Background: Cancer remains a leading cause of morbidity and mortality worldwide. Traditional treatments like chemotherapy and radiation often result in significant side effects and varied patient outcomes. Immunotherapy has emerged as a promising alternative, harnessing the immune system to target cancer cells. However, the complexity of immune responses and tumor heterogeneity challenges its effectiveness. Objective: This mini-narrative review explores the role of artificial intelligence [AI] in enhancing the efficacy of cancer immunotherapy, predicting patient responses, and discovering novel therapeutic targets. Methods: A comprehensive review of the literature was conducted, focusing on studies published between 2010 and 2024 that examined the application of AI in cancer immunotherapy. Databases such as PubMed, Google Scholar, and Web of Science were utilized, and articles were selected based on relevance to the topic. Results: AI has significantly contributed to identifying biomarkers that predict immunotherapy efficacy by analyzing genomic, transcriptomic, and proteomic data. It also optimizes combination therapies by predicting the most effective treatment protocols. AI-driven predictive models help assess patient response to immunotherapy, guiding clinical decision-making and minimizing side effects. Additionally, AI facilitates the discovery of novel therapeutic targets, such as neoantigens, enabling the development of personalized immunotherapies. Conclusions: AI holds immense potential in transforming cancer immunotherapy. However, challenges related to data privacy, algorithm transparency, and clinical integration must be addressed. Overcoming these hurdles will likely make AI a central component of future cancer immunotherapy, offering more personalized and effective treatments.
26 June 2025 in International Journal of Medical Informatics
Acute Lymphoblastic Leukemia (ALL) is the most common pediatric cancer, requiring early detection to save lives and reduce the financial burden of advanced-stage treatment. While traditional diagnostic methods are time-consuming and resource-intensive, deep transfer learning offers a computationally efficient alternative for medical image classification. This study employed two widely recognized transfer learning algorithms, VGG-19 and EfficientNet-B3, to detect ALL using a publicly available dataset of 10,661 images from 118 patients. Data preprocessing included resizing, augmentation, and normalization. The models were trained for 100 epochs, with batch sizes of 30 for VGG-19 and 32 for EfficientNet-B3. Evaluation metrics such as accuracy, precision, recall, and F1 score were used to assess model performance. Statistical significance testing was performed using paired t-tests (p < 0.05). Comparative analysis was performed with existing studies to validate the findings. EfficientNet-B3 significantly outperformed VGG-19, achieving an average accuracy of 96 % compared to 80 % for VGG-19 (p < 0.001). EfficientNet-B3 demonstrated superior performance in handling class imbalance, with the minority class (Hem) achieving precision, recall, and F1 scores of 97 %, 89 %, and 93 %, respectively. VGG-19 struggled with the minority class, achieving lower recall (51 %) and F1 score (62 %). However, dataset limitations including single-source origin may affect generalizability. This study highlights the effectiveness of EfficientNet-B3 as a reliable tool for early ALL detection, offering high accuracy and computational efficiency. Clinical implementation requires addressing computational constraints and integration challenges. Future research could integrate multimodal datasets to identify risk factors and further improve diagnostic accuracy.