用医生经验指导AI,让肺癌治疗预测更可信。
Doctor-in-the-Loop: An Explainable, Multi-View Deep Learning Framework for Predicting Pathological Response in Non-Small Cell Lung Cancer
- 融合医学知识与可解释AI,引导模型关注关键病灶区域
- 在肺癌患者数据集上实现高精度病理反应预测
- 适合临床医生和AI医疗研究者参考
非小细胞肺癌(NSCLC)仍是全球重大健康挑战,术后高复发率凸显了准确预测病理反应以指导个性化治疗的必要性。尽管人工智能模型在此领域展现潜力,但其临床应用受限于训练过程中缺乏医学依据,导致预测结果难以解释。为此,我们提出Doctor-in-the-Loop框架,将专家驱动的领域知识与可解释人工智能技术相结合,引导模型聚焦于临床相关的解剖区域,提升可解释性与可信度。该方法采用渐进式多视角策略,逐步从整体上下文特征聚焦到病变细节。通过在每个阶段融入领域知识,不仅提升了预测准确性,还使模型决策过程更贴近临床推理。在NSCLC患者数据集上的评估表明,该框架具备优异的预测性能,并能提供透明、可解释的输出,是迈向肿瘤学中可解释人工智能的重要一步。
原文摘要 · Abstract (English)
Non-small cell lung cancer (NSCLC) remains a major global health challenge, with high post-surgical recurrence rates underscoring the need for accurate pathological response predictions to guide personalized treatments. Although artificial intelligence models show promise in this domain, their clinical adoption is limited by the lack of medically grounded guidance during training, often resulting in non-explainable intrinsic predictions. To address this, we propose Doctor-in-the-Loop, a novel framework that integrates expert-driven domain knowledge with explainable artificial intelligence techniques, directing the model toward clinically relevant anatomical regions and improving both interpretability and trustworthiness. Our approach employs a gradual multi-view strategy, progressively refining the model's focus from broad contextual features to finer, lesion-specific details. By incorporating domain insights at every stage, we enhance predictive accuracy while ensuring that the model's decision-making process aligns more closely with clinical reasoning. Evaluated on a dataset of NSCLC patients, Doctor-in-the-Loop delivers promising predictive performance and provides transparent, justifiable outputs, representing a significant step toward clinically explainable artificial intelligence in oncology.
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