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Research on the Application and Interpretability of Predictive Statistical Data Analysis Methods in Medicine 预测性统计数据分析方法在医学中的应用和可解释性研究
Pub Date : 2024-01-30 DOI: 10.3390/biomedinformatics4010018
Pentti Nieminen
Multivariable statistical analysis involves the dichotomy of modeling and predicting [...]
多变量统计分析涉及建模和预测的二分法 [...]
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引用次数: 0
Artificial Intelligence Analysis and Reverse Engineering of Molecular Subtypes of Diffuse Large B-Cell Lymphoma Using Gene Expression Data 利用基因表达数据对弥漫大 B 细胞淋巴瘤分子亚型进行人工智能分析和逆向工程研究
Pub Date : 2024-01-26 DOI: 10.3390/biomedinformatics4010017
J. Carreras, Yara Yukie Kikuti, M. Miyaoka, Saya Miyahara, Giovanna Roncador, R. Hamoudi, Naoya Nakamura
Diffuse large B-cell lymphoma is one of the most frequent mature B-cell hematological neoplasms and non-Hodgkin lymphomas. Despite advances in diagnosis and treatment, clinical evolution is unfavorable in a subset of patients. Using molecular techniques, several pathogenic models have been proposed, including cell-of-origin molecular classification; Hans’ classification and derivates; and the Schmitz, Chapuy, Lacy, Reddy, and Sha models. This study introduced different machine learning techniques and their classification. Later, several machine learning techniques and artificial neural networks were used to predict the DLBCL subtypes with high accuracy (100–95%), including Germinal center B-cell like (GCB), Activated B-cell like (ABC), Molecular high-grade (MHG), and Unclassified (UNC), in the context of the data released by the REMoDL-B trial. In order of accuracy (MHG vs. others), the techniques were XGBoost tree (100%); random trees (99.9%); random forest (99.5%); and C5, Bayesian network, SVM, logistic regression, KNN algorithm, neural networks, LSVM, discriminant analysis, CHAID, C&R tree, tree-AS, Quest, and XGBoost linear (99.4–91.1%). The inputs (predictors) were all the genes of the array and a set of 28 genes related to DLBCL-Burkitt differential expression. In summary, artificial intelligence (AI) is a useful tool for predictive analytics using gene expression data.
弥漫大 B 细胞淋巴瘤是最常见的成熟 B 细胞血液肿瘤和非霍奇金淋巴瘤之一。尽管在诊断和治疗方面取得了进步,但仍有一部分患者的临床进展不佳。人们利用分子技术提出了几种致病模型,包括原发细胞分子分类、汉斯分类及其衍生模型,以及施密茨、查普伊、莱西、雷迪和沙模型。这项研究介绍了不同的机器学习技术及其分类方法。随后,研究人员结合 REMoDL-B 试验发布的数据,使用几种机器学习技术和人工神经网络对 DLBCL 亚型进行了高准确率(100%-95%)预测,包括类生殖中心 B 细胞(GCB)、类活化 B 细胞(ABC)、分子高级别(MHG)和未分类(UNC)。按准确率(MHG 与其他)排序,这些技术依次为 XGBoost 树(100%)、随机树(99.9%)、随机森林(99.5%)以及 C5、贝叶斯网络、SVM、逻辑回归、KNN 算法、神经网络、LSVM、判别分析、CHAID、C&R 树、tree-AS、Quest 和 XGBoost 线性(99.4%-91.1%)。输入(预测因子)是阵列的所有基因和一组与 DLBCL-Burkitt 差异表达相关的 28 个基因。总之,人工智能(AI)是利用基因表达数据进行预测分析的有用工具。
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引用次数: 0
Tetanus Severity Classification in Low-Middle Income Countries through ECG Wearable Sensors and a 1D-Vision Transformer 通过心电图可穿戴传感器和一维视觉转换器对中低收入国家的破伤风严重程度进行分类
Pub Date : 2024-01-19 DOI: 10.3390/biomedinformatics4010016
Ping Lu, Zihao Wang, Hai Duong Ha Thi, Ho Bich Hai, Louise Thwaites, David A. Clifton
Tetanus, a life-threatening bacterial infection prevalent in low- and middle-income countries like Vietnam, impacts the nervous system, causing muscle stiffness and spasms. Severe tetanus often involves dysfunction of the autonomic nervous system (ANS). Timely detection and effective ANS dysfunction management require continuous vital sign monitoring, traditionally performed using bedside monitors. However, wearable electrocardiogram (ECG) sensors offer a more cost-effective and user-friendly alternative. While machine learning-based ECG analysis can aid in tetanus severity classification, existing methods are excessively time-consuming. Our previous studies have investigated the improvement of tetanus severity classification using ECG time series imaging. In this study, our aim is to explore an alternative method using ECG data without relying on time series imaging as an input, with the aim of achieving comparable or improved performance. To address this, we propose a novel approach using a 1D-Vision Transformer, a pioneering method for classifying tetanus severity by extracting crucial global information from 1D ECG signals. Compared to 1D-CNN, 2D-CNN, and 2D-CNN + Dual Attention, our model achieves better results, boasting an F1 score of 0.77 ± 0.06, precision of 0.70 ± 0. 09, recall of 0.89 ± 0.13, specificity of 0.78 ± 0.12, accuracy of 0.82 ± 0.06 and AUC of 0.84 ± 0.05.
