一种基于临床试验的机器学习预测模型,用于2型糖尿病患者的癌症风险
Bin Qiu1, Hang Chen1, Enke Zhang1
1IT Department, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi, China.
概括
一个新的模型使用常规实验室测试和机器学习预测2型糖尿病患者的癌症风险. 这有助于早期发现和预防癌症,改善这一高风险人群的治疗结果.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 数据科学数据科学数据科学
背景情况:
- 全球2型糖尿病发病率正在上升.
- 2型糖尿病与癌症发病率的增加有关.
- 早期癌症检测对于糖尿病患者来说至关重要.
研究的目的:
- 开发一种2型糖尿病患者癌症风险预测模型.
- 为了利用常规实验室测试进行癌症风险评估.
- 加强早期癌症查和预防策略.
主要方法:
- 分析了来自5198名患者的临床数据.
- 使用261个实验室测试项目构建了一个癌症风险预测模型.
- 根据统计学意义和特征重要性选择了107个风险因素.
主要成果:
- 五个基于决策树的机器学习分类器 (CatBoost,LightGBM,Random Forest,XGBoost,梯度提升) 实现了曲线下的面积 (AUC) > 0.80.
- CatBoost模型的AUC最高为0.852,具有79.6%的灵敏度和83.2%的特异性.
- 这些模型有效地区分了2型糖尿病患者的癌症风险.
结论:
- 一个机器学习模型准确地预测了2型糖尿病患者的癌症风险.
- 该模型利用现有的临床数据和常规实验室测试.
- 该工具支持早期癌症查和预防,有可能改善患者的预后.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
2.5K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.5K
Psychoneuroimmunology: Diabetes and Cancer
44
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
44
Carbohydrate Metabolism
11.2K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.2K
Cancer Survival Analysis
380
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
380
Diabetes: Symptoms, Diagnosis, and Complications
573
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
573
Diabetes Mellitus: Overview and Type I Subtype
2.7K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.7K


