Application of Neural Network and Cluster Analyses to Differentiate TCM Patterns in Patients With Breast Cancer

Wei Te Huang, Hao Hsiu Hung, Yi Wei Kao, Shi Chen Ou, Yu Chuan Lin, Wei Zen Cheng, Zi Rong Yen, Jian Li, Mingchih Chen, Ben Chang Shia*, Sheng Teng Huang*

*此作品的通信作者

研究成果: 期刊稿件文章同行評審

18 引文 斯高帕斯(Scopus)

摘要

Background and Purpose: Pattern differentiation is a critical element of the prescription process for Traditional Chinese Medicine (TCM) practitioners. Application of advanced machine learning techniques will enhance the effectiveness of TCM in clinical practice. The aim of this study is to explore the relationships between clinical features and TCM patterns in breast cancer patients. Methods: The dataset of breast cancer patients receiving TCM treatment was recruited from a single medical center. We utilized a neural network model to standardize terminologies and address TCM pattern differentiation in breast cancer cases. Cluster analysis was applied to classify the clinical features in the breast cancer patient dataset. To evaluate the performance of the proposed method, we further compared the TCM patterns to therapeutic principles of Chinese herbal medication in Taiwan. Results: A total of 2,738 breast cancer cases were recruited and standardized. They were divided into 5 groups according to clinical features via cluster analysis. The pattern differentiation model revealed that liver-gallbladder dampness-heat was the primary TCM pattern identified in patients. The main therapeutic goals of the top 10 Chinese herbal medicines prescribed for breast cancer patients were to clear heat, drain dampness, and detoxify. These results demonstrated that the neural network successfully identified patterns from a dataset similar to the prescriptions of TCM clinical practitioners. Conclusion: This is the first study using machine-learning methodology to standardize and analyze TCM electronic medical records. The patterns revealed by the analyses were highly correlated with the therapeutic principles of TCM practitioners. Machine learning technology could assist TCM practitioners to comprehensively differentiate patterns and identify effective Chinese herbal medicine treatments in clinical practice.

原文英語
文章編號670
期刊Frontiers in Pharmacology
11
DOIs
出版狀態已出版 - 08 05 2020
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文獻附註

Publisher Copyright:
© Copyright © 2020 Huang, Hung, Kao, Ou, Lin, Cheng, Yen, Li, Chen, Shia and Huang.

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