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NLP for computational insights into nutritional impacts on colorectal cancer care NLP对营养对结直肠癌护理影响的计算见解
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-04-17 DOI: 10.1016/j.slast.2025.100295
Shengnan Gong , Xiaohong Jin , Yujie Guo , Jie Yu
Colorectal cancer (CRC) is one of the most prominent cancers globally, with its incidence rising among younger adults due to improved screening practices. However, existing algorithms for CRC prediction are frequently trained on datasets that primarily reflect older persons, thus limiting their usefulness in more diverse populations. Additionally, the part of nutrition in CRC deterrence and management is gaining significant attention, although computational approaches to analyzing the impact of diet on CRC remain underdeveloped. This research introduces the Nutritional Impact on CRC Prediction Framework (NICRP-Framework), which combines Natural Language Processing (NLP) techniques with Adaptive Tunicate Swarm Optimized Large Language Models (ATSO-LLMs) to present important insights into the part of the diet in CRC care across diverse populations. The colorectal cancer dietary and lifestyle dataset, encompassing >1000 participants, is collected from multiple regions and sources. The dataset includes structured and unstructured data, including textual descriptions of food ingredients. These descriptions are processed using standardization techniques, such as stop word removal, lowercasing, and punctuation elimination. Relevant terms are then extracted and visualized in a word cloud. The dataset also contained an imbalanced binary CRC outcome, which is rebalanced utilizing the random oversampling. ATSO-LLMs are employed to analyze the processed dietary data, identifying key nutritional factors and forecasting CRC and non-CRC phenotypes based on dietary patterns. The results show that combining NLP-derived features with ATSO-LLMs significantly enhances prediction accuracy (98.4 %), sensitivity (97.6 %) specificity (96.9 %) and F1-Score (96.2 %), with minimal misclassification rates. This framework represents a transformative advancement in life science by offering a new, data-driven approach to understanding the nutritional determinants of CRC, empowering healthcare professionals to make more precise predictions and adapted dietary interventions for diverse populations.
结直肠癌(CRC)是全球最突出的癌症之一,由于筛查方法的改进,其在年轻人中的发病率正在上升。然而,现有的CRC预测算法经常在主要反映老年人的数据集上进行训练,从而限制了它们在更多样化人群中的实用性。此外,尽管分析饮食对结直肠癌影响的计算方法尚不发达,但营养在结直肠癌预防和管理中的作用正受到越来越多的关注。本研究介绍了营养对CRC预测框架(NICRP-Framework)的影响,该框架将自然语言处理(NLP)技术与自适应被囊动物群优化大语言模型(ATSO-LLMs)相结合,为不同人群CRC护理中的饮食部分提供了重要见解。结直肠癌饮食和生活方式数据集包括来自多个地区和来源的1000名参与者。该数据集包括结构化和非结构化数据,包括食品成分的文本描述。这些描述使用标准化技术进行处理,例如去除停止词、小写字母和标点符号。然后提取相关术语并在词云中可视化。该数据集还包含一个不平衡的二进制CRC结果,该结果利用随机过采样进行重新平衡。atso - llm用于分析处理后的饮食数据,识别关键营养因子,并根据饮食模式预测结直肠癌和非结直肠癌表型。结果表明,将nlp衍生特征与ATSO-LLMs相结合可显著提高预测准确率(98.4%)、灵敏度(97.6%)、特异性(96.9%)和F1-Score(96.2%),且误分类率最低。该框架通过提供一种新的数据驱动方法来了解结直肠癌的营养决定因素,使医疗保健专业人员能够针对不同人群做出更精确的预测和适应的饮食干预措施,代表了生命科学的变革性进步。
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引用次数: 0
Multi-layered data framework for enhancing postoperative outcomes and anaesthesia management through natural language processing 通过自然语言处理提高术后疗效和麻醉管理的多层数据框架
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-04-17 DOI: 10.1016/j.slast.2025.100294
Peng Xu
Anaesthesia management is a critical aspect of perioperative care, directly influencing postoperative recovery, pain management, and patient outcomes. Despite advancements in anaesthesia techniques, variability in patient responses and unexpected postoperative complications remain significant challenges. The research proposes a multi-layered architecture named Anaesthesia CareNet for analyzing data from diverse sources to enhance personalized anaesthesia management and postoperative outcome prediction. The architecture is structured into two primary layers: Data processing and Predictive Modeling. In the Data processing layer, advanced Natural Language Processing (NLP) techniques such as Named Entity Recognition (NER), normalization, lemmatization, and stemming are applied to clean and standardize the unstructured clinical data. Generative Pre-trained Transformer 3 (GPT-3), a Large