Pancreatic cancer has any of the following: lowest The five-year survival rate for all cancers is due in part to the common delay in diagnosis. Can artificial intelligence change that?

research A paper published in the journal Nature Medicine in May suggests that AI screening of large patient groups could enable early diagnosis, which in turn could lead to earlier and more effective treatment of disease. there is In this analysis, an AI tool successfully traced back medical records to identify people at increased risk of pancreatic cancer, finding evidence of increased risk up to three years before diagnosis.

The researchers used data from patient medical records in both the United States and Denmark from 1977 to 2020. They surveyed a group of 6.2 million Danish patients, of whom 23,985 were ultimately diagnosed with pancreatic cancer, and through the Department of Veterans Affairs, where 3 million veterans are undergoing treatment, 3,864 of whom I was finally diagnosed.

The researchers used a machine learning model to analyze the data and learn to predict cancer risk based on symptoms and various diagnostic codes in a patient’s medical record.

Some of the symptoms associated with predicting higher risk have not been previously associated with pancreatic cancer. Gallstones, type 2 diabetes, anemia, and gastrointestinal symptoms such as vomiting and abdominal pain were all associated with increased risk scores three years before diagnosis.

The researchers wrote that in a real-world scenario, about 320 out of every 1,000 people the AI ​​model identified as high risk would develop pancreatic cancer. The tool could make screening more affordable by targeting high-risk patients for surveillance, the researchers wrote.

Currently, the U.S. Preventive Services Task Force recommended Screen asymptomatic people for pancreatic cancer. Screening of high-risk patients related However, the chances of long-term survival are higher.

“AI tools that can focus on those at highest risk of pancreatic cancer and who would most benefit from further testing could greatly help improve clinical decision-making,” study co-authors said. said biologist Chris Sander.Harvard Medical School laboratory News, dedicated to solving biological problems using machine learning and other technologies release.

Such tools, if applied at scale, could extend life and improve outcomes, Sander said.



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