临床决策支持工具用于乳腺癌复发预测,使用合作游戏理论中的SHAP值
Ying Liu1, Yating Fu2, Yadong Peng1,3
1Special Needs Comprehensive Department, Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830000, China.
Heliyon
|February 5, 2024
概括
这项研究引入了一种可解释的机器学习工具,用于预测乳腺癌复发,识别瘤大小和淋巴结转移等关键因素,以改善临床决策和患者结果.
科学领域:
- 在瘤学瘤学.
- 机器学习 机器学习
- 生物统计学 生物统计学
背景情况:
- 乳腺癌复发是死亡的主要原因之一.
- 现有的机器学习模型缺乏透明度,阻碍了临床采用.
研究的目的:
- 开发用于乳腺癌预后的临床决策支持工具.
- 使用可解释的人工智能识别影响乳腺癌复发的关键因素.
主要方法:
- 采用沙普利增量解释 (SHAP),一种可解释的集体学习方法.
- 分析了1629名乳腺癌患者的数据,以确定复发因素.
- 开发了一种复发预测模型和决策机制.
主要成果:
- 确定了瘤大小,临床III期,淋巴结转移和年龄作为关键因素.
- 实现了高预测准确度,AUC为0.97 (额外树) 和0.96 (随机森林).
- 该工具提供了透明和可解释的预测.
结论:
- 可解释组合学习方法准确预测乳腺癌复发.
- 该工具通过透明度增强了临床决策和患者的结果.
- 这种方法为乳腺癌预后提供了可靠和适用的解决方案.
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