scholarly journals Logistic Regression Model of Relationship between Breast Cancer Pathology Diagnosis with Metastasis

2021 ◽  
Vol 1752 (1) ◽  
pp. 012026
Author(s):  
M N Bustan ◽  
B Poerwanto
2009 ◽  
Vol 192 (4) ◽  
pp. 1117-1127 ◽  
Author(s):  
Jagpreet Chhatwal ◽  
Oguzhan Alagoz ◽  
Mary J. Lindstrom ◽  
Charles E. Kahn ◽  
Katherine A. Shaffer ◽  
...  

2021 ◽  
Vol 22 (12) ◽  
pp. 6345
Author(s):  
Yaxuan Liu ◽  
Olga Axell ◽  
Tom van Leeuwen ◽  
Robert Konrat ◽  
Pedram Kharaziha ◽  
...  

Rare germline pathogenic TP53 missense variants often predispose to a wide spectrum of tumors characterized by Li-Fraumeni syndrome (LFS) but a subset of variants is also seen in families with exclusively hereditary breast cancer (HBC) outcomes. We have developed a logistic regression model with the aim of predicting LFS and HBC outcomes, based on the predicted effects of individual TP53 variants on aspects of protein conformation. A total of 48 missense variants either unique for LFS (n = 24) or exclusively reported in HBC (n = 24) were included. LFS-variants were over-represented in residues tending to be buried in the core of the tertiary structure of TP53 (p = 0.0014). The favored logistic regression model describes disease outcome in terms of explanatory variables related to the surface or buried status of residues as well as their propensity to contribute to protein compactness or protein-protein interactions. Reduced, internally validated models discriminated well between LFS and HBC (C-statistic = 0.78−0.84; equivalent to the area under the ROC (receiver operating characteristic) curve), had a low risk for over-fitting and were well calibrated in relation to the known outcome risk. In conclusion, this study presents a phenotypic prediction model of LFS and HBC risk for germline TP53 missense variants, in an attempt to provide a complementary tool for future decision making and clinical handling.


2015 ◽  
Vol 26 (6) ◽  
pp. 2552-2566 ◽  
Author(s):  
Armin Hatefi ◽  
Mohammad Jafari Jozani

Rank-based sampling designs are widely used in situations where measuring the variable of interest is costly but a small number of sampling units (set) can be easily ranked prior to taking the final measurements on them and this can be done at little cost. When the variable of interest is binary, a common approach for ranking the sampling units is to estimate the probabilities of success through a logistic regression model. However, this requires training samples for model fitting. Also, in this approach once a sampling unit has been measured, the extra rank information obtained in the ranking process is not used further in the estimation process. To address these issues, in this paper, we propose to use the partially rank-ordered set sampling design with multiple concomitants. In this approach, instead of fitting a logistic regression model, a soft ranking technique is employed to obtain a vector of weights for each measured unit that represents the probability or the degree of belief associated with its rank among a small set of sampling units. We construct an estimator which combines the rank information and the observed partially rank-ordered set measurements themselves. The proposed methodology is applied to a breast cancer study to estimate the proportion of patients with malignant (cancerous) breast tumours in a given population. Through extensive numerical studies, the performance of the estimator is evaluated under various concomitants with different ranking potentials (i.e. good, intermediate and bad) and tie structures among the ranks. We show that the precision of the partially rank-ordered set estimator is better than its counterparts under simple random sampling and ranked set sampling designs and, hence, the sample size required to achieve a desired precision is reduced.


2017 ◽  
Vol 19 (11) ◽  
pp. 1393-1399 ◽  
Author(s):  
I. Barco ◽  
M. García Font ◽  
A. García-Fernández ◽  
N. Giménez ◽  
M. Fraile ◽  
...  

2021 ◽  
Author(s):  
Takuma Shibahara ◽  
Chisa Wada ◽  
Yasuho Yamashita ◽  
Kazuhiro Fujita ◽  
Masamichi Sato ◽  
...  

Breast cancer is the most frequently found cancer in women and the one most often subjected to genetic analysis. Nonetheless, it has been causing the largest number of women's cancer-related deaths. PAM50, the intrinsic subtype assay for breast cancer, is beneficial for diagnosis and stratified treatment but does not explain each subtype's mechanism. Nowadays, deep learning can predict the subtypes from genetic information more accurately than conventional statistical methods. However, the previous studies did not directly use deep learning to examine which genes associate with the subtypes. Ours is the first study on a deep-learning approach to reveal the mechanisms embedded in the PAM50-classified subtypes. We developed an explainable deep learning model called a point-wise linear model, which uses a meta-learning approach to generate a custom-made logistic regression model for each sample. Logistic regression is familiar to physicians and medical informatics researchers, and we can use it to analyze which genes are important for subtype prediction. The custom-made logistic regression models generated by the point-wise linear model for each subtype used the specific genes selected in other subtypes compared to the conventional logistic regression model: the overlap ratio is less than twenty percent. And analyzing the point-wise linear model's inner state, we found that the point-wise linear model used genes relevant to the cell cycle-related pathways. The results of this study suggest the potential of our explainable deep learning to play a vital role in cancer treatment.


2017 ◽  
Vol 35 (15_suppl) ◽  
pp. 584-584
Author(s):  
Toshiaki Iwase ◽  
Takafumi Sangai ◽  
Masahiro Sakakibara ◽  
Takeshi Nagashima ◽  
Masayuki Ohtsuka

584 Background: Obesity not only increases morbidity, but also chemo-resistance of breast cancer (BC). Several studies focusing on body mass index (BMI) of BC patients have been performed; however, a recent report suggested that the quality of visceral adipose tissue (VAT) plays a crucial role in fat cell function. We set out to clarify the effect of quality and quantity of VAT on survival outcome of BC patients who underwent chemotherapy. Methods: From 2,230 patients who underwent treatment for BC at our institution from January 2004 to December 2015, we included 271 patients who received chemotherapy in neo-adjuvant (NAC) or adjuvant setting. Quantification was performed using computed tomography (CT) 3-dimensional volumetric software and quality of VAT was assessed based on the CT Hounsfield Unit of VAT (VAT-HU) using electrically stocked CT images. The correlation between BMI, amount of VAT (aVAT), and VAT-HU were analyzed using Pearson’s correlation test. The effect of these factors on pathologic complete response (pCR) was evaluated using Logistic regression model with the following covariates: menopausal status, size, nodal status, and subtype. Furthermore, survival analysis for distant disease-free survival (DDFS) was performed using Kaplan Meier method and Cox proportional hazard model. Results: aVAT and VAT-HU were significantly correlated with patient BMI (p<0.05). Forty-six patients achieved pCR (24%). Logistic regression model for pCR showed that aVAT and VAT-HU did not affect pCR (p=0.60 and 0.36). After a median follow-up of 112 months, tertile stratification revealed that the third tertile of aVAT had significantly shorter DDFS in the NAC setting (p<0.05). When adjusted by covariates in the Cox proportional regression model, aVAT and VAT-HU demonstrated significant contribution to worse DDFS ([p<0.05, hazard ratio {HR} 1.39; 95% confidence interval {CI} 1.11 to 1.75] and [p<0.05, HR 1.20, 95% CI 1.01 to 1.43], respectively). Conclusions: The quantity and quality of VAT was significantly related to the survival outcome especially in the NAC setting. This new insight would enable prediction of recurrence risk in obese BC patients with prior chemotherapy.


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