使用混合贝叶斯网络对复发性乳腺癌患者的生存分析
Parviz Shahmirzalou1, Majid Jafari Khaledi2, Maryam Khayamzadeh3
1Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Heliyon
|October 2, 2023
概括
这项研究使用贝叶斯网络来分析乳腺癌复发生存率. 关键生物标志物如HER2,ER和PR显著影响复发患者的生存率.
科学领域:
- 在瘤学瘤学.
- 生物统计学 生物统计学
- 医疗信息学 医疗信息学
背景情况:
- 乳腺癌 (BC) 是全球女性最常见的癌症.
- 伊朗妇女面临11%的BC复发率,影响生存结果.
- 关于影响复发性乳腺癌生存率的因素的研究有限.
研究的目的:
- 用混合贝叶斯网络 (BN) 分析乳腺癌复发患者的生存率.
- 确定影响患者生存的关键病理生物学特征,人口统计数据和临床因素.
- 根据患者特征和生物标志物预测生存结果.
主要方法:
- 在220名复发性乳腺癌患者的生存分析中采用贝叶斯网络 (BN) 模型.
- 利用贝叶斯归算来处理缺失的数据,并通过黑名单和先验概率优化了BN性能.
- 通过保留技术验证了模型,并通过指向环形图分析了结构学习.
主要成果:
- 与其他网络结构相比,优化的BN表现出优越的性能.
- 在生物标志物 (ER,PR,HER2),癌症阶段,瘤等级和患者生存时间之间发现了显著的关联.
- 患者的生存率与阳性雌激素受体 (ER) 和孕激素受体 (PR) 状态以及阴性人体表皮生长因子受体2 (HER2) 状态有关.
结论:
- 生物标志物状态是复发性乳腺癌患者的生存和死亡的一个关键决定因素.
- 开发的BN模型有效地根据确定的临床和病理特征预测患者的存活率.
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