without additional resources.

背景:迄今为止,机器学习(ML)在外科手术中的应用主要集中在手术变量的预测上,尚未发现其能显著提高手术室效率和手术成功率(SSR)。由于手术等待时间长、医疗资源有限和人口需求增加,需要创新的ML模型。因此,基于人工智能的手术转化框架(FAST)被创建,以提供实时建议,以提高手术室效率。方法:使用n=4796个骨科病例的数据集开发和评估FAST模型,该数据集利用手术和团队特定变量(例如特定团队组成,手术室更换时间,手术持续时间),以及与利益相关者定期举行的积极偏差研讨会,以确保依从性和吸收性。FAST使用六种机器学习算法创建,包括决策树和神经网络。FAST在加拿大首都(渥太华)一家医院的骨科手术中实施。结果:FAST在医院骨科手术室是可行和可实施的,通过PD研讨会,团队参与良好。FAST在23周(57个关节置换术天)内的SSR为93%,而基线时为39%。影响SSR的关键变量包括第一次手术按时开始,周转时间和团队组成。结论:FAST是一种新颖的ML框架,可以为提高OR效率和SSR提供实时反馈。利益相关者的整合是其在吸收和遵守方面取得成功的关键。这种独特的框架可以在不同的医院和不同的手术中实施,提供了一种新颖和创新的机器学习应用,可以在不增加资源的情况下提高手术室效率。
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Frontiers in Big Data
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