中山醫學大學機構典藏 CSMUIR:Item 310902500/21055
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    Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/21055


    Title: Developing a Novel Machine Learning-Based Classification Scheme for Predicting SPCs in Colorectal Cancer Survivors
    Authors: Wen-Chien Ting;Horng-Rong Chang;Chi-Chang Chang;Chi-Jie Lu
    Contributors: 應用資訊科學學系暨碩士班
    Keywords: risk factors;second primary cancer (SPC), colorectal cancer;machine learning;classification techniques;extreme gradient boosting
    Date: 2020-02-17
    Issue Date: 2020-08-10T08:46:35Z (UTC)
    Publisher: Appl. Sci.
    Abstract: Abstract: Colorectal cancer is ranked third and fourth in terms of mortality and cancer incidence
    in the world. While advances in treatment strategies have provided cancer patients with longer
    survival, potentially harmful second primary cancers can occur. Therefore, second primary colorectal
    cancer analysis is an important issue with regard to clinical management. In this study, a novel
    predictive scheme was developed for predicting the risk factors associated with second colorectal
    cancer in patients with colorectal cancer by integrating five machine learning classification techniques,
    including support vector machine, random forest, multivariate adaptive regression splines, extreme
    learning machine, and extreme gradient boosting. A total of 4287 patients in the datasets provided
    by three hospital tumor registries were used. Our empirical results revealed that this proposed
    predictive scheme provided promising classification results and the identification of important risk
    factors for predicting second colorectal cancer based on accuracy, sensitivity, specificity, and area
    under the curve metrics. Collectively, our clinical findings suggested that the most important risk
    factors were the combined stage, age at diagnosis, BMI, surgical margins of the primary site, tumor
    size, sex, regional lymph nodes positive, grade/differentiation, primary site, and drinking behavior.
    Accordingly, these risk factors should be monitored for the early detection of second primary tumors
    in order to improve treatment and intervention strategies.
    URI: https://ir.csmu.edu.tw:8080/ir/handle/310902500/21055
    Relation: Appl. Sci. 2020, 10(4), 1355
    Appears in Collections:[ Department of Medical Informatics (including MS Program) ] Journal paper

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