Comparison of Different Machine Learning Models in Prediction of Postirradiation Recurrence in Prostate Carcinoma Patients.

After primary treatment of localized prostate carcinoma (PC), up to a third of patients have disease recurrence. Different predictive models have already been used either for initial stratification of PC patients or to predict disease recurrence. Recently, artificial intelligence has been introduced...

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Publicado en:BioMed Research International pp. 1 - 14
Autores principales: Marinkovic, Mladen, Popovic, Marina, Stojanovic-Rundic, Suzana, Nikolic, Milos, Cavic, Milena, Gavrilovic, Dusica, Teodorovic, Dusan, Mitrovic, Nenad, Mijatovic Teodorovic, Ljiljana
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 2/7/2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2022/7943609
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        atl: Comparison of Different Machine Learning Models in Prediction of Postirradiation Recurrence in Prostate Carcinoma Patients.
      aug:
        au:
          Marinkovic, Mladen
          Popovic, Marina
          Stojanovic-Rundic, Suzana
          Nikolic, Milos
          Cavic, Milena
          Gavrilovic, Dusica
          Teodorovic, Dusan
          Mitrovic, Nenad
          Mijatovic Teodorovic, Ljiljana
        affil: Department of Radiation Oncology, Clinic for Radiation Oncology and Diagnostics, Institute for Oncology and Radiology of Serbia, Belgrade, Serbia
      sug:
        subj:
          Machine Learning Methods
          Prediction Models
          Recurrence
          Prostatic Neoplasms Therapy
          Cancer Patients
          Disease Progression
          Human
          Comparative Studies
          Prostate-Specific Antigen
          Radiotherapy Methods
          Combined Modality Therapy
          Algorithms
          Neural Networks (Computer)
          Univariate Statistics
          Neoplasm Grading
          ROC Curve
          Sensitivity and Specificity
          Predictive Value of Tests
      ab: After primary treatment of localized prostate carcinoma (PC), up to a third of patients have disease recurrence. Different predictive models have already been used either for initial stratification of PC patients or to predict disease recurrence. Recently, artificial intelligence has been introduced in the diagnosis and management of PC with a potential to revolutionize this field. The aim of this study was to analyze machine learning (ML) classifiers in order to predict disease progression in the moment of prostate-specific antigen (PSA) elevation during follow-up. The study cohort consisted of 109 PC patients treated with external beam radiotherapy alone or in combination with androgen deprivation therapy. We developed and evaluated the performance of two ML algorithms based on artificial neural networks (ANN) and naïve Bayes (NB). Of all patients, 72.5% was randomly selected for a training set while the remaining patients were used for testing of the models. The presence/absence of disease progression was defined as the output variable. The input variables for models were conducted from the univariate analysis preformed among two groups of patients in the training set. They included two pretreatment variables (UICC stage and Gleason's score risk group) and five posttreatment variables (nadir PSA, time to nadir PSA, PSA doubling time, PSA velocity, and PSA in the moment of disease reevaluation). The area under the receiver operating characteristic curve, sensitivity, specificity, positive predictive value, negative predictive value, and predictive accuracy was calculated to test the models' performance. The results showed that specificity was similar for both models, while NB achieved better sensitivity then ANN (100.0% versus 94.4%). The ANN showed an accuracy of 93.3%, and the matching for NB model was 96.7%. In this study, ML classifiers have shown potential for application in routine clinical practice during follow-up when disease progression was suspected.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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