CURATE.AI: Optimizing Personalized Medicine with Artificial Intelligence

被引:96
作者
Blasiak, Agata [1 ,2 ]
Khong, Jeffrey [1 ,2 ]
Kee, Theodore [1 ,2 ]
机构
[1] Natl Univ Singapore, Dept Bioengn, Singapore 117456, Singapore
[2] Natl Univ Singapore, N1 Inst Hlth N1, Singapore, Singapore
来源
SLAS TECHNOLOGY | 2020年 / 25卷 / 02期
关键词
artificial intelligence; digital therapeutics; personalized medicine; personalized dosing; evidence based; BIG DATA; PROSTATE-CANCER; CLINICAL-TRIALS; DIGITAL HEALTH; SOFTWARE; INTERVENTIONS; IDENTIFY; EFFICACY; SEARCH; DESIGN;
D O I
10.1177/2472630319890316
中图分类号
Q5 [生物化学];
学科分类号
071010 ; 081704 ;
摘要
The clinical team attending to a patient upon a diagnosis is faced with two main questions: what treatment, and at what dose? Clinical trials' results provide the basis for guidance and support for official protocols that clinicians use to base their decisions upon. However, individuals rarely demonstrate the reported response from relevant clinical trials, often the average from a group representing a population or subpopulation. The decision complexity increases with combination treatments where drugs administered together can interact with each other, which is often the case. Additionally, the individual's response to the treatment varies over time with the changes in his or her condition, whether via the indication or physiology. In practice, the drug and the dose selection depend greatly on the medical protocol of the healthcare provider and the medical team's experience. As such, the results are inherently varied and often suboptimal. Big data approaches have emerged as an excellent decision-making support tool, but their application is limited by multiple challenges, the main one being the availability of sufficiently big datasets with good quality, representative information. An alternative approach-phenotypic personalized medicine (PPM)-finds an appropriate drug combination (quadratic phenotypic optimization platform [QPOP]) and an appropriate dosing strategy over time (CURATE.AI) based on small data collected exclusively from the treated individual. PPM-based approaches have demonstrated superior results over the current standard of care. The side effects are limited while the desired output is maximized, which directly translates into improving the length and quality of individuals' lives.
引用
收藏
页码:95 / 105
页数:11
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