破伤风是一种危及生命的细菌感染,流行于越南等中低收入国家,会影响神经系统,导致肌肉僵硬和痉挛。严重的破伤风通常会导致自律神经系统(ANS)功能紊乱。及时发现和有效处理自律神经系统功能障碍需要持续的生命体征监测,传统上使用床旁监护仪进行监测。然而,可穿戴式心电图(ECG)传感器提供了一种更具成本效益且用户友好的替代方法。虽然基于机器学习的心电图分析有助于破伤风严重程度分类,但现有方法耗时过长。我们以前的研究曾调查过利用心电图时间序列成像改进破伤风严重程度分类的情况。在本研究中,我们的目标是探索一种使用心电图数据的替代方法,而不依赖于时间序列成像作为输入,以期达到相当或更高的性能。为此,我们提出了一种使用一维视觉变换器的新方法,这是一种通过从一维心电信号中提取关键的全局信息来对破伤风严重程度进行分类的开创性方法。与 1D-CNN、2D-CNN 和 2D-CNN + Dual Attention 相比,我们的模型取得了更好的结果,F1 得分为 0.77 ± 0.06,精确度为 0.70 ± 0.09,召回率为 0.89 ± 0.13,特异性为 0.78 ± 0.12,准确度为 0.82 ± 0.06,AUC 为 0.84 ± 0.05。
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引用次数: 0
Deep Machine Learning for Medical Diagnosis, Application to Lung Cancer Detection: A Review 用于医疗诊断的深度机器学习,在肺癌检测中的应用:综述
Pub Date : 2024-01-18 DOI: 10.3390/biomedinformatics4010015
Hadrien T. Gayap, Moulay A. Akhloufi
Deep learning has emerged as a powerful tool for medical image analysis and diagnosis, demonstrating high performance on tasks such as cancer detection. This literature review synthesizes current research on deep learning techniques applied to lung cancer screening and diagnosis. This review summarizes the state-of-the-art in deep learning for lung cancer detection, highlighting key advances, limitations, and future directions. We prioritized studies utilizing major public datasets, such as LIDC, LUNA16, and JSRT, to provide a comprehensive overview of the field. We focus on deep learning architectures, including 2D and 3D convolutional neural networks (CNNs), dual-path networks, Natural Language Processing (NLP) and vision transformers (ViT). Across studies, deep learning models consistently outperformed traditional machine learning techniques in terms of accuracy, sensitivity, and specificity for lung cancer detection in CT scans. This is attributed to the ability of deep learning models to automatically learn discriminative features from medical images and model complex spatial relationships. However, several challenges remain to be addressed before deep learning models can be widely deployed in clinical practice. These include model dependence on training data, generalization across datasets, integration of clinical metadata, and model interpretability. Overall, deep learning demonstrates great potential for lung cancer detection and precision medicine. However, more research is required to rigorously validate models and address risks. This review provides key insights for both computer scientists and clinicians, summarizing progress and future directions for deep learning in medical image analysis.
