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The potential of high-order features of routine blood test in predicting the prognosis of non-small cell lung cancer

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机构: [1]Univ Elect Sci & Technol China, Sichuan Canc Hosp, Sch Med, Chengdu, Peoples R China [2]Univ Elect Sci & Technol China, Sch Life Sci & Technol, Chengdu, Peoples R China [3]Southwest Med Univ, Sch Med, Luzhou, Peoples R China [4]Univ Elect Sci & Technol China, Sichuan Canc Ctr, Radiat Oncol Key Lab Sichuan Prov, Affiliated Canc Hosp, Chengdu, Peoples R China
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关键词: Routine blood test Lung cancer DeepSurv model Prognosis High-order feature

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BackgroundNumerous studies have demonstrated that the high-order features (HOFs) of blood test data can be used to predict the prognosis of patients with different types of cancer. Although the majority of blood HOFs can be divided into inflammatory or nutritional markers, there are still numerous that have not been classified correctly, with the same feature being named differently. It is an urgent need to reclassify the blood HOFs and comprehensively assess their potential for cancer prognosis.MethodsInitially, a review of existing literature was conducted to identify the high-order features (HOFs) and classify them based on their calculation method. Subsequently, a cohort of patients diagnosed with non-small cell lung cancer (NSCLC) was established, and their clinical information prior to treatment was collected, including low-order features (LOFs) obtained from routine blood tests. The HOFs were then computed and their associations with clinical features were examined. Using the LOF and HOF data sets, a deep learning algorithm called DeepSurv was utilized to predict the prognostic risk values. The effectiveness of each data set's prediction was evaluated using the decision curve analysis (DCA). Finally, a prognostic model in the form of a nomogram was developed, and its accuracy was assessed using the calibration curve.ResultsFrom 1210 documents, over 160 blood HOFs were obtained, arranged into 110, and divided into three distinct categories: 76 proportional features, 6 composition features, and 28 scoring features. Correlation analysis did not reveal a strong association between blood features and clinical features; however, the risk value predicted by the DeepSurv LOF- and HOF-models is significantly linked to the stage. Results from DCA showed that the HOF model was superior to the LOF model in terms of prediction, and that the risk value predicted by the blood data model could be employed as a complementary factor to enhance the prognosis of patients. A nomograph was created with a C-index value of 0.74, which is capable of providing a reasonably accurate prediction of 1-year and 3-year overall survival for patients.ConclusionsThis research initially explored the categorization and nomenclature of blood HOF, and proved its potential in lung cancer prognosis.

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基金编号: 2022NSFSC0051 YB2022003 2021YF0501659SN CGY2023-804 2020YJ0446

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出版当年[2023]版:
大类 | 2 区 医学
小类 | 3 区 肿瘤学
最新[2023]版:
大类 | 2 区 医学
小类 | 3 区 肿瘤学
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Q2 ONCOLOGY
最新[2023]版:
Q2 ONCOLOGY

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第一作者机构: [1]Univ Elect Sci & Technol China, Sichuan Canc Hosp, Sch Med, Chengdu, Peoples R China [4]Univ Elect Sci & Technol China, Sichuan Canc Ctr, Radiat Oncol Key Lab Sichuan Prov, Affiliated Canc Hosp, Chengdu, Peoples R China
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通讯机构: [1]Univ Elect Sci & Technol China, Sichuan Canc Hosp, Sch Med, Chengdu, Peoples R China [4]Univ Elect Sci & Technol China, Sichuan Canc Ctr, Radiat Oncol Key Lab Sichuan Prov, Affiliated Canc Hosp, Chengdu, Peoples R China
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