Language Model (LLM) is employed as a feature extraction method, allowing the system to process and analyze complex clinical narratives and unstructured textual data from patient records. This enables more precise and personalized predictions, not only improving anaesthesia management but also laying the groundwork for broader applications in life sciences. The extracted data is passed into the predictive modeling layer, where the Intelligent Golden Eagle Fine-Tuned Logistic Regression (IGE-LR) model is applied. By analyzing correlations between patient characteristics, surgical details, and postoperative recovery patterns, IGE-LR enables the prediction of complications, pain management requirements, and recovery trajectories beyond anaesthesia; the methodology has potential applications in diverse areas such as diagnostics, drug discovery, and personalized medicine, where large-scale data analysis, predictive modeling, and real-time adaptability are crucial for improving patient outcomes. The proposed IGE-LR method achieves higher performance with 91.7 % accuracy, 90.6 % specificity, and 90 % AUC, with a recall of 91.3 %, precision of 90.1 %, and an F1-Score of 90.4 %. By leveraging advanced NLP and predictive analytics, Anaesthesia CareNet exemplifies how AI-driven frameworks can transform life sciences, advancing personalized healthcare and creating a more precise, efficient, and dynamic approach to treatment management.
麻醉管理是围手术期护理的一个关键方面,直接影响术后恢复、疼痛管理和患者预后。尽管麻醉技术取得了进步,但患者反应的可变性和意外的术后并发症仍然是重大挑战。该研究提出了一个名为Anaesthesia CareNet的多层架构,用于分析来自不同来源的数据,以增强个性化麻醉管理和术后结果预测。该体系结构分为两个主要层:数据处理和预测建模。在数据处理层,采用命名实体识别(NER)、规范化、词形化、词干化等先进的自然语言处理(NLP)技术对非结构化临床数据进行清理和标准化。采用生成式预训练变压器3 (GPT-3),一种大型语言模型(LLM)作为特征提取方法,使系统能够处理和分析来自患者记录的复杂临床叙述和非结构化文本数据。这使得更精确和个性化的预测成为可能,不仅改善了麻醉管理,而且为生命科学的更广泛应用奠定了基础。提取的数据被传递到预测建模层,在该层中应用智能金鹰微调逻辑回归(Intelligent Golden Eagle Fine-Tuned Logistic Regression, IGE-LR)模型。通过分析患者特征、手术细节和术后恢复模式之间的相关性,IGE-LR能够预测并发症、疼痛管理要求和麻醉后的恢复轨迹;该方法在诊断、药物发现和个性化医疗等不同领域具有潜在的应用前景,其中大规模数据分析、预测建模和实时适应性对改善患者预后至关重要。该方法准确率为91.7%,特异性为90.6%,AUC为90%,召回率为91.3%,精密度为90.1%,F1-Score为90.4%。通过利用先进的NLP和预测分析,ananesthesia CareNet展示了人工智能驱动的框架如何改变生命科学,推进个性化医疗保健,并创建更精确、高效和动态的治疗管理方法。
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引用次数: 0
The predictive value of chest CT combined with peripheral blood CD4/CD8 in patients with cerebral infarction complicated with pulmonary infection 胸部 CT 结合外周血 CD4/CD8 对脑梗死并发肺部感染患者的预测价值
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-04-11 DOI: 10.1016/j.slast.2025.100288
Haojie Wu, Jijing Zheng, Jianhua Zhang
To investigate the predictive value of chest computed tomography (CT) combined with peripheral blood CD4/CD8 in patients with cerebral infarction complicated with pulmonary infection. Lung consolidation, tree and bud sign, focus calcification ratio, C-reactive protein (CRP), procalcitonin (PCT), and interleukin-6 (IL-6) were significantly higher in the infected group than in the non-infected group, and CD4 and CD4/CD8 were significantly lower than in the non-infected group (P < 0.05). The results of stratified regression analysis showed that CRP, PCT, IL-6, lung consolidation, tree and bud sign, and calcification all had significant negative effects on CD4/CD8 (t=-5.875, -3.441, -10.406, -7.741, -3.977, -6.547, all P < 0.05). Lung consolidation, tree and bud signs, calcifications, elevated CRP, elevated PCT, and elevated IL-6 were risk factors for patients with pulmonary infection, and increased CD4/CD8 was a protective factor (P < 0.05). There was a non-linear dose-response relationship between CD4/CD8 and the risk of concurrent pulmonary infection (Pnon-linearity=0.037), with a cut-off value of 0.98. The sensitivity, specificity, positive predictive value, and negative predictive value of combined diagnosis were significantly higher than CD4/CD8 (χ2=6.098, 4.640, 4.643, 6.076, P = 0.014, 0.031, 0.031, 0.014), and the area under the ROC curve of combined diagnosis was significantly higher than chest CT and peripheral blood CD4/CD8 (Z = 4.018, 5.112, P = 0.046, 0.037). Thoracic CT combined with peripheral blood CD4/CD8 can improve the diagnostic efficiency of cerebral infarction patients complicated with pulmonary infection and provide reference for clinical diagnosis and treatment.
