Defining subtypes of complex diseases such as cancer and stratifying patient groups with the same disease but different subtypes for targeted treatments is important for personalized and precision medicine. Approaches that incorporate multi-omic data are more advantageous to those using only one data type for patient clustering and disease subtype discovery. However, it is challenging to integrate multi-omic data as they are heterogeneous and noisy. In this paper, we present Affinity Network Fusion (ANF) to integrate multi-omic data for patient clustering. ANF first constructs patient affinity networks for each omic data type, and then calculates a fused network for spectral clustering. We applied ANF to a processed harmonized cancer dataset downloaded from GDC data portal consisting of 2193 patients, and generated promising results on clustering patients into correct disease types. Moreover, we developed a semi-supervised model combining ANF and neural network for few-shot learning. In several cases, the model can achieve greater than 90% acccuracy on test set with training less than 1% of the data. This demonstrates the power of ANF in learning a good representation of patients, and shows the great potential of semi-supervised learning in cancer patient clustering.
Improved survival of cancer patients admitted to the ICU between 2002 and 2011 at a U.S. teaching hospital
在过去的几十年里,重症监护和癌症护理都有了很大的改善。由于癌症特异性生存率的增加,我们假设自千禧年以来,入住ICU的癌症患者数量和总生存率都有所增加。MIMIC-III是美国波士顿Beth Israel Deaconess Medical Center的一个可免费访问的重症监护数据库,用于回顾性研究2002年至2011年期间入住ICU的癌症患者的趋势和结局。进行多因素logistic回归分析以校正28天和1年死亡率的混杂因素。在41,468例ICU住院患者中,分析了1,100例血液肿瘤患者、3,953例肿瘤患者和49例血液和实体恶性肿瘤患者。血液病患者的危重病评分高于非癌症患者,而肿瘤患者的APACHE-III和SOFA评分与非癌症患者相似。在单因素分析中,癌症与死亡率密切相关(OR= 2.74,95%CI:2.56,2.94)。在10年的研究期间,癌症患者的28天死亡率下降了30%。在调整协变量后,这种趋势仍然存在,癌症患者的死亡率显著更高(OR=2.63,95%CI:2.38,2.88)。2002年至2011年期间,癌症患者28天死亡率和1年死亡率的调整比值均下降了6%(95%CI:4%,9%)。在多变量模型中,癌症是1年死亡率最强的单一预测因素(OR=4.47,95%CI:4.11,4.84)。
Machine Learning-Assisted Recurrence Prediction for Early-Stage Non-Small-Cell Lung Cancer Patients
Accenture Labs(埃森哲实验室);Hospital Universitario Puerta de Hierro Majadahonda(马哈拉达翁达普埃尔塔德希罗大学医院);University of Galway(戈尔韦大学);Insight Centre for Data Analytics(洞察数据分析中心);Hospital General de Valencia(瓦伦西亚综合医院);Hospital Universitario de Jaén(哈恩大学医院);Masaryk University(马萨里克大学);Masaryk Memorial Cancer Institute(马萨里克纪念癌症研究所);Hospital General Universitario de Alicante(阿利坎特综合大学医院);University College London(伦敦大学学院);Complejo Hospitalario Universitario A Coruña(拉科鲁尼亚大学医院综合体);Hospital Universitario de Salamanca(萨拉曼卡大学医院)
PR-NET: Leveraging Pathway Refined Network Structures for Prostate Cancer Patient Condition Prediction
Chongqing Institute of Green and Intelligent Technology, Chinese Academy of Sciences(中国科学院重庆绿色智能技术研究院);University of Chinese Academy of Sciences(中国科学院大学);Sansure Biotech Incorporation(圣湘生物科技股份有限公司)
Identifying expanding TCR clonotypes with a longitudinal Bayesian mixture model and their associations with cancer patient prognosis, metastasis-directed therapy, and VJ gene enrichment
Department of Biostatistics(生物统计系);Department of Radiation Oncology, Mayo Clinic(梅奥诊所放射肿瘤科);Department of Translational Molecular Pathology(转化分子病理学系);Departments of Thoracic/Head and Neck Medical Oncology(胸部/头颈医学肿瘤科);Department of Radiation Oncology, University of Texas MD Anderson Cancer Center(德克萨斯大学安德森癌症中心放射肿瘤科)
Machine Intelligence-Driven Classification of Cancer Patients-Derived Extracellular Vesicles using Fluorescence Correlation Spectroscopy: Results from a Pilot Study
Concordia University(康考迪亚大学);Research Institute of the McGill University Health Centre(麦吉尔大学健康中心研究所);McGill University(麦吉尔大学);Microsoft Corporation(微软公司);University of British Columbia(不列颠哥伦比亚大学);Istituto Mediterraneo di Oncologia(地中海肿瘤学研究所);Fondazione Gemelli-Giglio(杰梅利-吉利奥基金会)
Psilocybin based therapy for cancer related distress, a systematic review and meta analysis
背景资料:抑郁和焦虑在癌症患者中很常见,与安慰剂相比,经典的抗抑郁药对这种类型的痛苦没有证明有效。在最近的研究中,一种基于裸盖菇素(能致幻剂)的治疗似乎产生了有希望的结果。目的:检查是否可以考虑基于裸盖菇素的治疗用于癌症相关抑郁和焦虑患者,并假设其安全性。总结了Heffter研究所的工作,作为本课题的主要研究机构。方法:根据PRISMA(Preferred Reporting Items for Systematic Reviews and Meta Analyses)指南,对裸盖菇素治疗癌症相关抑郁症和焦虑症的定量和定性研究进行系统评价。Pubmed和Heffter研究所的数据库已经达到了这一目的,将研究分为定性或定量两种类型。我们分别研究了癌症相关抑郁和焦虑的影响,并探讨了心理和神经生物学机制。结果如下:4项研究共纳入105例随机患者,采用合并Peto比值比对抑郁和焦虑进行Meta分析,结果显示裸盖菇素显著优于安慰剂。该物质似乎对这类患者是安全的。令人惊讶的心理机制假说已经被发现。结论:裸盖菇素似乎是一种潜在的有用的治疗癌症相关的抑郁和焦虑。未来的研究应该在更广泛的人群中验证这些发现,并最终寻求一种将治疗应用于非住院(门诊)患者的方法。关键词:裸盖菇素,抑郁,焦虑,综述,荟萃分析
A Semi-Supervised Machine Learning Approach to Detecting Recurrent Metastatic Breast Cancer Cases Using Linked Cancer Registry and Electronic Medical Record Data
Stanford University(斯坦福大学);Stanford University School of Medicine(斯坦福大学医学院)
Evaluating the Effectiveness of Artificial Intelligence in Predicting Adverse Drug Reactions among Cancer Patients: A Systematic Review and Meta-Analysis
National Polytechnic School of Oran - Maurice Audin(奥兰国家理工学院 - 莫里斯·奥丹)