用机器学习分析基因数据,提升前列腺癌分期预测准确率。
Leveraging Machine Learning and Deep Learning Techniques for Improved Pathological Staging of Prostate Cancer
- 结合多种算法分析肿瘤基因表达数据,优化分期预测。
- 随机森林模型测试F1-score达83%,表现最优。
- 为临床诊断提供可信赖的AI辅助工具,适合医学研究者参考。
前列腺癌(Pca)仍是男性癌症死亡的主要原因,传统诊断方法如直肠指检(DRE)、前列腺特异性抗原(PSA)检测和活检存在精度局限,精准分期对改善治疗效果和预后至关重要。本研究利用机器学习与深度学习技术,结合特征选择与提取方法,基于癌症基因组图谱(TCGA)的RNA测序数据,分析486个肿瘤的基因表达谱,采用随机森林(RF)、逻辑回归(LR)、极端梯度提升(XGB)和支持向量机(SVM)等算法进行病理分期预测。评估指标包括加权平均的F1分数、精确率与召回率。结果显示,随机森林模型测试F1-score最高,约为83%,逻辑回归为80%,而XGB与SVM均约79%。深度学习模型经数据增强后准确率达71.23%,基于主成分分析(PCA)的降维方法准确率为69.86%。研究表明,人工智能驱动的方法在临床肿瘤学中具有潜力,有望推动更可靠的诊断工具发展,最终改善患者预后。
原文摘要 · Abstract (English)
Prostate cancer (Pca) continues to be a leading cause of cancer-related mortality in men, and the limitations in precision of traditional diagnostic methods such as the Digital Rectal Exam (DRE), Prostate-Specific Antigen (PSA) testing, and biopsies underscore the critical importance of accurate staging detection in enhancing treatment outcomes and improving patient prognosis. This study leverages machine learning and deep learning approaches, along with feature selection and extraction methods, to enhance PCa pathological staging predictions using RNA sequencing data from The Cancer Genome Atlas (TCGA). Gene expression profiles from 486 tumors were analyzed using advanced algorithms, including Random Forest (RF), Logistic Regression (LR), Extreme Gradient Boosting (XGB), and Support Vector Machine (SVM). The performance of the study is measured with respect to the F1-score, as well as precision and recall, all of which are calculated as weighted averages. The results reveal that the highest test F1-score, approximately 83%, was achieved by the Random Forest algorithm, followed by Logistic Regression at 80%, while both Extreme Gradient Boosting (XGB) and Support Vector Machine (SVM) scored around 79%. Furthermore, deep learning models with data augmentation achieved an accuracy of 71. 23%, while PCA-based dimensionality reduction reached an accuracy of 69.86%. This research highlights the potential of AI-driven approaches in clinical oncology, paving the way for more reliable diagnostic tools that can ultimately improve patient outcomes.
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