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Predicting metastasis in gastric cancer patients: machine learning-based approaches

Scientific reports, 2023-03, Vol.13 (1), p.4163-4163, Article 4163 [Peer Reviewed Journal]

2023. The Author(s). ;The Author(s) 2023. corrected publication 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2023 ;ISSN: 2045-2322 ;EISSN: 2045-2322 ;DOI: 10.1038/s41598-023-31272-w ;PMID: 36914697

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  • Title:
    Predicting metastasis in gastric cancer patients: machine learning-based approaches
  • Author: Talebi, Atefeh ; Celis-Morales, Carlos A ; Borumandnia, Nasrin ; Abbasi, Somayeh ; Pourhoseingholi, Mohamad Amin ; Akbari, Abolfazl ; Yousefi, Javad
  • Subjects: Algorithms ; Bayes Theorem ; Demography ; Gastric cancer ; Humans ; Learning algorithms ; Machine Learning ; Metastases ; Metastasis ; Neural networks ; Neural Networks, Computer ; Patients ; Prediction models ; Sensitivity analysis ; Stomach cancer ; Stomach Neoplasms - diagnosis ; Support vector machines
  • Is Part Of: Scientific reports, 2023-03, Vol.13 (1), p.4163-4163, Article 4163
  • Description: Gastric cancer (GC), with a 5-year survival rate of less than 40%, is known as the fourth principal reason of cancer-related mortality over the world. This study aims to develop predictive models using different machine learning (ML) classifiers based on both demographic and clinical variables to predict metastasis status of patients with GC. The data applied in this study including 733 of GC patients, divided into a train and test groups at a ratio of 8:2, diagnosed at Taleghani tertiary hospital. In order to predict metastasis in GC, ML-based algorithms, including Naive Bayes (NB), Random Forest (RF), Support Vector Machine (SVM), Neural Network (NN), Decision Tree (RT) and Logistic Regression (LR), with 5-fold cross validation were performed. To assess the model performance, F1 score, precision, sensitivity, specificity, area under the curve (AUC) of receiver operating characteristic (ROC) curve and precision-recall AUC (PR-AUC) were obtained. 262 (36%) experienced metastasis among 733 patients with GC. Although all models have optimal performance, the indices of SVM model seems to be more appropiate (training set: AUC: 0.94, Sensitivity: 0.94; testing set: AUC: 0.85, Sensitivity: 0.92). Then, NN has the higher AUC among ML approaches (training set: AUC: 0.98; testing set: AUC: 0.86). The RF of ML-based models, which determine size of tumor and age as two essential variables, is considered as the third efficient model, because of higher specificity and AUC (84% and 87%). Based on the demographic and clinical characteristics, ML approaches can predict the metastasis status in GC patients. According to AUC, sensitivity and specificity in both SVM and NN can be regarded as better algorithms among 6 applied ML-based methods.
  • Publisher: England: Nature Publishing Group
  • Language: English
  • Identifier: ISSN: 2045-2322
    EISSN: 2045-2322
    DOI: 10.1038/s41598-023-31272-w
    PMID: 36914697
  • Source: MEDLINE
    ProQuest Databases
    PubMed Central
    DOAJ: Directory of Open Access Journals
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