深度学习已成为医学图像分析和诊断的强大工具,在癌症检测等任务中表现出很高的性能。本文献综述总结了当前应用于肺癌筛查和诊断的深度学习技术研究。本综述总结了深度学习在肺癌检测方面的最新研究成果,突出强调了主要进展、局限性和未来方向。我们优先考虑利用主要公共数据集(如 LIDC、LUNA16 和 JSRT)进行的研究,以提供该领域的全面概述。我们重点关注深度学习架构,包括二维和三维卷积神经网络(CNN)、双路径网络、自然语言处理(NLP)和视觉转换器(ViT)。在各项研究中,深度学习模型在 CT 扫描肺癌检测的准确性、灵敏度和特异性方面始终优于传统的机器学习技术。这归功于深度学习模型能够自动学习医学图像中的鉴别特征,并对复杂的空间关系进行建模。然而,在将深度学习模型广泛应用于临床实践之前,仍有一些挑战有待解决。这些挑战包括模型对训练数据的依赖性、跨数据集的泛化、临床元数据的整合以及模型的可解释性。总体而言,深度学习在肺癌检测和精准医疗方面具有巨大潜力。然而,还需要更多的研究来严格验证模型并解决风险问题。本综述为计算机科学家和临床医生提供了重要见解,总结了深度学习在医学图像分析方面的进展和未来方向。
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引用次数: 0
Factors Associated with Unplanned Hospital Readmission after Discharge: A Descriptive and Predictive Study Using Electronic Health Record Data 出院后非计划再入院的相关因素:利用电子健康记录数据进行描述性和预测性研究
Pub Date : 2024-01-12 DOI: 10.3390/biomedinformatics4010014
Safaa Dafrallah, Moulay A. Akhloufi
Hospital readmission involves the unplanned emergency admission of patients within 30 days from discharge after the previous admission. According to the Canadian Health Institute (CIHI), 1 in 11 patients were readmitted within 30 days of leaving the hospital in 2021. In the USA, nearly 20% of Medicare patients were readmitted after discharge, where the average cost of readmission was approximately USD 15,000, as reported by the Agency for Healthcare Research and Quality (AHQR) in 2018. To tackle this issue, we first conducted a descriptive analysis study to understand the risk factors associated with hospital readmission, and then we applied machine learning approaches to predict hospital readmission by using patients’ demographic and clinical data extracted from the Electronic Health Record of the MIMIC-III clinical database. The results showed that the number of previous admissions during the last 12 months, hyperosmolar imbalance and comorbidity index were the top three significant factors for hospital readmission. The predictive model achieved a performance of 95.6% AP and an AUC = 97.3% using the Gradient Boosting algorithm trained on all features.
再入院是指患者在前一次入院后出院 30 天内的计划外紧急入院。根据加拿大卫生研究所(CIHI)的数据,2021 年,每 11 名患者中就有 1 人在出院后 30 天内再次入院。在美国,根据医疗保健研究与质量机构(AHQR)2018 年的报告,近 20% 的医疗保险患者在出院后再次入院,再次入院的平均费用约为 15000 美元。为解决这一问题,我们首先进行了描述性分析研究,以了解与再入院相关的风险因素,然后通过从MIMIC-III临床数据库的电子健康记录中提取的患者人口统计学和临床数据,应用机器学习方法预测再入院情况。结果表明,过去12个月内的入院次数、高渗性失衡和合并症指数是导致再入院的前三位重要因素。使用梯度提升算法(Gradient Boosting algorithm)对所有特征进行训练后,预测模型的 AP 值达到 95.6%,AUC = 97.3%。
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引用次数: 0
Small Bowel Dose Constraints in Radiation Therapy—Where Omics-Driven Biomarkers and Bioinformatics Can Take Us in the Future 放射治疗中的小肠剂量限制--Omics 驱动的生物标记物和生物信息学的未来方向
Pub Date : 2024-01-11 DOI: 10.3390/biomedinformatics4010011
Orly Yariv, K. Camphausen, Andra V. Krauze
Radiation-induced gastrointestinal (GI) dose constraints are still a matter of concern with the ongoing evolution of patient outcomes and treatment-related toxicity in the era of image-guided intensity-modulated radiation therapy (IMRT), stereotactic ablative radiotherapy (SABR), and novel systemic agents. Small bowel (SB) dose constraints in pelvic radiotherapy (RT) are a critical aspect of treatment planning, and prospective data to support them are scarce. Previous and current guidelines are based on retrospective data and experts’ opinions. Patient-related factors, including genetic, biological, and clinical features and systemic management, modulate toxicity. Omic and microbiome alterations between patients receiving RT to the SB may aid in the identification of patients at risk and real-time identification of acute and late toxicity. Actionable biomarkers may represent a pragmatic approach to translating findings into personalized treatment with biologically optimized dose escalation, given the mitigation of the understood risk. Biomarkers grounded in the genome, transcriptome, proteome, and microbiome should undergo analysis in trials that employ, R.T. Bioinformatic templates will be needed to help advance data collection, aggregation, and analysis, and eventually, decision making with respect to dose constraints in the modern RT era.
