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基于聚类分析的超声内镜-RADTE 对食管巨大囊性肿瘤的诊断效果分析。

Analysis of the Diagnostic Effect of EUS-RTE on Giant Cystic Tumours of the Oesophagus Based on Cluster Analysis.

机构信息

Department of Endoscopy, The Second People's Hospital of Jiaozuo City, Jiaozuo, Henan 454003, China.

The First Affiliated Hospital of Henan Polytechnic University, Jiaozuo, Henan 454003, China.

出版信息

J Healthc Eng. 2021 Nov 3;2021:1395826. doi: 10.1155/2021/1395826. eCollection 2021.

Abstract

This paper presents an in-depth analysis and study of the diagnostic effectiveness of EUS-RTE in giant cystic tumours of the oesophagus utilizing cluster analysis. A new form of interval data expression was designed based on the cluster analysis algorithm, as well as a new way of updating the cluster radius and cluster centre. Feature triads are defined, eliminating the need to access all historical data at the time of update. It also prevents the case of overfusion of clusters and outputting only one cluster. If there exist a very low number of clusters, the newly merged clusters are reclustered according to the density clustering method for the internal data objects based on the cluster segmentation so that the data objects in the same cluster have a high similarity as possible. All accumulated electronic files of oesophageal cancer cases were collected and comprehensively organized, and all clinical data of 129 eligible cases with a total of 356 consultations were screened in strict accordance with inclusion and exclusion criteria. A database of oesophageal cancer cases was established using Visual FoxPro software, and frequency distribution, cluster analysis, association rule, and chi-square test were used to focus on mining the association between symptoms, disease mechanisms, prescriptions, and medications. The results were analysed and summarized. Overall, the therapeutic efficacy and safety of the three groups of treatment modalities for gastric mesenchymal tumours were positive, and the preoperative endoscopic treatment modalities should be selected based on the EUS-RTE characteristics of the tumour, the site, and the operator's skill level in a comprehensive manner.

摘要

本文利用聚类分析对超声内镜引导下经胃穿刺活检术(EUS-RTE)在食管巨大囊性肿瘤诊断效能进行深入分析和研究。基于聚类分析算法设计了一种新的区间数据表达形式,以及一种新的更新聚类半径和聚类中心的方法。定义了特征三元组,在更新时无需访问所有历史数据,从而避免了聚类融合和仅输出一个聚类的情况。如果聚类数量非常少,则根据聚类分割对内部数据对象进行基于密度的聚类方法重新聚类,以便同一聚类中的数据对象具有尽可能高的相似性。收集了所有食管癌的电子文件并进行了全面整理,按照纳入和排除标准严格筛选了 129 例符合条件的患者的所有临床数据,共计 356 次就诊。使用 Visual FoxPro 软件建立食管癌病例数据库,采用频数分布、聚类分析、关联规则和卡方检验等方法,重点挖掘症状、疾病机制、处方和药物之间的关联。对结果进行分析和总结。总的来说,胃间质瘤三种治疗方式的疗效和安全性均为阳性,应根据肿瘤的 EUS-RTE 特征、部位以及术者的技术水平综合选择术前内镜治疗方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a9e/8580657/9f72d16dc0c4/JHE2021-1395826.001.jpg

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