Research on the Development and Validation of Personalized Exercise Prescription System for Breast Cancer Patients Based on Large Language Models
The goal of this observational study is to develop and evaluate a large language model (LLM)-based decision support system for exercise prescription in breast cancer patients, aiming to provide personalized decision-making support for postoperative breast cancer rehabilitation.
The main questions it aims to answer are:
How accurate, personalized, and safe are the exercise prescriptions generated by the fine-tuned LLM? How does the model's performance compare with other mainstream or non-fine-tuned models across different stages and subtypes of breast cancer? Participants are postoperative breast cancer rehabilitation patients treated at Sun Yat-sen Memorial Hospital of Sun Yat-sen University. They will have demographic, tumor, treatment, and physical fitness data collected; receive personalized exercise prescriptions automatically generated by the LLM-based system; and provide subjective evaluations on the feasibility and executability of the prescriptions.
研究概览
研究类型
注册 (估计的)
联系人和位置
学习地点
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Guangdong
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Guangzhou、Guangdong、中国、510000
- Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University
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接触：
- jianli Zhao
- 电话号码：15920589334
- 邮箱：zhaojianli1988@126.com
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接触：
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参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
取样方法
研究人群
描述
Inclusion Criteria:
- Adult patients aged 18-75 years with early-stage breast cancer who have undergone surgical treatment, such as mastectomy or breast-conserving surgery.
- The patients had clear clinical diagnosis and complete electronic medical record information (including demographic information, tumor stage and classification, treatment history, physical performance evaluation data, etc.).
Exclusion Criteria:
- Presence of severe postoperative complications or comorbidities (e.g., uncontrolled cardiac or pulmonary disease) that may interfere with participation in rehabilitation or pose a safety risk.
学习计划
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
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Postoperative breast cancer patients receiving LLM-based exercise prescription evaluation
Postoperative breast cancer patients at Sun Yat-sen Memorial Hospital will have clinical and physical data collected.
Each patient receives an exercise prescription generated by a fine-tuned large language model (LLM)-based decision support system and provides feedback on its feasibility.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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Overall Quality Score of Exercise Prescriptions Based on a Five-Dimensional Expert Evaluation Framework
大体时间：From enrollment to completion of prescription evaluation at 1 week
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Each exercise prescription will be independently evaluated by six multidisciplinary experts across five dimensions: scientific rationale, personalization, comprehensiveness, safety, and feasibility.
Each dimension will be rated on a 5-point Likert scale from 1 to 5. The five dimension scores will be summed to generate an overall quality score ranging from 5 to 25, with higher scores indicating better overall prescription quality.
For each prescription, the mean overall score across the six experts will be used for analysis.
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From enrollment to completion of prescription evaluation at 1 week
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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Subgroup-Specific Scientific Rationale and Safety Scores of Model-Generated Exercise Prescriptions
大体时间：From enrollment to completion of prescription evaluation at 1 week
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Model performance will be evaluated across predefined subgroups based on age, breast cancer stage, molecular subtype, surgical procedure, and treatment modality.
Scientific rationale and safety will each be rated on a 1-5 Likert scale, with higher scores indicating better performance.
Differences across models and subgroups will be assessed using two-way ANOVA or generalized linear models, including interaction terms between model type and patient characteristics.
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From enrollment to completion of prescription evaluation at 1 week
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合作者和调查者
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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