scholarly journals A Logistic Regression Model for Noninvasive Prediction of AFP-Negative Hepatocellular Carcinoma

2019 ◽  
Vol 18 ◽  
pp. 153303381984663 ◽  
Author(s):  
Chang-Liang Luo ◽  
Yuan Rong ◽  
Hao Chen ◽  
Wu-Wen Zhang ◽  
Long Wu ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Logistic Regression ◽  
Regression Model ◽  
Logistic Regression Model ◽  
Hematological Parameters ◽  
Area Under The Curve ◽  
Diagnostic Efficiency ◽  
Healthy Individuals ◽  
Platelet Volume ◽  
Model Combining

α-Fetoprotein is commonly used in the diagnosis of hepatocellular carcinoma. However, the diagnostic significance of α-fetoprotein has been questioned because a number of patients with hepatocellular carcinoma are α-fetoprotein negative. It is therefore necessary to develop novel noninvasive techniques for the early diagnosis of hepatocellular carcinoma, particularly when α-fetoprotein level is low or negative. The current study aimed to evaluate the diagnostic efficiency of hematological parameters to determine which can act as surrogate markers in α-fetoprotein–negative hepatocellular carcinoma. Therefore, a retrospective study was conducted on a training set recruited from Zhongnan Hospital of Wuhan University—including 171 α-fetoprotein–negative patients with hepatocellular carcinoma and 102 healthy individuals. The results show that mean values of mean platelet volume, red blood cell distribution width, mean platelet volume–PC ratio, neutrophils–lymphocytes ratio, and platelet count–lymphocytes ratio were significantly higher in patients with hepatocellular carcinoma in comparison to the healthy individuals. Most of these parameters showed moderate area under the curve in α-fetoprotein–negative patients with hepatocellular carcinoma, but their sensitivities or specificities were not satisfactory enough. So, we built a logistic regression model combining multiple hematological parameters. This model presented better diagnostic efficiency with area under the curve of 0.922, sensitivity of 83.0%, and specificity of 93.1%. In addition, the 4 validation sets from different hospitals were used to validate the model. They all showed good area under the curve with satisfactory sensitivities or specificities. These data indicate that the logistic regression model combining multiple hematological parameters has better diagnostic efficiency, and they might be helpful for the early diagnosis for α-fetoprotein–negative hepatocellular carcinoma.

scholarly journals A Logistic Regression Model for The Prediction of HBV-Related Cirrhosis

2020 ◽  
Author(s):  
Chang-Liang Luo ◽  
Zhong-Lin Zhang ◽  
Long Wu ◽  
Diao Wei ◽  
Hao Chen ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Liver Biopsy ◽  
Regression Model ◽  
Logistic Regression Model ◽  
Hematological Parameters ◽  
Diagnostic Value ◽  
Healthy Individuals ◽  
Receiver Operating Characteristic Curves ◽  
Result Show ◽  
Chronic Hbv

Abstract Background: Cirrhosis is one of the most severe complications at the late stage of chronic HBV infection. The liver biopsy is the gold standard for the diagnosis of liver cirrhosis. However, a liver biopsy is associated with the risk of severe complications and a high cost. It is therefore necessary to find several biomarkers for the diagnosis of HBV-related cirrhosis. Methods: The research was proceeded to evaluate the diagnostic value of hematological parameters to find the surrogate markers in HBV-related cirrhosis. The research was proceeded on the training set, which was recruited from Zhongnan Hospital, including 102 HBV-related cirrhosis and 102 healthy individuals. The levels of selected hematological parameters were analyzed. The receiver operating characteristic curves were generated to evaluate the diagnostic effectiveness of these parameters. A logistic regression model was built and validated using four validation sets consisting of 261 patients.Results: The result show that the level of RDW, MPV, MPV/PC ratio, PLR and NLR were all significantly higher in HBV-related cirrhosis patients compared to healthy individuals. Most of these parameters owned a moderate AUC in HBV-related cirrhosis patients. However, their diagnostic sensitivities or specificities were unsatisfactory. Therefore, a logistic regression model was built by combining these hematological parameters. The model showed great diagnostic value with the AUC of 0.987, sensitivity of 96.1% and specificity of 95.1%. Besides, the other four validation sets were generated to validate the logistic regression model and all showed good AUC with moderate specificities and sensitivities. Conclusions: The data indicate that the model might be substantially useful for the diagnosis of HBV-related cirrhosis.