探讨胸部计算机断层扫描(CT)结合外周血CD4/CD8对脑梗死合并肺部感染的预测价值。感染组肺实变、树芽征、病灶钙化率、c反应蛋白(CRP)、降钙素原(PCT)、白细胞介素-6 (IL-6)显著高于未感染组,CD4、CD4/CD8显著低于未感染组(P <;0.05)。分层回归分析结果显示,CRP、PCT、IL-6、肺实变、树芽征、钙化对CD4/CD8均有显著负向影响(t=-5.875、-3.441、-10.406、-7.741、-3.977、-6.547,P <;0.05)。肺实变、树芽征、钙化、CRP升高、PCT升高、IL-6升高是肺部感染患者的危险因素,CD4/CD8升高是保护因素(P <;0.05)。CD4/CD8与并发肺部感染风险呈非线性剂量-反应关系(p非线性=0.037),截断值为0.98。联合诊断的敏感性、特异性、阳性预测值、阴性预测值均显著高于CD4/CD8 (χ2=6.098、4.640、4.643、6.076,P = 0.014、0.031、0.031、0.014),联合诊断的ROC曲线下面积显著高于胸部CT和外周血CD4/CD8 (Z = 4.018、5.112,P = 0.046、0.037)。胸部CT结合外周血CD4/CD8可提高脑梗死合并肺部感染患者的诊断效率,为临床诊治提供参考。
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引用次数: 0
Nano TiO2 photocatalytic combined with optimized operating room care in postoperative infection after gynecological open abdominal surgery 纳米TiO2光催化联合优化的手术室护理在妇科开腹术后感染中的应用
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-04-10 DOI: 10.1016/j.slast.2025.100291
Fang Yan , YuXuan Qi

Background

Disinfection of the operating room environment is essential to reduce the incidence of infection after laparotomy in obstetrics and gynecology. With the development of science and technology, nano-titanium dioxide (TiO2) photocatalytic technology has attracted much attention due to its high efficiency and low cost. To explore the effect of TiO2 photocatalytic technology and optimized operating room care in the prevention of postoperative infection in obstetrics and gynecology department.

Methods

Nano-TiO2 photocatalysts were prepared and characterized, and their bactericidal effect was analyzed. A total of 96 patients with gynecological open abdominal surgery were randomly divided into control group (CG) and observation group (BG), 48 cases in each group. The CG received routine care and the BG received optimized care. The wound healing rate, infection rate, serum immunoglobulin, and inflammatory factor levels were compared.

Results

The specific surface area of the nano-TiO2 photocatalyst was 75.1 m2/g, and the particle size was 16.6 nm, with rutile crystal structure. Compared with ultraviolet light, nano-TiO2 photocatalyst had better disinfection effect. Compared with the CG, the wound healing rate and IgG level were higher, and the infection rate, C-reactive protein, interleukin-6, and tumor necrosis factor-α were lower in the BG (P < 0.05).

Conclusion

The combination of nano-TiO2 photocatalytic disinfection and optimized nursing care resulted in a 16.66 % reduction in postoperative infections and a 14.58 % improvement in wound healing. This is associated with lower airborne pathogens (66.6 CFU/m3) and improved immune-inflammatory markers (↑IgG, ↓CRP/IL-6/TNF-α).
