A Game-Theoretical Approach to Clinical Decision Making with Immersive Visualisation

Cancer is a disease characterised by changes in combinations of genes within affected tumour cells. The deep understanding of genetic activity afforded to cancer specialists through complex genomics data analytics has advanced the clinical management of cancer by using deep machine learning algorith...

Full description

Bibliographic Details
Main Authors: Chng Wei Lau, Daniel Catchpoole, Simeon Simoff, Dongmo Zhang, Quang Vinh Nguyen
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/13/18/10178
_version_ 1797581462249144320
author Chng Wei Lau
Daniel Catchpoole
Simeon Simoff
Dongmo Zhang
Quang Vinh Nguyen
author_facet Chng Wei Lau
Daniel Catchpoole
Simeon Simoff
Dongmo Zhang
Quang Vinh Nguyen
author_sort Chng Wei Lau
collection DOAJ
description Cancer is a disease characterised by changes in combinations of genes within affected tumour cells. The deep understanding of genetic activity afforded to cancer specialists through complex genomics data analytics has advanced the clinical management of cancer by using deep machine learning algorithms and visualisation. However, most of the existing works do not integrate intelligent decision-making aids that can guide users in the analysis and exploration processes. This paper contributes a novel strategy that applies game theory within a VR-enabled immersive visualisation system designed as the decision support engine to mimic real-world interactions between stakeholders within complex relationships, in this case cancer clinicians. Our focus is to apply game theory to assist doctors in the decision-making process regarding the treatment options for rare-cancer patients. Nash Equilibrium and Social Optimality strategy profiles were used to facilitate complex analysis within the visualisation by inspecting which combination of genes and dimensionality reduction methods yields the best survival rate and by investigating the treatment protocol to form new hypotheses. Using a case simulation, we demonstrate the effectiveness of game theory in guiding the analyst with a patient cohort data interrogation system as compared to an analyst without a decision support system. Particularly, the strategy profile (t-SNE method and DNMT3B_ZBTB46_LAPTM4B gene) gains the highest payoff for the two doctors.
first_indexed 2024-03-10T23:05:01Z
format Article
id doaj.art-c05c7d78c0534b1b979cc8013ca671e9
institution Directory Open Access Journal
issn 2076-3417
language English
last_indexed 2024-03-10T23:05:01Z
publishDate 2023-09-01
publisher MDPI AG
record_format Article
series Applied Sciences
spelling doaj.art-c05c7d78c0534b1b979cc8013ca671e92023-11-19T09:24:05ZengMDPI AGApplied Sciences2076-34172023-09-0113181017810.3390/app131810178A Game-Theoretical Approach to Clinical Decision Making with Immersive VisualisationChng Wei Lau0Daniel Catchpoole1Simeon Simoff2Dongmo Zhang3Quang Vinh Nguyen4School of Computer, Data and Mathematical Sciences, Western Sydney University, Penrith 2751, AustraliaThe Tumour Bank, Children’s Cancer Research Unit, The Kids Research Institute, The Children’s Hospital at Westmead, Westmead 2145, AustraliaSchool of Computer, Data and Mathematical Sciences and MARCS Institute, Western Sydney University, Penrith 2751, AustraliaSchool of Computer, Data and Mathematical Sciences, Western Sydney University, Penrith 2751, AustraliaSchool of Computer, Data and Mathematical Sciences and MARCS Institute, Western Sydney University, Penrith 2751, AustraliaCancer is a disease characterised by changes in combinations of genes within affected tumour cells. The deep understanding of genetic activity afforded to cancer specialists through complex genomics data analytics has advanced the clinical management of cancer by using deep machine learning algorithms and visualisation. However, most of the existing works do not integrate intelligent decision-making aids that can guide users in the analysis and exploration processes. This paper contributes a novel strategy that applies game theory within a VR-enabled immersive visualisation system designed as the decision support engine to mimic real-world interactions between stakeholders within complex relationships, in this case cancer clinicians. Our focus is to apply game theory to assist doctors in the decision-making process regarding the treatment options for rare-cancer patients. Nash Equilibrium and Social Optimality strategy profiles were used to facilitate complex analysis within the visualisation by inspecting which combination of genes and dimensionality reduction methods yields the best survival rate and by investigating the treatment protocol to form new hypotheses. Using a case simulation, we demonstrate the effectiveness of game theory in guiding the analyst with a patient cohort data interrogation system as compared to an analyst without a decision support system. Particularly, the strategy profile (t-SNE method and DNMT3B_ZBTB46_LAPTM4B gene) gains the highest payoff for the two doctors.https://www.mdpi.com/2076-3417/13/18/10178immersive visualizationgame theorygenomiccancerartificial intelligence
spellingShingle Chng Wei Lau
Daniel Catchpoole
Simeon Simoff
Dongmo Zhang
Quang Vinh Nguyen
A Game-Theoretical Approach to Clinical Decision Making with Immersive Visualisation
Applied Sciences
immersive visualization
game theory
genomic
cancer
artificial intelligence
title A Game-Theoretical Approach to Clinical Decision Making with Immersive Visualisation
title_full A Game-Theoretical Approach to Clinical Decision Making with Immersive Visualisation
title_fullStr A Game-Theoretical Approach to Clinical Decision Making with Immersive Visualisation
title_full_unstemmed A Game-Theoretical Approach to Clinical Decision Making with Immersive Visualisation
title_short A Game-Theoretical Approach to Clinical Decision Making with Immersive Visualisation
title_sort game theoretical approach to clinical decision making with immersive visualisation
topic immersive visualization
game theory
genomic
cancer
artificial intelligence
url https://www.mdpi.com/2076-3417/13/18/10178
work_keys_str_mv AT chngweilau agametheoreticalapproachtoclinicaldecisionmakingwithimmersivevisualisation
AT danielcatchpoole agametheoreticalapproachtoclinicaldecisionmakingwithimmersivevisualisation
AT simeonsimoff agametheoreticalapproachtoclinicaldecisionmakingwithimmersivevisualisation
AT dongmozhang agametheoreticalapproachtoclinicaldecisionmakingwithimmersivevisualisation
AT quangvinhnguyen agametheoreticalapproachtoclinicaldecisionmakingwithimmersivevisualisation
AT chngweilau gametheoreticalapproachtoclinicaldecisionmakingwithimmersivevisualisation
AT danielcatchpoole gametheoreticalapproachtoclinicaldecisionmakingwithimmersivevisualisation
AT simeonsimoff gametheoreticalapproachtoclinicaldecisionmakingwithimmersivevisualisation
AT dongmozhang gametheoreticalapproachtoclinicaldecisionmakingwithimmersivevisualisation
AT quangvinhnguyen gametheoreticalapproachtoclinicaldecisionmakingwithimmersivevisualisation