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[自体荧光光谱联合肿瘤标志物在肺癌诊断中的价值]

[Value of auto-fluorescence spectrum combined with tumor markers in diagnosis of lung cancer].

作者信息

Wu Yong-Jun, Hao Yan-Hong, Wu Wei-Chao, Wu Yi-Ming

机构信息

College of Public Health, Zhengzhou University, Zhengzhou 450001, China.

出版信息

Guang Pu Xue Yu Guang Pu Fen Xi. 2009 Oct;29(10):2787-91.

Abstract

To improve the diagnostic efficiency of cancer, serum fluorescence spectrum combined with tumor marker groups was proved more powerful, especially when used with mathematical evaluation model, that is, artificial neural network (ANN) modeling. ANN modeling is very suitable for the discrimination of lung cancer. ANN has evident superiority in solving nonlinear, multi-parameter and uncertain complicated problems. In the present paper, serum fluorescence spectrum was applied to study the difference among normal, benign and malignant groups and develop the relevant method of determination. On the other hand, combined with tumor markers, CEA, NSE, SCC-Ag, CYFRA21-1 and p16 methylation, artificial neural network and Fisher linear discriminatory analysis were used to develop the prediction models of diagnosis of lung cancer, and compared by ROC. It was shown that the result of the fluorescence spectrum combined with tumor markers based on ANN model is superior to that of the fluorescence spectrum ANN model. The performance of ANN model is superior to that of Fisher linear discriminatory analysis.

摘要

为提高癌症诊断效率,血清荧光光谱结合肿瘤标志物组被证明更具优势,尤其是与数学评估模型(即人工神经网络(ANN)建模)结合使用时。ANN建模非常适合肺癌的鉴别诊断。ANN在解决非线性、多参数和不确定的复杂问题方面具有明显优势。在本文中,应用血清荧光光谱研究正常、良性和恶性组之间的差异,并开发相关的测定方法。另一方面,结合肿瘤标志物癌胚抗原(CEA)、神经元特异性烯醇化酶(NSE)、鳞状细胞癌抗原(SCC-Ag)、细胞角蛋白19片段(CYFRA21-1)和p16甲基化,使用人工神经网络和Fisher线性判别分析建立肺癌诊断预测模型,并通过ROC曲线进行比较。结果表明,基于ANN模型的荧光光谱结合肿瘤标志物的诊断结果优于荧光光谱ANN模型。ANN模型的性能优于Fisher线性判别分析。

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