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结直肠癌5年生存率预测模型的建立

Development of Prediction Model for 5-year Survival of Colorectal Cancer.

作者信息

Nopour Raoof

机构信息

Department of Health Information Management, Student Research Committee, School of Health Management and Information Sciences Branch, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Cancer Inform. 2024 Sep 4;23:11769351241275889. doi: 10.1177/11769351241275889. eCollection 2024.

Abstract

OBJECTIVES

This study aims to introduce a prediction model based on a machine learning approach as an efficient solution for prediction purposes to better prognosis and increase CRC survival.

METHODS

In the current retrospective study, we used the data of 1062 CRC cases to analyse and establish a prediction model for the 5-year CRC survival. The machine learning algorithms were used to develop prediction models, including random Forest, XG-Boost, bagging, logistic regression, support vector machine, artificial neural network, decision tree, and K-nearest neighbours.

RESULTS

The current study revealed that the XG-Boost with AU-ROC of 0.906 and 0.813 for internal and external conditions gave us better insight into predictability and generalizability than other algorithms.

CONCLUSION

XG-Boost can be utilised as a knowledge source for implementing intelligent systems as an assistive tool for clinical decision-making in healthcare settings to improve prognosis and increase CRC survival through various clinical solutions that doctors can achieve.

摘要

目的

本研究旨在引入一种基于机器学习方法的预测模型,作为一种有效的预测解决方案,以改善预后并提高结直肠癌(CRC)患者的生存率。

方法

在当前的回顾性研究中,我们使用了1062例CRC病例的数据来分析并建立5年CRC生存预测模型。使用机器学习算法开发预测模型,包括随机森林、极端梯度提升(XG-Boost)、装袋法、逻辑回归、支持向量机、人工神经网络、决策树和K近邻算法。

结果

当前研究表明,极端梯度提升(XG-Boost)在内部和外部条件下的曲线下面积(AU-ROC)分别为0.906和0.813,与其他算法相比,能让我们更好地了解预测性和泛化性。

结论

极端梯度提升(XG-Boost)可用作实施智能系统的知识来源,作为医疗保健环境中临床决策的辅助工具,通过医生可以实现的各种临床解决方案来改善预后并提高CRC患者的生存率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbc6/11375664/a8b12d25c52f/10.1177_11769351241275889-fig1.jpg

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