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1. 西南医科大学:
2. 公共卫生学院
纸质出版日期:2023,
网络出版日期:2023-7-20,
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李, 翔, 李姝婷, 等. 前列腺癌3种早期诊断预测模型效能比较[J]. 西南医科大学学报, 2023,46(4):330-335.
A comparative study of three risk prediction model of prostate cancer[J]. Journal of Southwest Medical University, 2023,46(4):330-335.
李, 翔, 李姝婷, 等. 前列腺癌3种早期诊断预测模型效能比较[J]. 西南医科大学学报, 2023,46(4):330-335. DOI: 10.3969/j.issn.2096-3351.2023.04.011.
A comparative study of three risk prediction model of prostate cancer[J]. Journal of Southwest Medical University, 2023,46(4):330-335. DOI: 10.3969/j.issn.2096-3351.2023.04.011.
目的 采用logistic回归、决策树和Lagrangian支持向量机(Lagrangian Sopport Vector Machine,LSVM)三种方法构建前列腺癌的早期诊断预测模型,并比较三种模型的预测效能,为前列腺癌的早期诊断提供理论支持。 方法 数据来源于国家临床医学科学数据中心(301医院)的《前列腺肿瘤预警数据集》,将清洗整理后的数据按7:3的比例随机分成训练集和测试集,基于训练集数据采用单因素Logistic回归筛选前列腺癌的关联因素,并建立多因素Logistic回归分析、LSVM和随机森林模型三个前列腺癌早期诊断预测模型,用测试集数据验证三个模型的预测准确性并用ROC曲线对三种模型进行评价比较。 结果 单因素Logistic分析筛选出13项具有统计学意义的指标,包括年龄、肌酸激酶同工酶、甘油三酯、磷脂、游离PSA、总PSA、钙、血清尿酸、载脂蛋白A1、载脂蛋白B、载脂蛋白C2、载脂蛋白C3、载脂蛋白E。多因素Logistic分析筛选出4个有统计学意义的变量:年龄、肌酸激酶同工酶、游离PSA、总PSA。LSVM模型筛选出10项预测因子,按重要性由高至低分别是:总PSA、年龄、载脂蛋白A1、磷脂、载脂蛋白B、甘油三酯、血清尿酸、游离PSA、肌酸磷酸同工酶、载脂蛋白E。随机森林模型筛选出10项预测因子,按重要程度排序由高至低依次为:载脂蛋白C3、磷脂、游离PSA、载脂蛋白B、载脂蛋白E、钙、血清尿酸、载脂蛋白A1、载脂蛋白C2、肌酸激酶同工酶。多因素非条件Logistic回归、LSVM模型和随机森林模型分析的AUC分别为 0.895 ( 0.876,0.913 )、0.918 ( 0.902,0.934 )、0.724 ( 0.688,0.760 )。 结论 LSVM模型预测效果最好,多因素Logistic回归模型预测效果尚可,随机森林的预测效果不佳。
Objective Logistic regression
decision tree
and LSVM were used to construct a predictive model for early diagnosis of prostate cancer
and the predictive performance of the three models was compared to provide theoretical support for the early diagnosis of prostate cancer. Methods The data were obtained from the prostate tumor data set of the national clinical medical science data center (301 Hospital). The cleaned data were randomly divided into a training set and testing set according to the proportion of 7:3. Based on the training set data
single factor unconditional Logistic regression was applied to screen the related factors of prostate cancer
and unconditional multivariate Logistic regression analysis and Lagrangian Support Vector Machine (LSVM) model and random forest model were established risk prediction models for prostate cancer. The testing data were used to verify the accuracy of the three models
and ROC curves were used to evaluate their performances. Results The results of single factor logistic analysis showed that 13 indicators
including age
creatine kinase isoenzyme
triglyceride
phospholipid
free PSA
total PSA
calcium
serum uric acid
apolipoprotein A1
apolipoprotein B
apolipoprotein C2
apolipoprotein C3 and apolipoprotein E
were statistically significant. Four variables were selected by multivariate Logistic analysis: age
creatine kinase isoenzyme
free-PSA
total-PSA. LSVM model screened out 10 predictive factors
according to the importance from high to low: total-PSA
age
apolipoprotein A1
phospholipid
apolipoprotein B
triglyceride
serum uric acid
free-PSA
creatine phosphate isoenzyme
and apolipoprotein E. The random forest model selected ten predictive factors
with the order of importance being apolipoprotein C3
phospholipid
free-PSA
apolipoprotein B
apolipoprotein E
calcium
serum uric acid
apolipoprotein A1
apolipoprotein C2
and creatine kinase isoenzyme. The area under the curve (AUC) of multivariate unconditional logistic regression
LSVM model
and random forest model were 0.895(0.876,0.913)
0.918(0.902,0.934) and 0.742(0.688,0.760)
respectively. Conclusion LSVM model had the best predictive performance
followed by the multivariate logistic regression model
and the random forest model had the poorest predictive performance.
前列腺癌风险预测Logistic回归LSVM模型随机森林模型ROC曲线
Prostatic carcinomaRisk predictionLogistic regressionLSVM modelRandom forest modelROC curve
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