Artificial intelligence methods available for cancer research
Ankita Murmu1,2,3, Balázs Győrffy1,3,4()
. Institute of Molecular Life Sciences, HUN-REN Research Centre for Natural Sciences, Budapest 1117, Hungary . National Laboratory for Drug Research and Development, Budapest 1117, Hungary . Department of Bioinformatics, Semmelweis University, Budapest 1094, Hungary . Department of Biophysics, University of Pecs, Pecs 7624, Hungary
Cancer is a heterogeneous and multifaceted disease with a significant global footprint. Despite substantial technological advancements for battling cancer, early diagnosis and selection of effective treatment remains a challenge. With the convenience of large-scale datasets including multiple levels of data, new bioinformatic tools are needed to transform this wealth of information into clinically useful decision-support tools. In this field, artificial intelligence (AI) technologies with their highly diverse applications are rapidly gaining ground. Machine learning methods, such as Bayesian networks, support vector machines, decision trees, random forests, gradient boosting, and K-nearest neighbors, including neural network models like deep learning, have proven valuable in predictive, prognostic, and diagnostic studies. Researchers have recently employed large language models to tackle new dimensions of problems. However, leveraging the opportunity to utilize AI in clinical settings will require surpassing significant obstacles—a major issue is the lack of use of the available reporting guidelines obstructing the reproducibility of published studies. In this review, we discuss the applications of AI methods and explore their benefits and limitations. We summarize the available guidelines for AI in healthcare and highlight the potential role and impact of AI models on future directions in cancer research.
Fig.1 A brief overview highlighting the timeline when the different AI methods were introduced for the first time. The timeline from 2000 also shows their applications in different areas of cancer research that are discussed in the review.
+ AI method
cancer + diagnosis
cancer + prognosis
cancer + therapy
cancer + pathology
cancer + health records
Random forest
1042
726
618
927
36
Decision trees
539
270
406
430
20
Gradient boosting
211
142
121
148
21
Support vector machines
1335
525
426
939
27
K-nearest neighbors
70
21
25
44
2
Bayesian network
85
67
294
151
2
Artificial neural network
337
120
139
206
6
Deep learning
3446
994
1406
2630
94
Natural language processing
279
58
175
210
262
Tab.1 Number of hits in PubMed in the last ten years for the combination of the listed keywords
Fig.2 Classification of AI methods discussed in the manuscript. Machine learning, the sub-domain of AI is divided into unsupervised and supervised learning methods. The unsupervised learning methods consist of dimensionality reduction and clustering algorithms. Supervised learning methods consist of classification and regression algorithms which can also be applied to natural language processing tasks.
Guideline
Purpose
Utility
Citations (as of Nov. 2023)
Reference
Diagnosis
Prognosis
Pathology
Decision-making
Clinical studies
SPIRIT-AI
AI interventions in clinical trial protocols
Yes
No
No
Yes
Yes
82
[177]
CONSORT-AI
AI interventions in clinical trial reports
Yes
No
No
Yes
Yes
160
[178]
MI-CLAIM
Transparent reporting of AI algorithms in medicine
No
No
No
Yes
No
157
[179]
MINIMAR
Minimum information necessary for reporting AI-based studies in medicine
No
No
No
Yes
No
106
[180]
STARD-AI
Diagnostic test accuracy studies using AI
Yes
No
Yes
No
No
58
[181]
TRIPOD-AI
Diagnostic and prognostic prediction studies based on AI
Yes
Yes
No
No
No
182
[182]
PROBAST-AI
Risk bias tool for diagnostic and prognostic prediction studies based on AI
Yes
Yes
No
No
No
182
[182]
QUADAS-AI
Risk bias tool for AI-centered diagnostic test accuracy studies
Yes
No
No
No
No
34
[183]
DECIDE-AI
Early-stage clinical evaluation of decision support systems driven by AI
No
No
No
Yes
Yes
35
[184]
Tab.2 Overview of described AI guidelines for medical studies
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