arXiv:2409.11350q-bio.TOcs.AI2024-09被引 13

基于流式细胞术的实时机器学习系统可高效精准检测急性髓系白血病。

Clinical Validation of a Real-Time Machine Learning-based System for the Detection of Acute Myeloid Leukemia by Flow Cytometry

  • 构建云端可扩展的ML模型与自动化工作流,实现诊断推理与资源管理。
  • 临床部署后检测时间缩短37%,生产环境准确率与初始验证一致。
  • 提供模型监控与结构化报告提取功能,适合医院实验室落地应用。

流式细胞术中的机器学习模型有望降低错误率、提高可重复性并提升临床实验室效率。尽管已有众多针对流式细胞数据的机器学习模型被提出,但很少有研究描述其临床部署。实现机器学习在临床实验室中的潜力不仅需要高精度模型,还需支持自动推理、错误检测、分析监控和结构化数据提取的基础设施。本文介绍了用于急性髓系白血病(AML)检测的机器学习模型及其支持临床实施的系统架构。该基础设施利用云平台实现模型推理的弹性与可扩展性,基于Kubernetes的工作流系统保障模型可复现性与资源管理,并开发了从全文报告中提取结构化诊断信息的系统。同时,我们构建了模型监控与可视化平台,确保持续准确性。最后,报告了部署后的周转时间影响分析,并将生产环境准确率与原始验证统计进行对比。

原文摘要 · Abstract (English)

Machine-learning (ML) models in flow cytometry have the potential to reduce error rates, increase reproducibility, and boost the efficiency of clinical labs. While numerous ML models for flow cytometry data have been proposed, few studies have described the clinical deployment of such models. Realizing the potential gains of ML models in clinical labs requires not only an accurate model, but infrastructure for automated inference, error detection, analytics and monitoring, and structured data extraction. Here, we describe an ML model for detection of Acute Myeloid Leukemia (AML), along with the infrastructure supporting clinical implementation. Our infrastructure leverages the resilience and scalability of the cloud for model inference, a Kubernetes-based workflow system that provides model reproducibility and resource management, and a system for extracting structured diagnoses from full-text reports. We also describe our model monitoring and visualization platform, an essential element for ensuring continued model accuracy. Finally, we present a post-deployment analysis of impacts on turn-around time and compare production accuracy to the original validation statistics.

机器学习流式细胞术AML检测临床落地

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