关于AML患者生存预测的新视角:将机器学习集成到SEER数据库应用中
Zheng-Yi Jia1, Maierbiya Abulimiti1, Yun Wu2
1School of Pharmacy, Xinjiang Medical University, Urumqi, 830011, China.
Heliyon
|February 6, 2025
概括
这项研究分析了87,090例急性髓性白血病 (AML) 病例,确定了关键的预后因素. 一个机器学习模型,特别是随机森林,准确地预测了AML患者的生存率,改善了预后洞察力.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 数据科学数据科学数据科学
背景情况:
- 急性髓性白血病 (AML) 仍然是一个重要的健康挑战,具有复杂的流行病学模式.
- 准确的预后预测对于优化患者管理和治疗策略至关重要.
研究的目的:
- 调查AML的流行病学特征.
- 开发和验证基于机器学习的模型,用于预测AML患者的预后.
主要方法:
- 从SEER数据库 (1975-2019) 中分析了87090名AML患者记录.
- 对于预后因素的生存率和考克斯回归的卡普兰-梅尔分析.
- 使用交叉验证对11个机器学习算法进行1,2,3年生存预测的评估.
主要成果:
- 在2010年后诊断的患者中,生存率显著改善.
- 年龄较大,男性性别,非黑人种族和家庭收入较低与预后较差有关.
- 随机森林,XGBoost和神经网络分类器在生存预测中表现出高准确度.
结论:
- 这项研究增强了对AML流行病学的理解.
- 成功建立了一个可靠的机器学习模型来预测AML的预后.
- 开发的模型显示了临床应用的准确性和可靠性.
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