论文标题
MetareView信息可解释的细胞因子风暴检测在CAR-T细胞疗法期间
Metareview-informed Explainable Cytokine Storm Detection during CAR-T cell Therapy
论文作者
论文摘要
细胞因子释放综合征(CRS),也称为细胞因子风暴,是嵌合抗原受体疗法的最大程度不良反应之一,在癌症治疗中表现出了有希望的结果。当出现时,可以通过对倾向于在患者之间表现出相似性的特异性细胞因子和趋化因子谱的分析来识别CR。在本文中,我们使用机器学习算法利用了这些相似性,并着手提出基于特定的细胞因子峰浓度和先前临床研究的证据来识别CRS的元观看方法。我们认为,这种方法可以通过将临床医生与过去临床研究的CR知识相匹配,以分析可疑的细胞因子特征,以Swift CRS诊断的最终目的。在使用Real-World CRS临床数据评估期间,我们强调了我们提出的产生可解释结果方法的潜力,除了有效地识别细胞因子风暴的开始。
Cytokine release syndrome (CRS), also known as cytokine storm, is one of the most consequential adverse effects of chimeric antigen receptor therapies that have shown promising results in cancer treatment. When emerging, CRS could be identified by the analysis of specific cytokine and chemokine profiles that tend to exhibit similarities across patients. In this paper, we exploit these similarities using machine learning algorithms and set out to pioneer a meta--review informed method for the identification of CRS based on specific cytokine peak concentrations and evidence from previous clinical studies. We argue that such methods could support clinicians in analyzing suspect cytokine profiles by matching them against CRS knowledge from past clinical studies, with the ultimate aim of swift CRS diagnosis. During evaluation with real--world CRS clinical data, we emphasize the potential of our proposed method of producing interpretable results, in addition to being effective in identifying the onset of cytokine storm.