背景消毒手术室环境对降低妇产科剖腹手术后感染的发生率至关重要。随着科学技术的发展,纳米二氧化钛(TiO2)光催化技术因其高效、低成本而备受关注。探讨TiO2光催化技术及优化的手术室护理在预防妇产科术后感染中的作用。方法制备纳米tio2光催化剂,对其进行表征,并对其杀菌效果进行分析。将96例妇科开腹手术患者随机分为对照组(CG)和观察组(BG),每组48例。CG组给予常规护理,BG组给予优化护理。比较两组创面愈合率、感染率、血清免疫球蛋白、炎症因子水平。结果纳米tio2光催化剂的比表面积为75.1 m2/g,粒径为16.6 nm,具有金红石型晶体结构。与紫外光相比,纳米tio2光催化剂具有更好的消毒效果。与CG组比较,BG组创面愈合率、IgG水平较高,感染率、c反应蛋白、白细胞介素-6、肿瘤坏死因子-α均较CG组低(P <;0.05)。结论纳米tio2光催化消毒配合优化护理,术后感染发生率降低16.66%,创面愈合率提高14.58%。这与降低空气传播病原体(66.6 CFU/m3)和改善免疫炎症标志物(↑IgG,↓CRP/IL-6/TNF-α)有关。
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引用次数: 0
Enhancing Ophthalmic Anesthesia Optimization with Predictive Embedding Models 利用预测嵌入模型加强眼科麻醉优化
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-04-10 DOI: 10.1016/j.slast.2025.100290
Mingdi Zhang , Wanqiu Jiao , Kehui Tong , Ping Zhang
Ophthalmic anesthesia the crucial factors in success and safety of ophthalmic surgery, which involves the delicate aspects of pain control, sedation, and patient response. Advances in ophthalmic surgery cause a need for exact and individualized anesthetic procedures to maximize patient satisfaction and outcomes. This research investigates the machine learning (ML) and natural language processing (NLP) to personalize the practice of ophthalmic anesthesia. Text data includes preoperative assessments; drug history, procedure information, and discharge summary are preprocessed using the NLP approach, stop word removal, and lemmatization. Word2Vec technique is applied for feature extraction to represent clinical terms with vectors which carry semantic meaning, helping the model comprehend the text better. This research proposes a ML algorithm of Efficient Osprey Optimized Resilient Random Forest (EOO-RRF) model to forecast ideal anesthesia plans and patient results. Experimental results show that the EOO-RRF model is superior to traditional methods and achieves metrics such as MSE = 28.424, RMSE = 4.321, AUC=98.32% and R2 = 0.956. The results indicate that combining NLP and ML in ophthalmic anesthesia leads to safer, more efficient, and personalized anesthetic management.
眼麻醉是眼科手术成功和安全的关键因素,它涉及到疼痛控制、镇静和患者反应的微妙方面。眼科手术的进步导致需要精确和个性化的麻醉程序,以最大限度地提高患者的满意度和结果。本研究探讨了机器学习(ML)和自然语言处理(NLP)在眼科麻醉实践中的应用。文本数据包括术前评估;使用NLP方法预处理药物历史,程序信息和出院摘要,停止词去除和词序化。采用Word2Vec技术进行特征提取,用带有语义的向量表示临床术语,帮助模型更好地理解文本。本研究提出了一种高效鱼鹰优化弹性随机森林(EOO-RRF)模型的ML算法,用于预测理想的麻醉方案和患者结果。实验结果表明,oo - rrf模型优于传统方法,MSE = 28.424, RMSE = 4.321, AUC=98.32%, R2 = 0.956。结果表明,NLP与ML联合应用于眼麻醉可实现更安全、更有效、更个性化的麻醉管理。
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引用次数: 0
Large language models in breast cancer reconstruction: A framework for patient-specific recovery and predictive insights 乳腺癌重建中的大型语言模型:患者特异性恢复和预测性见解的框架
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-04-10 DOI: 10.1016/j.slast.2025.100285
Chunrao Zheng, Qunfang Li, Geling Lu, Yuchang Mai, Yuan Hu
Breast cancer reconstruction, a vital part of comprehensive cancer therapy, can be performed concurrently with cancer resection, improving both physical and psychological recovery for patients. However, the intricacy and variety of recovery demand a specialized strategy. Thus, a unique framework that uses Natural Language Processing (NLP) and Large Language Models (LLMs) is developed to improve patient-specific recovery and predictive insights during breast cancer reconstruction. Lemmatization/Stemming is used for pre-processing large volumes of data from medical records, clinical notes, and treatment histories and BioBERT, a model pretrained on biomedical texts to capture complex medical terminology used for feature extraction and aids in the transformation of text data into numerical vectors. The approach employs forecasting models like ChatGPT-4 and Gemini to offer insights into the likelihood of successful reconstruction and associated problems based on specific patient characteristics, treatment options, and recovery timelines. Using sophisticated LLMs, this framework provides clinicians with a powerful tool for personalizing care by anticipating postoperative complications, recovery