|Table of Contents|

Clinical study of predicting overall survival of patients with retroperitoneal liposarcoma based on machine learning algorithms

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2023 07
Page:
1291-1296
Research Field:
Publishing date:

Info

Title:
Clinical study of predicting overall survival of patients with retroperitoneal liposarcoma based on machine learning algorithms
Author(s):
WANG Peng1DING Xiaoling2XIE Mingjie1WANG Xingchao1ZHU Donghui1YU Tiannan3CHEN Erlin1
1.General Surgery;2.Department of Gastroenterology;3.Urology Department,Affiliated Hospital of Nantong University,Jiangsu Nantong 226001,China.
Keywords:
retroperitoneal liposarcomamachine learningpredictoverall survival
PACS:
R730.262
DOI:
10.3969/j.issn.1672-4992.2023.07.021
Abstract:
Objective:To compare the prediction effects of different types of machine learning algorithms on the overall survival of retroperitoneal liposarcoma(RP-LPS) patients,and choose the best algorithm to guide clinical diagnosis and treatment.Methods:The cases(2 147 cases) diagnosed with retroperitoneal liposarcoma from 2000 to 2019 were collected by SEER*Stat software in the United States as a training set for research.We selected patients(55 cases) with retroperitoneal liposarcoma diagnosed in Nantong University Affiliated Hospital from 2014 to 2019 as an external validation set,using machine learning algorithms including support vector machine,adaptive boosting,decision tree,random forest,and neural network.The prediction performance of these algorithms in the training set and the validation set was compared respectively.Results:By comparing the prediction performance indicators of each machine learning algorithm,including accuracy,sensitivity,AUC,F1 score,etc.,it was concluded that the prediction effect of the adaptive improvement algorithm was the best,in the training set,the accuracy rate was 69.1%,the sensitivity was 76.5% and AUC was 0.70.In the external validation set,the accuracy was 74.5%,the sensitivity was 72.0% and AUC was 0.74.Compared with the traditional TNM model,it also shows better prediction performance.Conclusion:The machine learning algorithm provides more accurate and personalized prognostic information about retroperitoneal liposarcoma than traditional prediction models,which can be used to assist doctors in judging the prognosis and treatment effect of patients,and formulate a personalized diagnosis and treatment plans.

References:

[1] METTLIN C,PRIORE R,RAO U,et al.Results of the national soft-tissue sarcoma registry[J].J Surg Oncol,1982,19(4):224-227.
[2] KANG Q,YU Y,YANG B.Incidence of port site metastasis in laparoscopic radical nephroureterectomy:Single-institution experience[J].Urology,2019,131:130-135.
[3] VIJAY A,RAM L.Retroperitoneal liposarcoma:a comprehensive review[J].Am J Clin Oncol,2015,38(2):213-219.
[4] BALACHANDRAN VP,GONEN M,SMITH JJ,et al.Nomograms in oncology:more than meets the eye[J].Lancet Oncol,2015,16(4):e173-e180.
[5] KATTAN MW,HESS KR,AMIN MB,et al.American Joint Committee on Cancer acceptance criteria for inclusion of risk models for individualized prognosis in the practice of precision medicine[J].CA Cancer J Clin,2016,66(5):370-374.
[6] NGIAM KY,KHOR IW.Big data and machine learning algorithms for health-care delivery[J].Lancet Oncol,2019,20(5):e262-e273.
[7] 肖博达,周国富.人工智能技术发展及应用综述[J].福建电脑,2018,34(01):98-99,103. XIAO BD,ZHOU GF.A review of the development and application of artificial intelligence technology[J].Journal of Fujian Computer,2018,34(01):98-99,103.
[8] 饶飘雪,叶枫.基于Logistic回归、ANN、SVM的乳腺癌复发影响因素研究[J].计算机系统应用,2016,25(07):259-263. RAO PX,YE F.Research on risks factors of female breast cancer recurrence based on logistic regression,artificial neural network and support vector machine[J].Journal of Computer Systems and Applications,2016,25(07):259-263.
[9] 曹莹,苗启广,刘家辰,等.AdaBoost算法研究进展与展望[J].自动化学报,2013,39(06):745-758. CAO Y,MIAO QG,LIU JC,et al.Advance and prospects of adaBoost algorithm[J].Acta automatica sinica,2013,39(06):745-758.
[10] 杨学兵,张俊.决策树算法及其核心技术[J].计算机技术与发展,2007,39(01):43-45. YANG XB,ZHANG J.Decision tree and its key techniques[J].Journal of Computer Technology and Development,2007,39(01):43-45.
[11] WANG C,CHEN X,DU L,et al.Comparison of machine learning algorithms for the identification of acute exacerbations in chronic obstructive pulmonary disease[J].Computer Methods and Programs in Biomedicine,2020,188:105267.
[12] 张会敏,叶明全,罗永钱,等.基于RBF神经网络的老年痴呆症智能诊断研究[J].中国数字医学,2015,10(06):38-41. ZHANG HM,YE MQ,LUO YQ,et al.Study on intelligent diagnosis of senile dementia based on RBF neural network[J].Journal of China Digital Medicine,2015,10(06):38-41.
[13] MACK TM.Sarcomas and other malignancies of soft tissue,retroperitoneum,peritoneum,pleura,heart,mediastinum,and spleen[J].Cancer,1995,5(1 suppl):211-244.
[14] PORTER GA,BAXTER NN,PISTERS PW.Retroperitoneal sarcoma:a population-based analysis of epidemiology,surgery,and radiotherapy[J].Cancer,2006,06(7):1610-1616.
[15] WU YX,LIU JY,LIU JJ,et al.A retrospective,single-center cohort study on 65 patients with primary retroperitoneal liposarcoma[J].Oncol Lett,2018,15(2):1799-1810.
[16] KAMALAPATHY PN,RAMKUMAR DB,KARHADE AV,et al.Development of machine learning model algorithm for prediction of 5-year soft tissue myxoid liposarcoma survival[J].J Surg Oncol,2021,123(7):1610-1617.
[17] MALINAUSKAITE I,HOFMEISTER J,BURGERMEISTER S,et al.Radiomics and machine learning differentiate soft-tissue lipoma and liposarcoma better than musculoskeletal radiologists[J].Sarcoma,2020,2020:7163453.
[18] YANG Y,ZHOU Y,ZHOU C,et al.Novel computer aided diagnostic models on multimodality medical images to differentiate well differentiated liposarcomas from lipomas approached by deep learning methods[J].Orphanet J Rare Dis,2022,17(1):158.
[19] HU H,WEN Y,CHUA TS,et al.Toward scalable systems for big data analytics:A technology tutorial[J].IEEE Access,2014,2:652-687.
[20] MANOGARAN G,LOPEZ D.Health data analytics using scalable logistic regression with stochastic gradient descent[J].International Journal of Advanced Intelligence Paradigms,2018,10(1-2):118-132.
[21] HOMSY P,HEISKANEN I,SAMPO M,et al.Single centre 30-year experience in treating retroperitoneal liposarcomas[J].J Surg Oncol,2020,122(6):1163-1172.
[22] SINGER S,ANTONESCU CR,RIEDEL E,et al.Histologic subtype and margin of resection predict pattern of recurrence and survival for retroperitoneal liposarcoma[J].Ann Surg,2003,238(3):358-371.
[23] SUN P,MA R,LIU G,et al.Pathological prognostic factors of retroperitoneal liposarcoma:comprehensive clinicopathological analysis of 124 cases[J].Ann Transl Med,2021,9(7):574.
[24] ZHUANG A,WU Q,TONG H,et al.Development and validation of a nomogram for predicting recurrence-free survival of surgical resected retroperitoneal liposarcoma[J].Cancer Manag Res,2021,13:6633-6639.
[25] MILLER DD,BROWN EW.Artificial intelligence in medical practice:The question to the answer[J].Am J Med,2018,131(2):129-133.
[26] FREUND Y,SCHAPIRE RE.A decision-theoretic generalization of on-line learning and an application to boosting[J].Journal of Computer and System Sciences,1997,55(1):119-139.

Memo

Memo:
National Natural Science Foundation of China(No.82172931);国家自然科学基金资助项目(编号:82172931)
Last Update: 2023-02-28