基于监测,流行病学和最终结果 (SEER) 数据库分析的深度学习模型来预测肝细胞癌患者的生存率
Shoucheng Wang1, Mingyi Shao2, Yu Fu3
1Department of Gastroenterology, The First Affiliated Hospital of Henan University of Chinese Medicine, The First Clinical Medical College of Henan University of Chinese Medicine, Zhengzhou, 450000, China.
Scientific reports
|June 9, 2024
概括
一个新的深度学习模型,神经多任务后勤回归 (NMTLR),准确地预测肝细胞癌 (HCC) 患者的生存率. 这种先进的AI工具为原发性肝癌提供了改进的预后和个性化的治疗建议.
科学领域:
- 在瘤学瘤学.
- 人工智能的人工智能
- 生物统计学 生物统计学
背景情况:
- 肝细胞癌 (HCC) 是一种流行癌症,存活率较低,需要有效的长期随访策略.
- 准确预测患者生存率对于管理HCC和指导治疗决策至关重要.
研究的目的:
- 开发和验证一种深度学习模型,用于预测原发性HCC患者的存活率.
- 将深度学习模型的性能与传统的机器学习和HCC预测的统计模型进行比较.
主要方法:
- 利用了美国SEER数据库 (2011-2015) 中的2197名HCC患者的数据.
- 开发和训练深度学习模型 (DeepSurv,NMTLR) 和机器学习模型 (RSF,CoxPH).
- 使用一致性指数 (C指数),Brier分数,ROC曲线和校准图进行评估模型性能.
主要成果:
- 深度学习模型,特别是NMTLR (C指数为0.735),表现优于RSF和CoxPH模型.
- 在预测1,3年和5年生存率方面,NMTLR取得了很高的准确性 (AUC分别为0.824,0.813,0.803).
- 该NMTLR模型显示出卓越的校准和临床预后的区分能力.
结论:
- 该NMTLR深度学习模型提供了一个强大的工具,用于预测HCC患者的生存率.
- 该模型为临床预后和治疗建议提供了更高的准确性和可靠性.
- 对于临床实践,NMTLR模型的Web应用程序是可用的,有助于个性化患者护理.
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