arXiv:2502.08776stat.MEcs.LG2025-02被引 1

用因果模型区分治疗响应者与非响应者,提升精准医疗研究效率

Treatment response as a latent variable

  • 提出因果两组模型,将响应视为潜在变量进行推断
  • 两种贝叶斯方法均控制错误发现率,且检验功效接近最优
  • 在癌症免疫治疗数据中识别出临床验证过的生物标志物

科学家常需分析对治疗有反应的样本以完善假设并发现潜在因果驱动因素。自然变异使区分响应者与非响应者成为统计推断难题。为此,我们引入因果两组(C2G)模型,作为经典两组模型的因果扩展。该模型假设受试样本是否产生治疗效应由先验概率决定。我们提出了两种经验贝叶斯方法:一种在半参数条件下使用,假设处理效应为加性;另一种在完全非参数条件下使用。半参数模型可从观测数据中识别,而非参数模型虽不可识别,但仍可用于测试每个受试者的响应。我们通过理论和实证证明,两种方法均能在目标水平上控制错误发现率,并具备近似最优功效。我们还提出了两个新的估计量,并提供了在不可识别非参数模型下推导估计量置信区间的策略。在癌症免疫治疗数据集上,非参数C2G模型成功恢复了对正负结果均有预测能力的临床验证生物标志物。代码已公开于 https://github.com/tansey-lab/causal2groups。

原文摘要 · Abstract (English)

Scientists often need to analyze the samples in a study that responded to treatment in order to refine their hypotheses and find potential causal drivers of response. Natural variation in outcomes makes teasing apart responders from non-responders a statistical inference problem. To handle latent responses, we introduce the causal two-groups (C2G) model, a causal extension of the classical two-groups model. The C2G model posits that treated samples may or may not experience an effect, according to some prior probability. We propose two empirical Bayes procedures for the causal two-groups model, one under semi-parametric conditions and another under fully nonparametric conditions. The semi-parametric model assumes additive treatment effects and is identifiable from observed data. The nonparametric model is unidentifiable, but we show it can still be used to test for response in each treated sample. We show empirically and theoretically that both methods for selecting responders control the false discovery rate at the target level with near-optimal power. We also propose two novel estimands of interest and provide a strategy for deriving estimand intervals in the unidentifiable nonparametric model. On a cancer immunotherapy dataset, the nonparametric C2G model recovers clinically-validated predictive biomarkers of both positive and negative outcomes. Code is available at https://github.com/tansey-lab/causal2groups.

因果推断生物标志物响应分析贝叶斯方法

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