Department of Medical Physics, School of Medicine, University of Patras, GR-26504 Rion, Greece.
Comput Methods Programs Biomed. 2012 Oct;108(1):158-67. doi: 10.1016/j.cmpb.2012.02.009. Epub 2012 Mar 17.
Prognosis of B-Chronic Lymphocytic Leukemia (B-CLL) remains a challenging problem in medical research and practice. While the parameters obtained by flow cytometry analysis form the basis of the diagnosis of the disease, the question whether these parameters offer additional prognostic information still remains open. In this work, we attempt to provide computer-assisted support to the clinical experts of the field, by deploying a classification system for B-CLL multiparametric prognosis that combines various heterogeneous (clinical, laboratory and flow cytometry) parameters associated with the disease. For this purpose, we employ the naïve-Bayes classifier and propose an algorithm that improves its performance. The algorithm discretizes the continuous classification attributes (candidate prognostic parameters) and selects the most useful subset of them to optimize the classification accuracy. Thus, in addition to the high classification accuracy achieved, the proposed approach also suggests the most informative parameters for the prognosis. The experimental results demonstrate that the inclusion of flow cytometry parameters in our system improves prognosis.
B 型慢性淋巴细胞白血病(B-CLL)的预后仍然是医学研究和实践中的一个难题。虽然流式细胞术分析获得的参数是该病诊断的基础,但这些参数是否提供额外的预后信息仍未可知。在这项工作中,我们试图通过部署一个结合与疾病相关的各种异构(临床、实验室和流式细胞术)参数的 B-CLL 多参数预后分类系统,为该领域的临床专家提供计算机辅助支持。为此,我们采用朴素贝叶斯分类器,并提出一种可以提高其性能的算法。该算法将连续分类属性(候选预后参数)离散化,并选择最有用的子集来优化分类准确性。因此,除了实现高分类准确性外,所提出的方法还为预后提供了最有信息价值的参数。实验结果表明,将流式细胞术参数纳入我们的系统可以改善预后。