从数据整合到临床转化:机器学习在抑郁症诊断中的应用综述
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1.南京中医药大学医学院;2.南京中医药大学人工智能与信息技术学院

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国家自然科学基金


From Data Integration to Clinical Translation: A Review of Machine Learning Applications in Depression Diagnosis
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School of Medicine, Nanjing University of Chinese Medicine

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National Natural Science Foundation of China

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    摘要:

    抑郁症起病隐匿、症状异质性明显,现行诊断仍主要依赖临床访谈与量表评估,存在主观性较强、早期识别不足以及对分型和预后判断能力有限等问题。随着神经影像、脑电、语音与数字行为、临床量表及多组学等客观数据的不断积累,机器学习为抑郁症客观识别提供了新的研究路径。本文围绕抑郁症客观识别这一核心问题,综述了机器学习在神经影像及其他单模态客观数据中的应用进展,进一步总结了多模态数据在抑郁症诊断、分型、病程评估和疗效预测中的整合价值,并对常见融合策略、模型可解释性及临床转化问题进行了归纳分析。

    Abstract:

    Depression is characterized by an insidious onset and marked symptom heterogeneity. Current diagnostic practice still relies predominantly on clinical interviews and rating scales, which are constrained by substantial subjectivity, limited capacity for early identification, and insufficient performance in subtype differentiation and prognostic evaluation. With the growing availability of objective data, including neuroimaging, electroencephalography, speech and digital behavioral features, clinical scales, and multi-omics profiles, machine learning has opened new avenues for the objective identification of depression. Focusing on this central issue, the present review summarizes recent advances in the application of machine learning to neuroimaging and other unimodal objective data, further discusses the integrative value of multimodal data in the diagnosis, subtyping, disease-course assessment, and treatment-response prediction of depression, and provides a systematic overview of common fusion strategies, model interpretability, and issues related to clinical translation.

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  • 收稿日期:2026-03-19
  • 最后修改日期:2026-04-28
  • 录用日期:2026-06-29
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