durations, and psychosocial consequences. Furthermore, it allows for the development of targeted rehabilitation programs that are adapted to unique patient needs, enabling greater recovery and overall quality of life. This approach not only improves clinical decision-making but also empowers patients by offering personalized recovery strategies. As a result, the accuracy of ChatGPT-4 is 98.4 % and Gemini is 98.7 %; the score per response is 2.52 for ChatGPT-4 and 2.89 for Gemini. Readability of ChatGPT-4 is 93.0 % and Gemini is 94.5 %; a relevance score is 95.5 % and 94.0 % for ChatGPT-4 and Gemini, and time response is 2.5 s for ChatGPT-4 and 2.5 s for Gemini. Finally, this research indicates how NLP and LLMs can transform breast cancer reconstruction by offering predictive insights and promoting tailored, patient-centered therapy, bridging the gap between powerful computational technologies and life science research to better patient care.
乳腺癌重建是癌症综合治疗的重要组成部分,可与肿瘤切除同时进行,提高患者的生理和心理恢复。然而,恢复的复杂性和多样性需要一个专门的策略。因此,使用自然语言处理(NLP)和大型语言模型(llm)的独特框架被开发出来,以提高乳腺癌重建期间患者特异性恢复和预测见解。词干化/词干化用于预处理来自医疗记录、临床记录和治疗史的大量数据,而BioBERT是一种对生物医学文本进行预训练的模型,用于捕获用于特征提取的复杂医学术语,并有助于将文本数据转换为数字向量。该方法采用ChatGPT-4和Gemini等预测模型,根据特定的患者特征、治疗方案和恢复时间表,提供对成功重建的可能性和相关问题的见解。使用复杂的法学硕士,该框架为临床医生提供了强大的工具,通过预测术后并发症,恢复时间和心理社会后果来个性化护理。此外,它还允许开发有针对性的康复计划,以适应患者的独特需求,从而实现更大的恢复和整体生活质量。这种方法不仅改善了临床决策,而且通过提供个性化的康复策略赋予患者权力。结果,ChatGPT-4的准确率为98.4%,Gemini为98.7%;ChatGPT-4和Gemini的得分分别为2.52和2.89。ChatGPT-4的可读性为93.0%,Gemini为94.5%;ChatGPT-4和Gemini的相关性评分分别为95.5%和94.0%,ChatGPT-4和Gemini的时间反应分别为2.5 s和2.5 s。最后,本研究表明,NLP和llm如何通过提供预测性见解和促进量身定制的、以患者为中心的治疗,弥合强大的计算技术和生命科学研究之间的差距,从而改善患者护理,从而改变乳腺癌重建。
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引用次数: 0
Artificial intelligence medical image-aided diagnosis system for risk assessment of adjacent segment degeneration after lumbar fusion surgery 人工智能医学影像辅助诊断系统用于腰椎融合术后邻近节段退变风险评估
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-04-10 DOI: 10.1016/j.slast.2025.100283
Bin Dai , Xinyu Liang , Yan Dai , Xintian Ding
The existing assessment of adjacent segment degeneration (ASD) risk after lumbar fusion surgery focuses on a single type of clinical information or imaging manifestations. In the early stages, it is difficult to show obvious degeneration characteristics, and the patients’ true risks cannot be fully revealed. The evaluation results based on imaging ignore the clinical symptoms and changes in quality of life of patients, limiting the understanding of the natural process of ASD and the comprehensive assessment of its risk factors, and hindering the development of effective prevention strategies. To improve the quality of postoperative management and effectively identify the characteristics of ASD, this paper studies the risk assessment of ASD after lumbar fusion surgery by combining the artificial intelligence (AI) medical image-aided diagnosis system. First, the collaborative attention mechanism is adopted to start with the extraction of single-modal features and fuse the multi-modal features of computed tomography (CT) and magnetic resonance imaging (MRI) images. Then, the similarity matrix is weighted to achieve the complementarity of multi-modal information, and the stability of feature extraction is improved through the residual network structure. Finally, the fully connected network (FCN) is combined with the multi-task learning framework to provide a more comprehensive assessment of the risk of ASD. The experimental analysis results show that compared with three advanced models, three dimensional-convolutional neural networks (3D-CNN), U-Net++, and deep residual networks (DRN), the accuracy of the model in this paper is 3.82 %, 6.17 %, and 6.68 % higher respectively; the precision is 0.56 %, 1.09 %, and 4.01 % higher respectively; the recall is 3.41 %, 4.85 %, and 5.79 % higher respectively. The conclusion shows that the AI medical image-aided diagnosis system can help to accurately identify the characteristics of ASD and effectively assess the risks after lumbar fusion surgery.