在图像引导调强放射治疗(IMRT)、立体定向消融放射治疗(SABR)和新型全身性药物时代,随着患者预后和治疗相关毒性的不断发展,放射引起的胃肠道(GI)剂量限制仍然是一个值得关注的问题。盆腔放疗(RT)中的小肠(SB)剂量限制是治疗计划的一个关键方面,而支持这些限制的前瞻性数据却很少。以往和当前的指南都是基于回顾性数据和专家意见。与患者相关的因素,包括遗传、生物、临床特征和系统管理,都会影响毒性。SB接受RT治疗的患者之间的Omic和微生物组改变可能有助于识别高危患者并实时识别急性和晚期毒性。可操作的生物标志物可能是将研究结果转化为个性化治疗的实用方法,在减轻已知风险的前提下进行生物优化剂量升级。在采用 RT 的试验中,应该对基因组、转录组、蛋白质组和微生物组中的生物标志物进行分析。将需要生物信息模板来帮助推进数据收集、汇总和分析,并最终就现代 RT 时代的剂量限制做出决策。
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引用次数: 0
Digital Pathology: A Comprehensive Review of Open-Source Histological Segmentation Software 数字病理学:开源组织学分割软件综述
Pub Date : 2024-01-11 DOI: 10.3390/biomedinformatics4010012
A. M. Pavone, Antonio Giulio Giannone, Daniela Cabibi, Simona D’Aprile, Simona Denaro, G. Salvaggio, R. Parenti, Anthony Yezzi, A. Comelli
In the era of digitalization, the biomedical sector has been affected by the spread of artificial intelligence. In recent years, the possibility of using deep and machine learning methods for clinical diagnostic and therapeutic interventions has been emerging as an essential resource for biomedical imaging. Digital pathology represents innovation in a clinical world that looks for faster and better-performing diagnostic methods, without losing the accuracy of current human-guided analyses. Indeed, artificial intelligence has played a key role in a wide variety of applications that require the analysis of a massive amount of data, including segmentation processes in medical imaging. In this context, artificial intelligence enables the improvement of image segmentation methods, moving towards the development of fully automated systems of analysis able to support pathologists in decision-making procedures. The aim of this review is to aid biologists and clinicians in discovering the most common segmentation open-source tools, including ImageJ (v. 1.54), CellProfiler (v. 4.2.5), Ilastik (v. 1.3.3) and QuPath (v. 0.4.3), along with their customized implementations. Additionally, the tools’ role in the histological imaging field is explored further, suggesting potential application workflows. In conclusion, this review encompasses an examination of the most commonly segmented tissues and their analysis through open-source deep and machine learning tools.
