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Predictive models for clinical decision making: Deep dives in practical machine learning
Division of Clinical Epidemiology, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
KTH, School of Electrical Engineering and Computer Science (EECS), Computer Science, Software and Computer systems, SCS. Department of Learning, Informatics, Management, and Ethics, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0001-7949-1815
2022 (English)In: Journal of Internal Medicine, ISSN 0954-6820, E-ISSN 1365-2796, Vol. 292, no 2, p. 278-295Article in journal (Refereed) Published
Abstract [en]

The deployment of machine learning for tasks relevant to complementing standard of care and advancing tools for precision health has gained much attention in the clinical community, thus meriting further investigations into its broader use. In an introduction to predictive modelling using machine learning, we conducted a review of the recent literature that explains standard taxonomies, terminology and central concepts to a broad clinical readership. Articles aimed at readers with little or no prior experience of commonly used methods or typical workflows were summarised and key references are highlighted. Continual interdisciplinary developments in data science, biostatistics and epidemiology also motivated us to further discuss emerging topics in predictive and data-driven (hypothesis-less) analytics with machine learning. Through two methodological deep dives using examples from precision psychiatry and outcome prediction after lymphoma, we highlight how the use of, for example, natural language processing can outperform established clinical risk scores and aid dynamic prediction and adaptive care strategies. Such realistic and detailed examples allow for critical analysis of the importance of new technological advances in artificial intelligence for clinical decision-making. New clinical decision support systems can assist in prevention and care by leveraging precision medicine. 

Place, publisher, year, edition, pages
Wiley , 2022. Vol. 292, no 2, p. 278-295
Keywords [en]
artificial intelligence, clinical decision-making, machine learning, physician, precision medicine, bioinformatics, biostatistics, clinical decision making, clinical decision support system, clinical outcome, clinical research, data science, human, learning algorithm, lymphoma, medical genetics, natural language processing, personalized medicine, prediction, predictive model, psychiatry, psychology, Review, risk assessment, statistical reasoning, survival analysis, workflow, procedures, Decision Support Systems, Clinical, Humans
National Category
Clinical Medicine Computer graphics and computer vision
Identifiers
URN: urn:nbn:se:kth:diva-323269DOI: 10.1111/joim.13483ISI: 000786597900001PubMedID: 35426190Scopus ID: 2-s2.0-85128660195OAI: oai:DiVA.org:kth-323269DiVA, id: diva2:1730220
Note

QC 20230124

Available from: 2023-01-24 Created: 2023-01-24 Last updated: 2025-02-01Bibliographically approved

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