目前对腰椎融合术后邻段退变(ASD)风险的评估主要集中在单一类型的临床信息或影像学表现上。在早期很难表现出明显的退行性变特征,不能充分揭示患者的真实风险。基于影像学的评价结果忽视了患者的临床症状和生活质量的变化,限制了对ASD自然过程的认识和对其危险因素的综合评估,阻碍了制定有效的预防策略。为提高术后管理质量,有效识别ASD特征,本文结合人工智能(AI)医学影像辅助诊断系统,对腰椎融合术后ASD的风险评估进行研究。首先,采用协同注意机制,从单模态特征提取入手,融合计算机断层扫描(CT)和磁共振成像(MRI)图像的多模态特征;然后对相似矩阵进行加权,实现多模态信息的互补性,并通过残差网络结构提高特征提取的稳定性。最后,将全连接网络(FCN)与多任务学习框架相结合,提供更全面的ASD风险评估。实验分析结果表明,与三维卷积神经网络(3D-CNN)、U-Net++和深度残差网络(DRN)三种先进模型相比,本文模型的准确率分别提高了3.82%、6.17%和6.68%;精密度分别提高0.56%、1.09%和4.01%;召回率分别提高了3.41%、4.85%和5.79%。结论表明AI医学影像辅助诊断系统有助于准确识别ASD的特征,有效评估腰椎融合术后的风险。
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引用次数: 0
AI driven cardiovascular risk prediction using NLP and Large Language Models for personalized medicine in athletes 使用NLP和大型语言模型对运动员进行个性化医疗的人工智能驱动的心血管风险预测
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-04-10 DOI: 10.1016/j.slast.2025.100286
Ang Li , Yunxin Wang , Hongxu Chen
The performance and long-term health of athletes are significantly influenced by their cardiovascular resilience and associated risk factors. This study explores the innovative applications of Natural Language Processing (NLP) and Large Language Models (LLMs) in biomedical diagnostics, particularly for AI-driven arrhythmia detection, hypertrophic cardiomyopathy (HCM) in athletes, and personalized medicine. The complexity of analysing diverse biomedical datasets, such as electrocardiograms (ECG), clinical records, genetic screening reports, and imaging results, poses challenges in obtaining precise early diagnoses. To address these issues, we introduce a hybrid machine learning (ML) framework that integrates the Wolf Pack Search Algorithm Dynamic Random Forest (WPSA-DRF) with a RoBERTa-based LLM to enhance the accuracy of cardiovascular disease predictions. Using advanced NLP techniques, including biomedical text mining, entity recognition, and feature extraction, the system processes structured and unstructured clinical data to detect abnormalities associated with sudden cardiac arrest (SCA), arrhythmias, and genetic cardiomyopathies. The proposed system achieves a diagnostic accuracy of 92.5 %, precision of 92.7 %, recall of 99.23 %, and F1-score of 95.6 %, outperforming traditional diagnostic methodologies. Furthermore, the research underscores the role of LLMs in personalized medicine, identifying patient-specific risk factors and optimizing treatment pathways for cardiac patients. This work highlights how NLP-driven AI solutions are transforming biomedical research, accelerating early disease detection, and improving clinical decision-making for both athletes and the general population.
