Occupational Health Department, Haikou Center for Disease Control & Prevention, Haikou 571101, China.
Hepatobiliary and Pancreatic Surgery, Hainan General Hospital, Haikou 570311, China.
J Healthc Eng. 2021 Sep 24;2021:4757668. doi: 10.1155/2021/4757668. eCollection 2021.
To conduct better research in hepatocellular carcinoma resection, this paper used 3D machine learning and logistic regression algorithm to study the preoperative assistance of patients undergoing hepatectomy. In this study, the logistic regression model was analyzed to find the influencing factors for the survival and recurrence of patients. The clinical data of 50 HCC patients who underwent extensive hepatectomy (≥4 segments of the liver) admitted to our hospital from June 2020 to December 2020 were selected to calculate the liver volume, simulated surgical resection volume, residual liver volume, surgical margin, etc. The results showed that the simulated liver volume of 50 patients was 845.2 + 285.5 mL, and the actual liver volume of 50 patients was 826.3 ± 268.1 mL, and there was no significant difference between the two groups ( = 0.425; > 0.05). Compared with the logistic regression model, the machine learning method has a better prediction effect, but the logistic regression model has better interpretability. The analysis of the relationship between the liver tumour and hepatic vessels in practical problems has specific clinical application value for accurately evaluating the volume of liver resection and surgical margin.
为了在肝细胞癌切除术方面开展更好的研究,本文使用 3D 机器学习和逻辑回归算法来研究接受肝切除术患者的术前辅助。在这项研究中,分析了逻辑回归模型,以发现影响患者生存和复发的因素。选取了 2020 年 6 月至 2020 年 12 月我院收治的 50 例广泛肝切除术(≥4 个肝段)的 HCC 患者的临床资料,计算肝体积、模拟手术切除量、剩余肝体积、手术切缘等。结果显示,50 例患者的模拟肝体积为 845.2±285.5ml,50 例患者的实际肝体积为 826.3±268.1ml,两组无显著差异( = 0.425; > 0.05)。与逻辑回归模型相比,机器学习方法具有更好的预测效果,但逻辑回归模型具有更好的可解释性。在实际问题中分析肝肿瘤与肝血管的关系对准确评估肝切除量和手术切缘具有特定的临床应用价值。