基于机器学习的动态CEA轨迹和胃癌的预后
Yonghe Chen1,2,3, Dan Liu4, Zhong Wang5
1Department of General Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, 26 Yuancun Erheng Road, Guangzhou, 510655, China. chenyhe@mail2.sysu.edu.cn.
BMC cancer
|July 27, 2025
概括
动态癌胚抗原 (CEA) 水平,而不仅仅是静态值,预测胃癌的预后. 较高的CEA轨迹表明生存率较差,需要对患者进行更密切的监测.
科学领域:
- 在瘤学瘤学.
- 生物标志物 生物标志物
- 癌症研究 癌症研究
背景情况:
- 癌胚抗原 (CEA) 是胃癌的已知预后标志物.
- 随着时间的推移,CEA水平的动态变化的预后意义仍未得到充分探索.
研究的目的:
- 在胃癌患者中研究术后CEA水平轨迹的预后价值.
- 识别不同的CEA模式及其与患者生存结果的关联.
主要方法:
- 在578名胃癌患者中分析了手术前CEA水平 (手术前,手术后早期,手术后晚期).
- K-意味着集群来定义CEA轨迹.
- 卡普兰-梅尔分析和考克斯回归来评估生存差异.
主要成果:
- 确定了三个不同的CEA轨迹 (高,中,低).
- 较高的CEA轨迹与明显较差的无病存活率 (DFS) 和整体存活率 (OS) 相相关.
- 高CEA轨迹组与低轨迹组相比,死亡风险增加了一倍以上 (HR 2.64).
结论:
- 动态CEA轨迹是胃癌的重要独立预后因素.
- 由于预后较差,CEA轨迹较高的患者需要加强监测.
- 监测CEA趋势为胃癌管理提供了超越静态测量的宝贵见解.
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