运动员的心血管恢复力及其相关危险因素对运动员的运动成绩和长期健康有显著影响。本研究探讨了自然语言处理(NLP)和大型语言模型(LLMs)在生物医学诊断中的创新应用,特别是在人工智能驱动的心律失常检测、运动员肥厚性心肌病(HCM)和个性化医疗方面。分析各种生物医学数据集的复杂性,如心电图(ECG)、临床记录、遗传筛查报告和成像结果,对获得精确的早期诊断提出了挑战。为了解决这些问题,我们引入了一个混合机器学习(ML)框架,该框架将狼群搜索算法动态随机森林(WPSA-DRF)与基于roberta的LLM集成在一起,以提高心血管疾病预测的准确性。使用先进的NLP技术,包括生物医学文本挖掘、实体识别和特征提取,该系统处理结构化和非结构化临床数据,以检测与心脏骤停(SCA)、心律失常和遗传性心肌病相关的异常。该系统的诊断准确率为92.5%,精密度为92.7%,召回率为99.23%,f1评分为95.6%,优于传统的诊断方法。此外,该研究强调了llm在个性化医疗中的作用,确定患者特定的风险因素并优化心脏病患者的治疗途径。这项工作强调了nlp驱动的人工智能解决方案如何改变生物医学研究,加速早期疾病检测,并改善运动员和一般人群的临床决策。
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引用次数: 0
A hybrid PKI and spiking neural network approach for enhancing security and energy efficiency in IoMT-based healthcare 5.0 在基于物联网技术的医疗保健 5.0 中提高安全性和能效的 PKI 和尖峰神经网络混合方法
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-04-10 DOI: 10.1016/j.slast.2025.100284
Dipalee D․Rane Chaudhari , Manisha S. Bhende , Aadam Quraishi , Azzah AlGhamdi , Ismail Keshta , Mukesh Soni , Brajesh Kumar Singh , Haewon Byeon , Mohammad Shabaz
In the rapidly evolving field of healthcare 5.0, the Internet of Medical Things (IoMT) is expected to be an enabler that allows smart medical devices to collaborate and communicate with healthcare networks to speed up procedures, enhance care, and improve disease management. However, one of the critical issues for these networks still remains the secure and energy-efficient transmission of sensitive patient data. Thus, a novel security framework is proposed in this work, in which a Public Key Infrastructure- Energy-Efficient Routing Protocol (PKI-EERP) with a Zebra Optimization Algorithm (ZOA) is incorporated in spiking neural networks. The method combines data security robustness of the spiking neural networks to detect anomalies and check for access control purposes, with the PKI encryption to provide safe encryption and key management. The ZOA optimizes energy consumption in WSNs, and as a result transmission energy is significantly reduced up to 35 % compared to other implementations, and the network lifetime is increased by about 30 % through effective load balancing. It enhances both the privacy and energy efficiency that are essential for the safe and reliable operation of IoMT systems in contemporary healthcare environments, thus improving patient outcomes as well as standards of operations.
在快速发展的医疗5.0领域,医疗物联网(IoMT)有望成为一个推动者,使智能医疗设备能够与医疗网络协作和通信,从而加快流程、加强护理和改善疾病管理。然而,这些网络的关键问题之一仍然是敏感患者数据的安全和节能传输。因此,本文提出了一种新的安全框架,在该框架中,将具有斑马优化算法(ZOA)的公钥基础设施-节能路由协议(PKI-EERP)集成到峰值神经网络中。该方法将脉冲神经网络的数据安全鲁棒性与PKI加密相结合,以检测异常和检查访问控制目的,提供安全的加密和密钥管理。ZOA优化了wsn的能量消耗,与其他实现相比,传输能量显著降低35%,通过有效的负载均衡,网络寿命延长约30%。它提高了隐私和能源效率,这对于在当代医疗保健环境中安全可靠地运行IoMT系统至关重要,从而改善了患者的治疗效果和操作标准。
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引用次数: 0
Association of the characteristics of brain magnetic resonance imaging with genes related to disease onset in schizophrenia patients 精神分裂症患者脑磁共振成像特征与发病相关基因的关系
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-03-28 DOI: 10.1016/j.slast.2025.100281
Jiantu Lin , Bo Wang , Shaoguang Chen , Fengling Cao , Jingbin Zhang , Zirong Lu

Background

