Tailored treatments for metastatic colorectal cancer (mCRC) have not yet completely evolved due to the variety in response to drugs. Therefore, artificial intelligence has been recently used to develop prognostic and predictive models of treatment response (either activity/efficacy or toxicity) to aid in clinical decision making. In this systematic review, we have examined the ability of learning methods to predict response to chemotherapy alone or combined with targeted therapy in mCRC patients by targeting specific narrative publications in Medline up to April 2022 to identify appropriate original scientific articles. After the literature search, 26 original articles met inclusion and exclusion criteria and were included in the study. Our results show that all investigations conducted on this field have provided generally promising results in predicting the response to therapy or toxic side-effects. By a meta-analytic approach we found that the overall weighted means of the area under the receiver operating characteristic (ROC) curve (AUC) were 0.90, 95% C.I. 0.80–0.95 and 0.83, 95% C.I. 0.74–0.89 in training and validation sets, respectively, indicating a good classification performance in discriminating response vs. non-response. The calculation of overall HR indicates that learning models have strong ability to predict improved survival. Lastly, the delta-radiomics and the 74 gene signatures were able to discriminate response vs. non-response by correctly identifying up to 99% of mCRC patients who were responders and up to 100% of patients who were non-responders. Specifically, when we evaluated the predictive models with tests reaching 80% sensitivity (SE) and 90% specificity (SP), the delta radiomics showed an SE of 99% and an SP of 94% in the training set and an SE of 85% and SP of 92 in the test set, whereas for the 74 gene signatures the SE was 97.6% and the SP 100% in the training set.
Facial biometrics are widely used to reliably and conveniently recognize people in photos, in videos, or from real-time webcam streams. It is therefore of fundamental importance to detect synthetic faces in images in order to reduce the vulnerability of biometrics-based security systems. Furthermore, manipulated images of faces can be intentionally shared on social media to spread fake news related to the targeted individual. This paper shows how fake face recognition models may mainly rely on the information contained in the background when dealing with generated faces, thus reducing their effectiveness. Specifically, a classifier is trained to separate fake images from real ones, using their representation in a latent space. Subsequently, the faces are segmented and the background removed, and the detection procedure is performed again, observing a significant drop in classification accuracy. Finally, an explainability tool (SHAP) is used to highlight the salient areas of the image, showing that the background and face contours crucially influence the classifier decision.