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基于深度学习的病毒性肝炎队列肝癌预测。

Liver cancer prediction in a viral hepatitis cohort: A deep learning approach.

机构信息

Department of Information Management, Yuan Ze University, Taoyuan, Taiwan.

University of Economics, The University of Danang, Danang, Vietnam.

出版信息

Int J Cancer. 2020 Nov 15;147(10):2871-2878. doi: 10.1002/ijc.33245. Epub 2020 Aug 20.

Abstract

Viral hepatitis is the primary cause of liver diseases, among which liver cancer is the leading cause of death from cancer. However, this cancer is often diagnosed in the later stages, which makes treatment difficult or even impossible. This study applied deep learning (DL) models for the early prediction of liver cancer in a hepatitis cohort. In this study, we surveyed 1 million random samples from the National Health Insurance Research Database (NHIRD) to analyze viral hepatitis patients from 2002 to 2010. Then, we used DL models to predict liver cancer cases based on the history of diseases of the hepatitis cohort. Our results revealed the annual prevalence of hepatitis in Taiwan increased from 2002 to 2010, with an average annual percentage change (AAPC) of 5.8% (95% CI: 4.2-7.4). However, young people (aged 16-30 years) exhibited a decreasing trend, with an AAPC of -5.6 (95% CI: -8.1 to -2.9). The results of applying DL models showed that the convolution neural network (CNN) model yielded the best performance in terms of predicting liver cancer cases, with an accuracy of 0.980 (AUC: 0.886). In conclusion, this study showed an increasing trend in the annual prevalence of hepatitis, but a decreasing trend in young people from 2002 to 2010 in Taiwan. The CNN model may be applied to predict liver cancer in a hepatitis cohort with high accuracy.

摘要

病毒性肝炎是肝脏疾病的主要病因,其中肝癌是癌症死亡的主要原因。然而,这种癌症通常在晚期才被诊断出来,这使得治疗变得困难甚至不可能。本研究应用深度学习(DL)模型对肝炎队列中的肝癌进行早期预测。在这项研究中,我们从国家健康保险研究数据库(NHIRD)中调查了 100 万个随机样本,以分析 2002 年至 2010 年的病毒性肝炎患者。然后,我们使用 DL 模型根据肝炎队列的疾病史预测肝癌病例。我们的研究结果显示,台湾的肝炎年患病率从 2002 年到 2010 年有所增加,平均年百分比变化(AAPC)为 5.8%(95%置信区间:4.2-7.4)。然而,年轻人(16-30 岁)呈下降趋势,AAPC 为-5.6(95%置信区间:-8.1 至-2.9)。应用 DL 模型的结果表明,卷积神经网络(CNN)模型在预测肝癌病例方面表现出最佳性能,准确率为 0.980(AUC:0.886)。总之,本研究显示,2002 年至 2010 年期间,台湾的肝炎年患病率呈上升趋势,但年轻人的患病率呈下降趋势。CNN 模型可用于预测肝炎队列中的肝癌,具有较高的准确率。

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