Aim This study aims to develo\p a population-adapted machine learning-based prediction model for hepatocellular carcinoma (HCC) lymph node metastasis (LNM) to identify high-risk patients requiring intensive surveillance.Methods Data from 23511 HCC patients in the SEER database and 57 patients from our hospital were analyzed. Seven LNM risk indicators were selected. Four machine learning algorithms-decision tree (DT), logistic Regression (LR), multilayer perceptron (MLP), and extreme gradient boosting (XGBoost)-were employed to construct prediction models. Model performance was evaluated using area under the curve, accuracy, sensitivity, and specificity.Results Among 23511 SEER patients, 1679 (7.14%) exhibited LNM. Race, Sequence number, Tumor size, T stage and AFP were identified as independent predictors of LNM. The LR model achieved optimal performance (area under the curve: 0.751; accuracy: 0.707; sensitivity: 0.711; specificity: 0.661). External validation with 57 patients from our hospital confirmed robust generalizability (area under the curve: 0.73; accuracy: 0.737; sensitivity: 0.829; specificity: 0.5), outperforming other models.Conclusions The LR-based model demonstrates superior predictive capability for LNM in HCC, offering clinicians a valuable tool to guide personalized therapeutic strategies.
基金:
Natural Science Foundation of Sichuan Province [2025ZNSFSC1883]; Key Project of Sichuan Science and Technology Program [2022YFS0622-A6]; Program of Sichuan Medical Association [S23044]; Applied Basic Research Project of Luzhou Science and Technology and Talent Work Bureau [2022-JYJ-123]; Key Project of Southwest Medical University [2024LCYXZX23, 2024LZXNYDJ058]; General Project of Southwest Medical University [2024LCYXZX54]; Program of Affiliated Hospital of Southwest Medical University [HYX22009]; Cultivation Project of Sichuan Computer Research Institute [MZGC20240014]
第一作者机构:[1]Jinan Cent Hosp, Dept Obstet & Gynecol, Jinan, Peoples R China[2]Southwest Med Univ, Sch Clin Med, Luzhou, Sichuan, Peoples R China
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推荐引用方式(GB/T 7714):
Li Yuqin,Li Hongyan,Li Hongyuan,et al.Lymph node metastasis in patients with hepatocellular carcinoma using machine learning: a population-based study[J].FRONTIERS IN ONCOLOGY.2025,15:doi:10.3389/fonc.2025.1601985.
APA:
Li, Yuqin,Li, Hongyan,Li, Hongyuan,Li, Tingting,He, Kun...&Han, Yunhui.(2025).Lymph node metastasis in patients with hepatocellular carcinoma using machine learning: a population-based study.FRONTIERS IN ONCOLOGY,15,
MLA:
Li, Yuqin,et al."Lymph node metastasis in patients with hepatocellular carcinoma using machine learning: a population-based study".FRONTIERS IN ONCOLOGY 15.(2025)