A lung cancer risk warning model based on tongue images

Objective: To investigate the tongue image features of patients with lung cancer and benign pulmonary nodules and to construct a lung cancer risk warning model using machine learning methods.Methods: From July 2020 to March 2022, we collected 862 participants including 263 patients with lung cancer,...

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Main Authors: Yulin Shi, Dandan Guo, Yi Chun, Jiayi Liu, Lingshuang Liu, Liping Tu, Jiatuo Xu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2023.1154294/full
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author Yulin Shi
Dandan Guo
Yi Chun
Jiayi Liu
Lingshuang Liu
Liping Tu
Jiatuo Xu
author_facet Yulin Shi
Dandan Guo
Yi Chun
Jiayi Liu
Lingshuang Liu
Liping Tu
Jiatuo Xu
author_sort Yulin Shi
collection DOAJ
description Objective: To investigate the tongue image features of patients with lung cancer and benign pulmonary nodules and to construct a lung cancer risk warning model using machine learning methods.Methods: From July 2020 to March 2022, we collected 862 participants including 263 patients with lung cancer, 292 patients with benign pulmonary nodules, and 307 healthy subjects. The TFDA-1 digital tongue diagnosis instrument was used to capture tongue images, using feature extraction technology to obtain the index of the tongue images. The statistical characteristics and correlations of the tongue index were analyzed, and six machine learning algorithms were used to build prediction models of lung cancer based on different data sets.Results: Patients with benign pulmonary nodules had different statistical characteristics and correlations of tongue image data than patients with lung cancer. Among the models based on tongue image data, the random forest prediction model performed the best, with a model accuracy of 0.679 ± 0.048 and an AUC of 0.752 ± 0.051. The accuracy for the logistic regression, decision tree, SVM, random forest, neural network, and naïve bayes models based on both the baseline and tongue image data were 0.760 ± 0.021, 0.764 ± 0.043, 0.774 ± 0.029, 0.770 ± 0.050, 0.762 ± 0.059, and 0.709 ± 0.052, respectively, while the corresponding AUCs were 0.808 ± 0.031, 0.764 ± 0.033, 0.755 ± 0.027, 0.804 ± 0.029, 0.777 ± 0.044, and 0.795 ± 0.039, respectively.Conclusion: The tongue diagnosis data under the guidance of traditional Chinese medicine diagnostic theory was useful. The performance of models built on tongue image and baseline data was superior to that of the models built using only the tongue image data or the baseline data. Adding objective tongue image data to baseline data can significantly improve the efficacy of lung cancer prediction models.
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spelling doaj.art-85c14aecf76f472db78b70c8b46e80872023-06-01T05:04:45ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2023-06-011410.3389/fphys.2023.11542941154294A lung cancer risk warning model based on tongue imagesYulin Shi0Dandan Guo1Yi Chun2Jiayi Liu3Lingshuang Liu4Liping Tu5Jiatuo Xu6Experimental Education Center of Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaSchool of Basic Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaSchool of Basic Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaSchool of Basic Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaLonghua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaSchool of Basic Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaSchool of Basic Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaObjective: To investigate the tongue image features of patients with lung cancer and benign pulmonary nodules and to construct a lung cancer risk warning model using machine learning methods.Methods: From July 2020 to March 2022, we collected 862 participants including 263 patients with lung cancer, 292 patients with benign pulmonary nodules, and 307 healthy subjects. The TFDA-1 digital tongue diagnosis instrument was used to capture tongue images, using feature extraction technology to obtain the index of the tongue images. The statistical characteristics and correlations of the tongue index were analyzed, and six machine learning algorithms were used to build prediction models of lung cancer based on different data sets.Results: Patients with benign pulmonary nodules had different statistical characteristics and correlations of tongue image data than patients with lung cancer. Among the models based on tongue image data, the random forest prediction model performed the best, with a model accuracy of 0.679 ± 0.048 and an AUC of 0.752 ± 0.051. The accuracy for the logistic regression, decision tree, SVM, random forest, neural network, and naïve bayes models based on both the baseline and tongue image data were 0.760 ± 0.021, 0.764 ± 0.043, 0.774 ± 0.029, 0.770 ± 0.050, 0.762 ± 0.059, and 0.709 ± 0.052, respectively, while the corresponding AUCs were 0.808 ± 0.031, 0.764 ± 0.033, 0.755 ± 0.027, 0.804 ± 0.029, 0.777 ± 0.044, and 0.795 ± 0.039, respectively.Conclusion: The tongue diagnosis data under the guidance of traditional Chinese medicine diagnostic theory was useful. The performance of models built on tongue image and baseline data was superior to that of the models built using only the tongue image data or the baseline data. Adding objective tongue image data to baseline data can significantly improve the efficacy of lung cancer prediction models.https://www.frontiersin.org/articles/10.3389/fphys.2023.1154294/fullbenign pulmonary nodulelung cancertongue imagemachine learningrisk warning model
spellingShingle Yulin Shi
Dandan Guo
Yi Chun
Jiayi Liu
Lingshuang Liu
Liping Tu
Jiatuo Xu
A lung cancer risk warning model based on tongue images
Frontiers in Physiology
benign pulmonary nodule
lung cancer
tongue image
machine learning
risk warning model
title A lung cancer risk warning model based on tongue images
title_full A lung cancer risk warning model based on tongue images
title_fullStr A lung cancer risk warning model based on tongue images
title_full_unstemmed A lung cancer risk warning model based on tongue images
title_short A lung cancer risk warning model based on tongue images
title_sort lung cancer risk warning model based on tongue images
topic benign pulmonary nodule
lung cancer
tongue image
machine learning
risk warning model
url https://www.frontiersin.org/articles/10.3389/fphys.2023.1154294/full
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