scholarly journals Screening the Influence of Biomarkers for Metabolic Syndrome in Occupational Population Based on the Lasso Algorithm

2021 ◽  
Vol 9 ◽  
Author(s):  
Qiao-Ying Xie ◽  
Ming-Wei Wang ◽  
Zu-Ying Hu ◽  
Cheng-Jian Cao ◽  
Cong Wang ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Metabolic Syndrome ◽  
Logistic Regression ◽  
Prediction Model ◽  
Regression Model ◽  
Logistic Regression Model ◽  
Area Under The Curve ◽  
Assessment Model ◽  
Risk Assessment Model ◽  
Lasso Regression

Aim: Metabolic syndrome (MS) screening is essential for the early detection of the occupational population. This study aimed to screen out biomarkers related to MS and establish a risk assessment and prediction model for the routine physical examination of an occupational population.Methods: The least absolute shrinkage and selection operator (Lasso) regression algorithm of machine learning was used to screen biomarkers related to MS. Then, the accuracy of the logistic regression model was further verified based on the Lasso regression algorithm. The areas under the receiving operating characteristic curves were used to evaluate the selection accuracy of biomarkers in identifying MS subjects with risk. The screened biomarkers were used to establish a logistic regression model and calculate the odds ratio (OR) of the corresponding biomarkers. A nomogram risk prediction model was established based on the selected biomarkers, and the consistency index (C-index) and calibration curve were derived.Results: A total of 2,844 occupational workers were included, and 10 biomarkers related to MS were screened. The number of non-MS cases was 2,189 and that of MS was 655. The area under the curve (AUC) value for non-Lasso and Lasso logistic regression was 0.652 and 0.907, respectively. The established risk assessment model revealed that the main risk biomarkers were absolute basophil count (OR: 3.38, CI:1.05–6.85), platelet packed volume (OR: 2.63, CI:2.31–3.79), leukocyte count (OR: 2.01, CI:1.79–2.19), red blood cell count (OR: 1.99, CI:1.80–2.71), and alanine aminotransferase level (OR: 1.53, CI:1.12–1.98). Furthermore, favorable results with C-indexes (0.840) and calibration curves closer to ideal curves indicated the accurate predictive ability of this nomogram.Conclusions: The risk assessment model based on the Lasso logistic regression algorithm helped identify MS with high accuracy in physically examining an occupational population.

scholarly journals The Relationship Between Tactical Positioning and the Race Outcome in 800-M Running at the 2016 Olympic Games and 2017 IAAF World Championship

2020 ◽  
Vol 71 (1) ◽  
pp. 299-305
Author(s):  
Fernando González-Mohíno ◽  
Jesús Santos del Cerro ◽  
Andrew Renfree ◽  
Inmaculada Yustres ◽  
José Mª González-Ravé
Keyword(s):  
Logistic Regression ◽  
Regression Model ◽  
Logistic Regression Model ◽  
Olympic Games ◽  
Area Under The Curve ◽  
Predictive Ability ◽  
Significance Test ◽  
Final Position ◽  
The Difference ◽  
The Relationship

AbstractThe purpose of this analysis was to quantify the probability of achieving a top-3 finishing position during 800-m races at a global championship, based on dispersion of the runners during the first and second laps and the difference in split times between laps. Overall race times, intermediate and finishing positions and 400 m split times were obtained for 43 races over 800 m (21 men’s and 22 women’s) comprising 334 individual performances, 128 of which resulted in higher positions (top-3) and 206 the remaining positions. Intermediate and final positions along with times, the dispersion of the runners during the intermediate and final splits (SS1 and SS2), as well as differences between the two split times (Dsplits) were calculated. A logistic regression model was created to determine the influence of these factors in achieving a top-3 position. The final position was most strongly associated with SS2, but also with SS1 and Dsplits. The Global Significance Test showed that the model was significant (p < 0.001) with a predictive ability of 91.08% and an area under the curve coefficient of 0.9598. The values of sensitivity and specificity were 96.8% and 82.5%, respectively. The model demonstrated that SS1, SS2 and Dplits explained the finishing position in the 800-m event in global championships.

scholarly journals Establishment of Metabolic Syndrome Prediction Model for Occupational Population based on the Lasso Regression Algorithm

