Comparison of Machine Learning and Logic Regression Algorithms for Predicting Lymph Node Metastasis in Patients with Gastric Cancer: A two-Center Study

Objectives This two-center study aimed to establish a model for predicting the risk of lymph node metastasis in gastric cancer patients using machine learning (ML) and logistic regression (LR) algorithms, and to evaluate its predictive performance in clinical practice. Methods Data of a total of 369...

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Main Authors: Tong Lu MM, Yu Fang MM, Haonan Liu MM, Chong Chen MM, Taotao Li MM, Miao Lu MSN, Daqing Song MB
Format: Article
Language:English
Published: SAGE Publishing 2024-01-01
Series:Technology in Cancer Research & Treatment
Online Access:https://doi.org/10.1177/15330338231222331
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author Tong Lu MM
Yu Fang MM
Haonan Liu MM
Chong Chen MM
Taotao Li MM
Miao Lu MSN
Daqing Song MB
author_facet Tong Lu MM
Yu Fang MM
Haonan Liu MM
Chong Chen MM
Taotao Li MM
Miao Lu MSN
Daqing Song MB
author_sort Tong Lu MM
collection DOAJ
description Objectives This two-center study aimed to establish a model for predicting the risk of lymph node metastasis in gastric cancer patients using machine learning (ML) and logistic regression (LR) algorithms, and to evaluate its predictive performance in clinical practice. Methods Data of a total of 369 patients who underwent radical gastrectomy in the Department of General Surgery of Affiliated Hospital of Xuzhou Medical University (Xuzhou, China) from March 2016 to November 2019 were collected and retrospectively analyzed as the training group. In addition, data of 123 patients who underwent radical gastrectomy in the Department of General Surgery of Jining First People's Hospital (Jining, China) were collected and analyzed as the verification group. Besides, 7 ML and logistic models were developed, including decision tree, random forest, support vector machine (SVM), gradient boosting machine (GBM), naive Bayes, neural network, and LR, in order to evaluate the occurrence of lymph node metastasis in patients with gastric cancer. The ML model was established following 10 cross-validation iterations within the training dataset, and subsequently, each model was assessed using the test dataset. The model's performance was evaluated by comparing the area under the receiver operating characteristic curve of each model. Results Compared with the traditional logistic model, among the 7 ML algorithms, except for SVM, the other models exhibited higher accuracy and reliability, and the influences of various risk factors on the model were more intuitive. Conclusion For the prediction of lymph node metastasis in gastric cancer patients, the ML algorithm outperformed traditional LR, and the GBM algorithm exhibited the most robust predictive capability.
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spelling doaj.art-3d8ed1f49a9c4a7a81e5b904124c7ad82024-01-09T03:03:25ZengSAGE PublishingTechnology in Cancer Research & Treatment1533-03382024-01-012310.1177/15330338231222331Comparison of Machine Learning and Logic Regression Algorithms for Predicting Lymph Node Metastasis in Patients with Gastric Cancer: A two-Center StudyTong Lu MM0Yu Fang MM1Haonan Liu MM2Chong Chen MM3Taotao Li MM4Miao Lu MSN5Daqing Song MB6 Department of emergency medicine, Jining No.1 People's Hospital, Jining, China , Xuzhou, China Department of Oncology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China Department of Gastroenterology, Xuzhou No.1 People's Hospital, Xuzhou, China Department of emergency medicine, Jining No.1 People's Hospital, Jining, China Wuxi Mental Health Center, Wuxi, China Department of emergency medicine, Jining No.1 People's Hospital, Jining, ChinaObjectives This two-center study aimed to establish a model for predicting the risk of lymph node metastasis in gastric cancer patients using machine learning (ML) and logistic regression (LR) algorithms, and to evaluate its predictive performance in clinical practice. Methods Data of a total of 369 patients who underwent radical gastrectomy in the Department of General Surgery of Affiliated Hospital of Xuzhou Medical University (Xuzhou, China) from March 2016 to November 2019 were collected and retrospectively analyzed as the training group. In addition, data of 123 patients who underwent radical gastrectomy in the Department of General Surgery of Jining First People's Hospital (Jining, China) were collected and analyzed as the verification group. Besides, 7 ML and logistic models were developed, including decision tree, random forest, support vector machine (SVM), gradient boosting machine (GBM), naive Bayes, neural network, and LR, in order to evaluate the occurrence of lymph node metastasis in patients with gastric cancer. The ML model was established following 10 cross-validation iterations within the training dataset, and subsequently, each model was assessed using the test dataset. The model's performance was evaluated by comparing the area under the receiver operating characteristic curve of each model. Results Compared with the traditional logistic model, among the 7 ML algorithms, except for SVM, the other models exhibited higher accuracy and reliability, and the influences of various risk factors on the model were more intuitive. Conclusion For the prediction of lymph node metastasis in gastric cancer patients, the ML algorithm outperformed traditional LR, and the GBM algorithm exhibited the most robust predictive capability.https://doi.org/10.1177/15330338231222331
spellingShingle Tong Lu MM
Yu Fang MM
Haonan Liu MM
Chong Chen MM
Taotao Li MM
Miao Lu MSN
Daqing Song MB
Comparison of Machine Learning and Logic Regression Algorithms for Predicting Lymph Node Metastasis in Patients with Gastric Cancer: A two-Center Study
Technology in Cancer Research & Treatment
title Comparison of Machine Learning and Logic Regression Algorithms for Predicting Lymph Node Metastasis in Patients with Gastric Cancer: A two-Center Study
title_full Comparison of Machine Learning and Logic Regression Algorithms for Predicting Lymph Node Metastasis in Patients with Gastric Cancer: A two-Center Study
title_fullStr Comparison of Machine Learning and Logic Regression Algorithms for Predicting Lymph Node Metastasis in Patients with Gastric Cancer: A two-Center Study
title_full_unstemmed Comparison of Machine Learning and Logic Regression Algorithms for Predicting Lymph Node Metastasis in Patients with Gastric Cancer: A two-Center Study
title_short Comparison of Machine Learning and Logic Regression Algorithms for Predicting Lymph Node Metastasis in Patients with Gastric Cancer: A two-Center Study
title_sort comparison of machine learning and logic regression algorithms for predicting lymph node metastasis in patients with gastric cancer a two center study
url https://doi.org/10.1177/15330338231222331
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