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Parameters identification of HIV dynamic models for HAART treated patients: A comparative study

机译:HAART治疗患者HIV动态模型的参数识别:一项比较研究

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We present a comparative study of parameters identification of HIV dynamic models for naive patients that are treated with two different HAART (Highly Active Anti-Retroviral Therapy) protocols during a period of 48 weeks. Three HIV models of increasing complexity (in terms of number of state variables and parameters) have been chosen, and for each one the model parameters are computed by solving a nonlinear optimization problem via sequential quadratic programming (SQP). Model parameters are divided into “group dependent”, common to all patients treated with same HAART protocol, and “patient dependent”, specific for each patient, and are estimated in a way that an overall cost function comprising the fitting error of CD4+ concentration and viral load measurements. A preliminary parameter space grid search algorithm is performed in order to find a suitable initial guess for the SQP algorithm. Numerical results indicate that all considered models can give a good matching despite the scarcity of available measurements for each patient, and in this limited situation the minimal model appears to be (slightly) more effective than the other models.
机译:我们提供了一项针对48天期间接受两种不同的HAART(高效抗逆转录病毒疗法)方案治疗的天真的患者的HIV动态模型参数识别的比较研究。已经选择了三种复杂性不断增加的HIV模型(根据状态变量和参数的数量),并且对于每个模型,都通过顺序二次编程(SQP)解决非线性优化问题来计算模型参数。模型参数分为“组依赖性”(对所有使用相同HAART方案治疗的患者通用)和“患者依赖性”(对每个患者特定),并以总成本函数(包括CD4 +浓度的拟合误差和病毒载量测量。执行初步参数空间网格搜索算法,以便为SQP算法找到合适的初始猜测。数值结果表明,尽管每个患者都缺乏可用的测量方法,但是所有考虑的模型都可以提供良好的匹配,并且在这种有限的情况下,最小模型似乎比其他模型更有效(略)。

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