2020 ◽  
Author(s):  
Qiao-Ying Xie ◽  
Ming-Wei Wang ◽  
Zu-Ying Hu ◽  
Yan-Ming Chu ◽  
Cheng-Jian Cao ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Metabolic Syndrome ◽  
Logistic Regression ◽  
Prediction Model ◽  
Regression Model ◽  
Logistic Regression Model ◽  
Area Under The Curve ◽  
Assessment Model ◽  
Risk Assessment Model ◽  
Lasso Regression

Abstract Background: Metabolic syndrome (MS) screening is important for the early detection of occupational population. This study aimed to screen out biomarkers related to MS and establish a risk assessment and prediction model for the routine physical examination of an occupational population.Methods: The least absolute shrinkage and selection operator (Lasso) regression algorithm of machine learning was used to screen biomarkers related to MS. Then, the accuracy of the logistic regression model was further verified based on the Lasso regression algorithm. Finally, the screened biomarkers were used to establish a logistic regression model and calculate the odds ratio (OR) of the corresponding biomarkers. Results: A total of 2844 occupational workers were included, and 10 biomarkers related to MS were screened. The area under the curve (AUC) value for non-Lasso and Lasso regression was 0.652 and 0.907, respectively. The established risk assessment model revealed that the main risk factors were basophil absolute count (OR: 3.38), platelet packed volume (OR: 2.63), leukocyte count (OR: 2.01), red blood cell count (OR: 1.99), and alanine aminotransferase level (OR: 1.53). Conclusion: The risk assessment model based on the Lasso regression algorithm helped identify Metabolic syndrome with high accuracy in physically examining an occupational population.

scholarly journals A-140 Single-Item Screening for Anxiety and Depression using the Neurobehavioral Symptom Inventory

2020 ◽  
Vol 35 (6) ◽  
pp. 933-933
Author(s):  
Rolin S ◽  
Kitchen Andren K ◽  
Mullen C ◽  
Kurniadi N ◽  
Davis J
Keyword(s):  
Logistic Regression ◽  
Regression Model ◽  
Regression Models ◽  
Logistic Regression Model ◽  
Area Under The Curve ◽  
Anxiety And Depression ◽  
Average Score ◽  
Characteristic Analysis ◽  
Logistic Regression Models ◽  
Symptom Inventory

Abstract Objective Previous research in a Veterans Affairs sample proposed using single items on the Neurobehavioral Symptom Inventory (NSI) to screen for anxiety (item 19) and depression (item 20). This study examined the approach in an outpatient physical medicine and rehabilitation sample. Method Participants (N = 84) underwent outpatient neuropsychological evaluation using the NSI, BDI-II, GAD-7, MMPI-2-RF, and Memory Complaints Inventory (MCI) among other measures. Anxiety and depression were psychometrically determined via cutoffs on the GAD-7 (&gt;4) and MMPI-2-RF ANX (&gt;64 T), and BDI-II (&gt;13) and MMPI-2-RF RC2 (&gt;64 T), respectively. Analyses included receiver operating characteristic analysis (ROC) and logistic regression. Logistic regression models used dichotomous anxiety and depression as outcomes and relevant NSI items and MCI average score as predictors. Results ROC analysis using NSI items to classify cases showed area under the curve (AUC) values of .77 for anxiety and .85 for depression. The logistic regression model predicting anxiety correctly classified 80% of cases with AUC of .86. The logistic regression model predicting depression correctly classified 79% of cases with AUC of .88. Conclusion Findings support the utility of NSI anxiety and depression items as screening measures in a rehabilitation population. Consideration of symptom validity via the MCI improved classification accuracy of the regression models. The approach may be useful in other clinical settings for quick assessment of psychological issues warranting further evaluation.

scholarly journals Application of the Preoperative Assistant System Based on Machine Learning in Hepatocellular Carcinoma Resection

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Shouyun Lv ◽  
Shizong Li ◽  
Zhiwei Yu ◽  
Kaiqiong Wang ◽  
Xin Qiao ◽  
...  
Keyword(s):  
Machine Learning ◽  
Hepatocellular Carcinoma ◽  
Logistic Regression ◽  
Regression Model ◽  
Logistic Regression Model ◽  
Liver Volume ◽  
Surgical Margin ◽  
Extensive Hepatectomy ◽  
Significant Difference ◽  
Logistic Regression Algorithm

