机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China,神经科系统神经内科首都医科大学宣武医院[2]Department of Biomedical Engineering, College of Future Technology, and Center for Quantitative Biology, Peking University, Beijing, China,[3]Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, China,[4]Whiting School of Engineering, Johns Hopkins University, Baltimore, MD, United States
Integrating Chinese medicine and biomedicine for treating acute ischemic stroke (AIS) presents a promising strategy. Accurately predicting Traditional Chinese Medicine (TCM) heat syndrome types in AIS patients is crucial for guiding appropriate medication use within this combined treatment strategy. In this study, a clinical cohort including TCM syndromes, laboratory markers, and baseline assessments, were collected from 193 AIS patients. We developed a deep learning method with Convolutional Neural Networks (CNNs) to predict heat syndrome types in AIS patients by integrating TCM pattern characteristics and laboratory indicators. Feature importance was assessed using SHapley Additive exPlanations (SHAP) and permutation importance, and partial dependence plots (PDP) were used to explore the relationships between features and predictions. The model with the comprehensive feature dataset achieved an accuracy of 0.95, F1 score of 0.95, and AUC of 0.91 on the test set, exhibiting better performance overall compared to predictions based solely on TCM pattern characteristics or laboratory indicators. Key factors associated with the heat syndrome types included Tongue Teeth Marks, Stool, Sweat, Tongue Fissures, glycated hemoglobin (HbA1c), triglycerides (TG), fasting blood glucose (FBG) and total cholesterol (CHO). In conclusion, this study confirms the effectiveness of the CNN model in predicting heat syndrome types in AIS patients when incorporating TCM patterns with biochemical laboratory indicators.
基金:
Key Special Project of the Ministry of Science and Technology on the Prevention and Treatment of Cancer, Cardiovascular and Cerebrovascular Diseases, Respiratory Diseases [2024ZD0522100]; Beijing Traditional Chinese Medicine Science and Technology Development Fund Project [JJ-2023-93]; Beijing Municipal Administration of Hospitals' Ascent Plan [PZ2024009]; National Natural Science Foundation of China [32070667, T2321001]
第一作者机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China,[2]Department of Biomedical Engineering, College of Future Technology, and Center for Quantitative Biology, Peking University, Beijing, China,
共同第一作者:
通讯作者:
通讯机构:[2]Department of Biomedical Engineering, College of Future Technology, and Center for Quantitative Biology, Peking University, Beijing, China,[3]Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, China,
推荐引用方式(GB/T 7714):
Yu Xiongwu,He Lingqian,Wang Qi,et al.Heat syndrome types prediction of traditional Chinese medicine in acute ischemic stroke through deep learning: a pilot study[J].FRONTIERS IN PHARMACOLOGY.2025,16:doi:10.3389/fphar.2025.1601601.
APA:
Yu, Xiongwu,He, Lingqian,Wang, Qi,Zhang, Zhongyun,Zhu, Huaiqiu&Song, Juexian.(2025).Heat syndrome types prediction of traditional Chinese medicine in acute ischemic stroke through deep learning: a pilot study.FRONTIERS IN PHARMACOLOGY,16,
MLA:
Yu, Xiongwu,et al."Heat syndrome types prediction of traditional Chinese medicine in acute ischemic stroke through deep learning: a pilot study".FRONTIERS IN PHARMACOLOGY 16.(2025)