在数字化时代,生物医学领域受到了人工智能普及的影响。近年来,在临床诊断和治疗干预中使用深度学习和机器学习方法的可能性逐渐成为生物医学成像的重要资源。数字病理学代表着临床领域的创新,它寻求更快、性能更好的诊断方法,同时又不失目前人工指导分析的准确性。事实上,人工智能已在需要分析海量数据的各种应用中发挥了关键作用,包括医学成像中的分割过程。在这种情况下,人工智能可以改进图像分割方法,进而开发出全自动分析系统,为病理学家的决策过程提供支持。本综述旨在帮助生物学家和临床医生发现最常用的分割开源工具,包括 ImageJ (v. 1.54)、CellProfiler (v. 4.2.5)、Ilastik (v. 1.3.3) 和 QuPath (v. 0.4.3),以及它们的定制实现。此外,还进一步探讨了这些工具在组织学成像领域的作用,并提出了潜在的应用工作流程。总之,本综述通过开源深度学习和机器学习工具对最常见的组织分割及其分析进行了研究。
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引用次数: 0
An Explainable AI System for the Diagnosis of High-Dimensional Biomedical Data 用于高维生物医学数据诊断的可解释人工智能系统
Pub Date : 2024-01-11 DOI: 10.3390/biomedinformatics4010013
Alfred Ultsch, J. Hoffmann, M. Röhnert, M. von Bonin, U. Oelschlägel, Cornelia Brendel, Michael C. Thrun
Typical state-of-the-art flow cytometry data samples typically consist of measures of 10 to 30 features of more than 100,000 cell “events”. Artificial intelligence (AI) systems are able to diagnose such data with almost the same accuracy as human experts. However, such systems face one central challenge: their decisions have far-reaching consequences for the health and lives of people. Therefore, the decisions of AI systems need to be understandable and justifiable by humans. In this work, we present a novel explainable AI (XAI) method called algorithmic population descriptions (ALPODS), which is able to classify (diagnose) cases based on subpopulations in high-dimensional data. ALPODS is able to explain its decisions in a form that is understandable to human experts. For the identified subpopulations, fuzzy reasoning rules expressed in the typical language of domain experts are generated. A visualization method based on these rules allows human experts to understand the reasoning used by the AI system. A comparison with a selection of state-of-the-art XAI systems shows that ALPODS operates efficiently on known benchmark data and on everyday routine case data.
典型的先进流式细胞仪数据样本通常包括 10 到 30 个特征的测量值,涉及 10 万多个细胞 "事件"。人工智能(AI)系统能够以几乎与人类专家相同的准确度诊断这些数据。然而,这些系统面临着一个核心挑战:它们的决定会对人们的健康和生命产生深远影响。因此,人工智能系统的决策必须能够被人类理解并证明是合理的。在这项工作中,我们提出了一种名为算法种群描述(ALPODS)的新型可解释人工智能(XAI)方法,它能够根据高维数据中的子种群对病例进行分类(诊断)。ALPODS 能够以人类专家可以理解的形式解释其决定。对于识别出的子群,会生成以领域专家的典型语言表达的模糊推理规则。基于这些规则的可视化方法可以让人类专家理解人工智能系统的推理过程。与一些最先进的 XAI 系统的比较表明,ALPODS 在已知基准数据和日常例行案例数据上都能高效运行。
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引用次数: 0
Blood Pressure Estimation from Photoplythmography Using Hybrid Scattering–LSTM Networks 利用混合散射-LSTM 网络从光电心律图估测血压
Pub Date : 2024-01-09 DOI: 10.3390/biomedinformatics4010010
Osama A. Omer, Mostafa Salah, A. Hassan, Mohamed Abdel-Nasser, Norihiro Sugita, Y. Saijo
One of the most significant indicators of heart and cardiovascular health is blood pressure (BP). Blood pressure (BP) has gained great attention in the last decade. Uncontrolled high blood pressure increases the risk of serious health problems, including heart attack and stroke. Recently, machine/deep learning has been leveraged for learning a BP from photoplethysmography (PPG) signals. Hence, continuous BP monitoring can be introduced, based on simple wearable contact sensors or even remotely sensed from a proper camera away from the clinical setup. However, the available training dataset imposes many limitations besides the other difficulties related to the PPG time series as high-dimensional data. This work presents beat-by-beat continuous PPG-based BP monitoring while accounting for the aforementioned limitations. For a better exploration of beats’ features, we propose to use wavelet scattering transform as a better descriptive domain to cope with the limitation of the training dataset and to help the deep learning network accurately learn the relationship between the morphological shapes of PPG beats and the BP. A long short-term memory (LSTM) network is utilized to demonstrate the superiority of the wavelet scattering transform over other domains. The learning scenarios are carried out on a beat basis where the input corresponding PPG beat is used for predicting BP in two scenarios; (1) Beat-by-beat arterial blood pressure (ABP) estimation, and (2) Beat-by-beat estimation of the systolic and diastolic blood pressure values. Different transformations are used to extract the features of the PPG beats in different domains including time, discrete cosine transform (DCT), discrete wavelet transform (DWT), and wavelet scattering transform (WST) domains. The simulation results show that using the WST domain outperforms the other domains in the sense of root mean square error (RMSE) and mean absolute error (MAE) for both of the suggested two scenarios.