Schizophrenia (SCH) is a complex neurodevelopmental disorder, whose pathogenesis is not fully elucidated. This article aims to reveal disease-specific brain structural and functional changes and their potential genetic basis by analyzing the characteristics of brain magnetic resonance imaging (MRI) in SCH patients and related gene expression patterns. Methods: Differentially expressed genes (DEGs) between SCH and healthy control (NC) groups in the GSE48072 dataset were identified and functionally analyzed, and a protein-protein interaction (PPI) network was fabricated to screen for core genes (CGs). Meanwhile, MRI data from the COBRE, the Human Connectome Project (HCP), the 1000 Functional Connectomes Project (FCP), and the Consortium for Reliability and Reproducibility (CoRR) were utilized to explore differences in brain activity patterns between SCH patients and NC group using a 3D deep aggregation network (3D DANet) machine learning approach. A correlation analysis was performed between the identified CGs and MRI imaging characteristics. Results: 82 DEGs were collected from the GSE48072 dataset, primarily involved in cytotoxic granules, growth factor binding, and graft-versus-host disease pathways. The construction of the PPI network revealed KLRD1, KLRF1, CD244, GZMH, GZMA, GZMB, PRF1, and SLAMF6 as CGs. SCH patients exhibited relatively enhanced activity patterns in the frontoparietal attention network (FAN) and default mode network (DMN) across four datasets, while showing a trend of weakening in most other networks. The 3D DANet demonstrated higher accuracy, specificity, and sensitivity in brain image classification. The correlation between enhancement of the DMN and genetic abnormalities was the strongest, followed by the enhancement of the frontal and parietal attention networks. In contrast, the correlation between the weakening of the sensory-motor network and occipital network and genetic abnormalities was relatively weak. The strongest correlation was observed between MRI characteristics and the KLRD1 and CD244 genes. Conclusion: The granzyme-mediated programmed cell death signaling pathway is related to pathogenesis of SCH, and CD244 may serve as potential biological markers for diagnosing SCH. The correlation between enhancement of the DMN and genetic abnormalities was the strongest, followed by the enhancement of the frontal and parietal attention networks. In contrast, the correlation between weakening of the sensory-motor network and occipital network and genetic abnormalities was relatively weak. Additionally, the strongest correlation was observed between MRI features and the KLRD1 and CD244 genes. The use of the 3D DANet method has improved the detection precision of brain structural and functional changes in SCH patients, providing a new perspective for understanding the biological basis of the disease.
背景:精神分裂症是一种复杂的神经发育障碍,其发病机制尚未完全阐明。本文旨在通过分析SCH患者的脑磁共振成像(MRI)特征及相关基因表达模式,揭示疾病特异性脑结构和功能变化及其潜在的遗传基础。方法:对GSE48072数据集中SCH组与NC组之间的差异表达基因(differential expression genes, DEGs)进行鉴定和功能分析,构建蛋白-蛋白相互作用(protein-protein interaction, PPI)网络筛选核心基因(CGs)。同时,利用来自COBRE、Human Connectome Project (HCP)、1000 Functional Connectome Project (FCP)和Consortium for Reliability and Reproducibility (CoRR)的MRI数据,采用3D deep aggregation network (3D DANet)机器学习方法,探讨SCH患者和NC组之间大脑活动模式的差异。对所识别的cg与MRI成像特征进行相关性分析。结果:从GSE48072数据集中收集了82个deg,主要涉及细胞毒性颗粒,生长因子结合和移植物抗宿主病途径。构建的PPI网络显示,KLRD1、KLRF1、CD244、GZMH、GZMA、GZMB、PRF1和SLAMF6为CGs。在四个数据集上,SCH患者在额顶叶注意网络(FAN)和默认模式网络(DMN)中表现出相对增强的活动模式,而在其他大多数网络中表现出减弱的趋势。3D DANet在脑图像分类中表现出更高的准确性、特异性和敏感性。DMN的增强与基因异常之间的相关性最强,其次是额叶和顶叶注意网络的增强。相比之下,感觉-运动网络和枕部网络的减弱与基因异常的相关性相对较弱。MRI特征与KLRD1和CD244基因之间的相关性最强。结论:颗粒酶介导的程序性细胞死亡信号通路与SCH的发病机制有关,CD244可能是诊断SCH的潜在生物学标志物。DMN的增强与遗传异常的相关性最强,其次是额叶和顶叶注意网络的增强。相比之下,感觉-运动网络和枕部网络的减弱与基因异常的相关性相对较弱。此外,MRI特征与KLRD1和CD244基因之间的相关性最强。3D DANet方法的使用提高了SCH患者脑结构和功能变化的检测精度,为了解疾病的生物学基础提供了新的视角。
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SLAS Technology
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