医疗领域正在经历一场变革性的转变。精准医学通过根据每个患者独特的健康状况进行个性化诊断和治疗,开创了医疗保健的革命性时代。这种开创性的疾病预防和治疗方法考虑了基因的个体差异,环境,和生活方式。精准医疗的目标是“五权”:正确的病人,正确的药物,正确的时间,正确的剂量,和正确的路线。在这种追求中,计算机技术已经成为一个锚点,推动精准医学向前发展,使之成为个性化治疗的现实和有希望的途径。随着高通量DNA测序技术的进步,基因组数据,包括遗传变异以及它们与彼此和环境的相互作用,可以纳入临床决策。药物计量学,收集药代动力学(PK)和药效学(PD)数据,和数学模型进一步有助于药物优化,药物行为预测,和药物-药物相互作用识别。数字健康,可穿戴设备,和计算工具提供连续监测和实时数据收集,使治疗调整。此外,将广泛的数据集整合到计算工具中,例如电子健康记录(EHR)和组学数据,也是获取该领域有意义信息的另一种途径。虽然它们是相当新的,机器学习(ML)算法和人工智能(AI)技术也是研究人员用于分析大数据和开发预测模型的资源。这篇综述探讨了这些多种计算机模拟方法在推进精准医学和促进个人医疗保健方面的相互作用。尽管存在内在的挑战,比如道德考虑,数据保护,以及需要更全面的研究,这标志着以患者为中心的医疗保健的新时代。创新的计算机技术有可能为后代重塑医学的未来。
The landscape of medical treatments is undergoing a transformative shift. Precision medicine has ushered in a revolutionary era in healthcare by individualizing diagnostics and treatments according to each patient\'s uniquely evolving health status. This groundbreaking method of tailoring disease prevention and treatment considers individual variations in genes, environments, and lifestyles. The goal of precision medicine is to target the \"five rights\": the right patient, the right drug, the right time, the right dose, and the right route. In this pursuit, in silico techniques have emerged as an anchor, driving precision medicine forward and making this a realistic and promising avenue for personalized therapies. With the advancements in high-throughput DNA sequencing technologies, genomic data, including genetic variants and their interactions with each other and the environment, can be incorporated into clinical decision-making. Pharmacometrics, gathering pharmacokinetic (PK) and pharmacodynamic (PD) data, and mathematical models further contribute to drug optimization, drug behavior prediction, and drug-drug interaction identification. Digital health, wearables, and computational tools offer continuous monitoring and real-time data collection, enabling treatment adjustments. Furthermore, the incorporation of extensive datasets in computational tools, such as electronic health records (EHRs) and omics data, is also another pathway to acquire meaningful information in this field. Although they are fairly new, machine learning (ML) algorithms and artificial intelligence (AI) techniques are also resources researchers use to analyze big data and develop predictive models. This
review explores the interplay of these multiple in silico approaches in advancing precision medicine and fostering individual healthcare. Despite intrinsic challenges, such as ethical considerations, data protection, and the need for more comprehensive research, this marks a new era of patient-centered healthcare. Innovative in silico techniques hold the potential to reshape the future of medicine for generations to come.