Wang Chunjie, Lu Zhexin, Wang Chuchu, Song Xinyuan
School of Mathematics and Statistics, Changchun University of Technology, Changchun, China.
Department of Statistics, Chinese University of Hong Kong, Hong Kong, China.
Stat Med. 2025 Jun;44(13-14):e70152. doi: 10.1002/sim.70152.
The information extracted from imaging data has become increasingly important in disease diagnosis as it uncovers associations between imaging features and diseases of interest. This study proposes a partial functional Tobit censored quantile regression (PFTCQR) model to investigate the quantile-specific relationships between the time of incidence of laryngeal cancer and a set of imaging and clinical predictors based on the data collected from a laryngeal cancer study in the Otolaryngology Department of a tertiary hospital in Jilin Province, China. The functional principal component analysis and moment method are employed to estimate the slope and covariance functions of the functional predictors. An efficient Markov chain Monte Carlo (MCMC) algorithm is developed, leveraging the location-scale mixture representation of the asymmetric Laplace distribution (ALD) to perform the estimation. Furthermore, we extend the PFTCQR model to the composite quantile regression framework and incorporate variable selection for scalar covariates, further enhancing the robustness and efficiency of parameter estimation and improving model fitting. The proposed method is demonstrated through simulation studies and applied to the laryngeal carcinoma data. Results provide new insights into potential risk factors for laryngeal carcinoma and their effects varying across quantiles. Specific laryngeal regions are identified as significantly associated with the progression of the disease.
从影像数据中提取的信息在疾病诊断中变得越来越重要,因为它揭示了影像特征与感兴趣疾病之间的关联。本研究提出了一种部分功能Tobit删失分位数回归(PFTCQR)模型,以基于从中国吉林省一家三级医院耳鼻喉科的喉癌研究收集的数据,研究喉癌发病时间与一组影像和临床预测因素之间的分位数特定关系。采用功能主成分分析和矩方法来估计功能预测因素的斜率和协方差函数。开发了一种有效的马尔可夫链蒙特卡罗(MCMC)算法,利用非对称拉普拉斯分布(ALD)的位置-尺度混合表示来进行估计。此外,我们将PFTCQR模型扩展到复合分位数回归框架,并纳入标量协变量的变量选择,进一步提高了参数估计的稳健性和效率,改善了模型拟合。通过模拟研究证明了所提出的方法,并将其应用于喉癌数据。结果为喉癌的潜在风险因素及其在不同分位数上的影响提供了新的见解。确定了特定的喉部区域与疾病进展显著相关。