To conduct better research in hepatocellular carcinoma resection, this paper used 3D machine learning and logistic regression algorithm to study the preoperative assistance of patients undergoing hepatectomy. In this study, the logistic regression model was analyzed to find the influencing factors for the survival and recurrence of patients. The clinical data of 50 HCC patients who underwent extensive hepatectomy (≥4 segments of the liver) admitted to our hospital from June 2020 to December 2020 were selected to calculate the liver volume, simulated surgical resection volume, residual liver volume, surgical margin, etc. The results showed that the simulated liver volume of 50 patients was 845.2 + 285.5 mL, and the actual liver volume of 50 patients was 826.3 ± 268.1 mL, and there was no significant difference between the two groups (t = 0.425; P  > 0.05). Compared with the logistic regression model, the machine learning method has a better prediction effect, but the logistic regression model has better interpretability. The analysis of the relationship between the liver tumour and hepatic vessels in practical problems has specific clinical application value for accurately evaluating the volume of liver resection and surgical margin.

scholarly journals Do gliosarcomas have distinct imaging features on routine MRI?

2021 ◽  
pp. 197140092110123
Author(s):  
Christoph J Maurer ◽  
Irina Mader ◽  
Felix Joachimski ◽  
Ori Staszewski ◽  
Bruno Märkl ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Multivariate Analysis ◽  
Regression Model ◽  
Logistic Regression Model ◽  
External Validation ◽  
Area Under The Curve ◽  
Training Dataset ◽  
Validation Dataset ◽  
Imaging Features ◽  
Age And Sex

Purpose The aim of this study was the development and external validation of a logistic regression model to differentiate gliosarcoma (GSC) and glioblastoma multiforme (GBM) on standard MR imaging. Methods A univariate and multivariate analysis was carried out of a logistic regression model to discriminate patients histologically diagnosed with primary GSC and an age and sex-matched group of patients with primary GBM on presurgical MRI with external validation. Results In total, 56 patients with GSC and 56 patients with GBM were included. Evidence of haemorrhage suggested the diagnosis of GSC, whereas cystic components and pial as well as ependymal invasion were more commonly observed in GBM patients. The logistic regression model yielded a mean area under the curve (AUC) of 0.919 on the training dataset and of 0.746 on the validation dataset. The accuracy in the validation dataset was 0.67 with a sensitivity of 0.85 and a specificity of 0.5. Conclusions Although some imaging criteria suggest the diagnosis of GSC or GBM, differentiation between these two tumour entities on standard MRI alone is not feasible.

scholarly journals A Systematic Analysis on COVID-19 Patients in Inner Mongolia Based on Dynamic Monitoring

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Lan Yu ◽  
Tianbao Li ◽  
Li Gao ◽  
Bo Wang ◽  
Jun Chai ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Model ◽  
Inner Mongolia ◽  
Clinical Characteristics ◽  
Logistic Regression Model ◽  
Area Under The Curve ◽  
Dynamic Monitoring ◽  
Clinical Feature ◽  
Systematic Analysis ◽  
Hemoglobin C

COVID-19 has spread globally with over 90,000,000 incidences and 1,930,000 deaths by Jan 11, 2021, which poses a big threat to public health. It is urgent to distinguish COVID-19 from common pneumonia. In this study, we reported multiple clinical feature analyses on COVID-19 in Inner Mongolia for the first time. We dynamically monitored multiple clinical features of all 75 confirmed COVID-19 patients, 219 pneumonia patients, and 68 matched healthy people in Inner Mongolia. Then, we studied the association between COVID-19 and clinical characteristics, based on which to construct a novel logistic regression model for predicting COVID-19. As a result, among the tested clinical characteristics, WBC, hemoglobin, C-reactive protein (CRP), ALT, and Cr were significantly different between COVID-19 patients and patients in other groups. The area under the curve (AUC) of the receiver operating characteristic (ROC) curve was 0.869 for the logistic regression model using multiple factors associated with COVID-19. Furthermore, the CRP reaction showed five different time-series patterns with one-peak and double-peak modes. In conclusion, our study identified a few clinical characteristics significantly different between COVID-19 patients and others in Inner Mongolia. The features can be used to establish a reliable logistic regression model for predicting COVID-19.

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