Logo do repositório
 
Publicação

Machine Learning-Based Model Helps to Decide which Patients May Benefit from Pancreatoduodenectomy

2023-09Artigo científico Acesso aberto
Ver registo simples
dc.contributor.authorVigia, Emanuel
dc.contributor.authorRamalhete, Luís
dc.contributor.authorFilipe, Edite
dc.contributor.authorBicho, Luís
dc.contributor.authorNobre, Ana
dc.contributor.authorMira, Paulo
dc.contributor.authorMacedo, Maria
dc.contributor.authorAguiar, Catarina
dc.contributor.authorCorado, Sofia
dc.contributor.authorChumbinho, Beatriz
dc.contributor.authorBalaia, Jorge
dc.contributor.authorCustódio, Pedro
dc.contributor.authorGonçalves, João
dc.contributor.authorMarques, Hugo P.
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutioniNOVA4Health - pólo NMS
dc.contributor.pblMDPI - Multidisciplinary Digital Publishing Institute
dc.date.accessioned2026-01-14T15:58:46Z
dc.date.available2026-01-14T15:58:46Z
dc.date.issued2023-09
dc.descriptionPublisher Copyright: © 2023 by the authors.
dc.description.abstractPancreatic ductal adenocarcinoma is an invasive tumor with similar incidence and mortality rates. Pancreaticoduodenectomy has morbidity and mortality rates of up to 60% and 5%, respectively. The purpose of our study was to assess preoperative features contributing to unfavorable 1-year survival prognosis. Study Design: Retrospective, single-center study evaluating the impact of preoperative features on short-term survival outcomes in head PDAC patients. Forty-four prior features of 172 patients were tested using different supervised machine learning models. Patient records were randomly divided into training and validation sets (80–20%, respectively), and model performance was assessed by area under curve (AUC) and classification accuracy (CA). Additionally, 33 patients were included as an independent revalidation or holdout dataset group. Results: Eleven relevant features were identified: age, sex, Ca-19-9, jaundice, ERCP with biliary stent, neutrophils, lymphocytes, lymphocyte/neutrophil ratio, neoadjuvant treatment, imaging tumor size, and ASA. Tree regression (tree model) and logistic regression (LR) performed better than the other tested models. The tree model had an AUC = 0.92 and CA = 0.85. LR had an AUC = 0.74 and CA = 0.78, allowing the development of a nomogram based on absolute feature significance. The best performance model was the tree model which allows us to have a decision tree to help clinical decisions. Discussion and conclusions: Based only on preoperative data, it was possible to predict 1-year survival (91.5% vs. 78.1% alive and 70.9% vs. 76.6% deceased for the tree model and LR, respectively). These results contribute to informed decision-making in the selection of which patients with PDAC can benefit from pancreatoduodenectomy. A machine learning algorithm was developed for the recognition of unfavorable 1-year survival prognosis in patients with pancreatic ductal adenocarcinoma. This will contribute to the identification of patients who would benefit from pancreatoduodenectomy. In our cohort, the tree regression model had an AUC = 0.92 and CA = 0.85, whereas the logistic regression had an AUC = 0.74 and CA = 0.78. To further inform decision-making, a decision tree based on tree regression was developed.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent14
dc.format.extent3218616
dc.identifier.doi10.3390/onco3030013
dc.identifier.issn2673-7523
dc.identifier.otherPURE: 149784679
dc.identifier.otherPURE UUID: fa741b8d-c8ed-47dd-bba0-97ac5f058426
dc.identifier.otherScopus: 105026399964
dc.identifier.otherORCID: /0000-0003-3540-0488/work/202362160
dc.identifier.otherORCID: /0000-0002-2549-0275/work/202362651
dc.identifier.urihttp://hdl.handle.net/10362/199126
dc.identifier.urlhttps://www.scopus.com/pages/publications/105026399964
dc.language.isoeng
dc.peerreviewedyes
dc.subjectdecision support
dc.subjectmachine learning
dc.subjectpancreatic cancer
dc.subjectsurvival
dc.subjectOncology
dc.subjectNutrition and Dietetics
dc.subjectFood Science
dc.subjectSDG 3 - Good Health and Well-being
dc.titleMachine Learning-Based Model Helps to Decide which Patients May Benefit from Pancreatoduodenectomyen
dc.typejournal article
degois.publication.firstPage175
degois.publication.issue3
degois.publication.lastPage188
degois.publication.titleOnco
degois.publication.volume3
dspace.entity.typePublication
rcaap.rightsopenAccess

Ficheiros

Principais
A mostrar 1 - 1 de 1
Miniatura
Nome:
onco-03-00013-v2.pdf
Tamanho:
3.07 MB
Formato:
Adobe Portable Document Format
Ver/Abrir

Coleções

NMS: iNOVA4Health - Artigos em revista internacional com arbitragem científica