血压(BP)是心脏和心血管健康最重要的指标之一。近十年来,血压(BP)受到了极大的关注。不受控制的高血压会增加心脏病发作和中风等严重健康问题的风险。最近,人们利用机器/深度学习技术,从光敏血压计(PPG)信号中学习血压。因此,基于简单的可穿戴接触式传感器,甚至通过远离临床设备的适当摄像头进行远程感测,就能实现连续的血压监测。然而,现有的训练数据集除了与作为高维数据的 PPG 时间序列相关的其他困难外,还存在许多限制。本研究在考虑上述局限性的同时,提出了基于 PPG 的逐次连续血压监测方法。为了更好地探索搏动特征,我们建议使用小波散射变换作为更好的描述域,以应对训练数据集的限制,并帮助深度学习网络准确学习 PPG 搏动的形态形状与 BP 之间的关系。利用长短期记忆(LSTM)网络证明了小波散射变换相对于其他域的优越性。学习方案以节拍为基础,输入的相应 PPG 节拍用于预测两种情况下的血压:(1)逐节拍动脉血压(ABP)估算,以及(2)逐节拍收缩压和舒张压估算。在不同的域,包括时域、离散余弦变换 (DCT)、离散小波变换 (DWT) 和小波散射变换 (WST) 域,使用不同的变换来提取 PPG 搏动的特征。模拟结果表明,在建议的两种情况下,使用 WST 域在均方根误差 (RMSE) 和平均绝对误差 (MAE) 方面均优于其他域。
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引用次数: 0
Machine Learning Analysis of Genomic Factors Influencing Hyperbaric Oxygen Therapy in Parkinson’s Disease 影响帕金森病高压氧疗法的基因组因素的机器学习分析
Pub Date : 2024-01-09 DOI: 10.3390/biomedinformatics4010009
Eirini Banou, Aristidis G. Vrahatis, Marios G. Krokidis, Vlamos
(1) Background: Parkinson’s disease (PD) is a progressively worsening neurodegenerative disorder affecting movement, mental well-being, sleep, and pain. While no cure exists, treatments like hyperbaric oxygen therapy (HBOT) offer potential relief. However, the molecular biology perspective, especially when intertwined with machine learning dynamics, remains underexplored. (2) Methods: We employed machine learning techniques to analyze single-cell RNA-seq data from human PD cell samples. This approach aimed to identify pivotal genes associated with PD and understand their relationship with HBOT. (3) Results: Our analysis indicated genes such as MAP2, CAP2, and WSB1, among others, as being crucially linked with Parkinson’s disease (PD) and showed their significant correlation with Hyperbaric oxygen therapy (HBOT) indicatively. This suggests that certain genomic factors might influence the efficacy of HBOT in PD treatment. (4) Conclusions: HBOT presents promising therapeutic potential for Parkinson’s disease, with certain genomic factors playing a pivotal role in its efficacy. Our findings emphasize the need for further machine learning-driven research harnessing diverse omics data to better understand and treat PD.
(1) 背景:帕金森病(PD)是一种逐渐恶化的神经退行性疾病,会影响患者的运动、精神、睡眠和疼痛。虽然目前尚无根治的方法,但高压氧疗法(HBOT)等治疗方法可提供潜在的缓解作用。然而,分子生物学的视角,尤其是与机器学习动力学交织在一起时,仍未得到充分探索。(2) 方法:我们采用机器学习技术分析人类帕金森病细胞样本的单细胞 RNA-seq 数据。这种方法旨在确定与帕金森病相关的关键基因,并了解它们与 HBOT 的关系。(3) 结果:我们的分析表明,MAP2、CAP2 和 WSB1 等基因与帕金森病(PD)密切相关,并显示出它们与高压氧疗法(HBOT)的显著相关性。这表明某些基因组因素可能会影响高压氧治疗帕金森病的疗效。(4) 结论:高压氧疗法具有治疗帕金森病的潜力,某些基因组因素对其疗效起着关键作用。我们的研究结果表明,有必要进一步开展以机器学习为驱动的研究,利用各种组学数据更好地了解和治疗帕金森病。
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引用次数: 0
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