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 ◽  
...  

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.

2021 ◽  
Vol 9 ◽  
Author(s):  
Qiao-Ying Xie ◽  
Ming-Wei Wang ◽  
Zu-Ying Hu ◽  
Cheng-Jian Cao ◽  
Cong Wang ◽  
...  

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.


2019 ◽  
Vol 18 ◽  
pp. 153303381984663 ◽  
Author(s):  
Chang-Liang Luo ◽  
Yuan Rong ◽  
Hao Chen ◽  
Wu-Wen Zhang ◽  
Long Wu ◽  
...  

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.


2020 ◽  
Vol 71 (1) ◽  
pp. 299-305
Author(s):  
Fernando González-Mohíno ◽  
Jesús Santos del Cerro ◽  
Andrew Renfree ◽  
Inmaculada Yustres ◽  
José Mª González-Ravé

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.


2020 ◽  
Author(s):  
Qiao-Ying Xie ◽  
Ming-Wei Wang ◽  
Zu-Ying Hu ◽  
Yan-Ming Chu ◽  
Cheng-Jian Cao ◽  
...  

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.


2019 ◽  
Vol 11 (7) ◽  
pp. 1882 ◽  
Author(s):  
Lisa Cherry ◽  
Darren Mollendor ◽  
Bill Eisenstein ◽  
Terri Hogue ◽  
Katharyn Peterman ◽  
...  

Many watershed challenges can be associated with the increased impervious cover that accompanies urban development. This study establishes a methodology of evaluating the spatial and temporal distribution of infill re-development on a parcel scale, using publicly available urban planning data. This was achieved through a combination of linear and logistic regression. First, a “business as usual” linear growth scenario was developed based on available building coverage data. Then, a logistic regression model of historic redevelopment, as a function of various parcel attributes, was used to predict each parcel’s probability of future redevelopment. Finally, the linear growth model forecasts were applied to the parcels with the greatest probability of future redevelopment. Results indicate that building cover change within the study site, from 2004–2014, followed a linear pattern (R2 = 0.98). During this period the total building cover increased by 17%, or 1.7% per year on average. Applying the linear regression model to the 2014 building coverage data resulted in an increase of 820,498 sq. ft. (18.8 acres) in building coverage over a ten-year period, translating to a 14% overall increase in impervious neighborhoods. The parcel and building variables selected for inclusion in the logistic regression model during the model calibration phase were total value, year built, percent difference between current and max building cover, and the current use classifications—rowhome and apartment. The calibrated model was applied to a validation dataset, which predicted redevelopment accuracy at 81%. This method will provide municipalities experiencing infill redevelopment a tool that can be implemented to enhance watershed planning, management, and policy development.


2020 ◽  
Vol 35 (6) ◽  
pp. 933-933
Author(s):  
Rolin S ◽  
Kitchen Andren K ◽  
Mullen C ◽  
Kurniadi N ◽  
Davis J

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.


Foods ◽  
2021 ◽  
Vol 10 (8) ◽  
pp. 1926
Author(s):  
Magaly Rodríguez-Saavedra ◽  
Karla Pérez-Revelo ◽  
Antonio Valero ◽  
M. Victoria Moreno-Arribas ◽  
Dolores González de Llano

Beer spoilage caused by microorganisms, which is a major concern for brewers, produces undesirable aromas and flavors in the final product and substantial financial losses. To address this problem, brewers need easy-to-apply tools that inform them of beer susceptibility to the microbial spoilage. In this study, a growth/no growth (G/NG) binary logistic regression model to predict this susceptibility was developed. Values of beer physicochemical parameters such as pH, alcohol content (% ABV), bitterness units (IBU), and yeast-fermentable extract (% YFE) obtained from the analysis of twenty commercially available craft beers were used to prepare 22 adjusted beers at different levels of each parameter studied. These preparations were assigned as a first group of samples, while 17 commercially available beers samples as a second group. The results of G/NG from both groups, after artificially inoculating with one wild yeast and different lactic acid bacteria (LAB) previously adapted to grow in a beer-type beverage, were used to design the model. The developed G/NG model correctly classified 276 of 331 analyzed cases and its predictive ability was 100% in external validation. This G/NG model has good sensitivity and goodness of fit (87% and 83.4%, respectively) and provides the potential to predict craft beer susceptibility to microbial spoilage.


2021 ◽  
Author(s):  
Laura Susok ◽  
Markus Stücker ◽  
Falk G. Bechara ◽  
Eggert Stockfleth ◽  
Thilo Gambichler

Abstract Purpose Nodular melanoma (NM) is associated with worse disease outcome when compared to superficial spreading melanoma (SSM). We aimed to perform a single center analysis of prognostic factors in patients with NM and compare the data with SSM patients. Methods We studied 228 patients with NN and 396 patients with SSM. Patients with in-situ melanomas or stage IV at diagnosis were not included in the study. Data were analyzed using the Mann-Whitney test, Chi² test, Kaplan-Meier curves including the log-rank test, and logistic regression model.Results When compared to patients with SSM, patients with NM had less likely lower Clark level, higher tumor thickness, less likely tumor regression, more often ulcerated tumors, and less likely a history of precursor lesions such as a nevus. Within a 5-year follow-up we observed significantly more disease relapses and deaths in NM patients than in SSM patients. On multivariate analysis, disease relapse in NM patients was independently predicted by tumor thickness and positive SLNB, whereas melanom-specific death of NM patients was independently predicted by male sex and tumor thickness. Histologic regression also remained in the logistic regression model as a significant independent negative predictor of NM death.Conclusions We did not observe that NM subtype was a significant independent predictor for disease relapse or melanoma-specific death. Among the well-known prognostic factors such as tumor thickness and male sex, NM is also associated with other unfavorable factors such as absence of regression.


Author(s):  
Elena Macías ◽  
Alfonso Elosua González ◽  
José Francisco Juanmartiñena ◽  
Ana Borda Martín ◽  
Inmaculada Elizalde ◽  
...  

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