Evidence map›Paper›PMID 37891850›Full record

ArticleBrain sciences2023

Deep Learning for the Prediction of the Survival of Midline Diffuse Glioma with an H3K27M Alteration.

Bowen Huang, Tengyun Chen, Yuekang Zhang, Qing Mao, Yan Ju, Yanhui Liu, Xiang Wang, Qiang Li, Yinjie Lei, Yanming Ren

Abstract read
In one paragraph

Article in Brain sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Bowen HuangDepartment of Neurosurgery, West China Hospital of Sichuan University, No. 37, Guoxue Alley, Chengdu 610041, China.
Tengyun ChenDepartment of Neurosurgery, West China Hospital of Sichuan University, No. 37, Guoxue Alley, Chengdu 610041, China.
Yuekang ZhangDepartment of Neurosurgery, West China Hospital of Sichuan University, No. 37, Guoxue Alley, Chengdu 610041, China.
Qing MaoDepartment of Neurosurgery, West China Hospital of Sichuan University, No. 37, Guoxue Alley, Chengdu 610041, China.
Yan JuDepartment of Neurosurgery, West China Hospital of Sichuan University, No. 37, Guoxue Alley, Chengdu 610041, China.
Yanhui LiuDepartment of Neurosurgery, West China Hospital of Sichuan University, No. 37, Guoxue Alley, Chengdu 610041, China.
Xiang WangDepartment of Neurosurgery, West China Hospital of Sichuan University, No. 37, Guoxue Alley, Chengdu 610041, China.
Qiang LiDepartment of Neurosurgery, West China Hospital of Sichuan University, No. 37, Guoxue Alley, Chengdu 610041, China.
Yinjie LeiCollege of Electronics and Information Engineering, Sichuan University, Chengdu 610065, China.
Yanming RenDepartment of Neurosurgery, West China Hospital of Sichuan University, No. 37, Guoxue Alley, Chengdu 610041, China.

Funding

National Science Foundation of China 82302627Science and Technology Supportive Project of Sichuan Province 2021YJ0185Science and Technology Supportive Project of Sichuan Province 2022YFS0049Science and Technology Supportive Project of Sichuan Province 2022YFS0143
6 · The paper itself

Abstract

backgroundThe prognosis of diffuse midline glioma (DMG) patients with H3K27M (H3K27M-DMG) alterations is poor; however, a model that encourages accurate prediction of prognosis for such lesions on an individual basis remains elusive. We aimed to construct an H3K27M-DMG survival model based on DeepSurv to predict patient prognosis.

methodsPatients recruited from a single center were used for model training, and patients recruited from another center were used for external validation. Univariate and multivariate Cox regression analyses were used to select features. Four machine learning models were constructed, and the consistency index (C-index) and integrated Brier score (IBS) were calculated. We used the receiver operating characteristic curve (ROC) and area under the receiver operating characteristic (AUC) curve to assess the accuracy of predicting 6-month, 12-month, 18-month and 24-month survival rates. A heatmap of feature importance was used to explain the results of the four models.

resultsWe recruited 113 patients in the training set and 23 patients in the test set. We included tumor size, tumor location, Karnofsky Performance Scale (KPS) score, enhancement, radiotherapy, and chemotherapy for model training. The accuracy of DeepSurv prediction is highest among the four models, with C-indexes of 0.862 and 0.811 in the training and external test sets, respectively. The DeepSurv model had the highest AUC values at 6 months, 12 months, 18 months and 24 months, which were 0.970 (0.919-1), 0.950 (0.877-1), 0.939 (0.845-1), and 0.875 (0.690-1), respectively. We designed an interactive interface to more intuitively display the survival probability prediction results provided by the DeepSurv model.

conclusionThe DeepSurv model outperforms traditional machine learning models in terms of prediction accuracy and robustness, and it can also provide personalized treatment recommendations for patients. The DeepSurv model may provide decision-making assistance for patients in formulating treatment plans in the future.

Indexed as

DeepSurvdiffuse midline gliomaH3K27M alterationmachine learningsurvival model

Identifiers

PMID37891850
PMCPMC10605651

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.