Evidence map›Paper›PMID 40303993›Full record

ArticleFrontiers in oncology2025

Validation of machine learning-based models to predict and explain the risk of ovarian cancer: a multicentric study on

Vera Loizzi, Maria Colomba Comes, Francesca Arezzo, Adriana Ionelia Apostol, Samantha Bove, Annarita Fanizzi, Robert Fruscio, Vanesa Gregorc, Francesco Legge, Rosanna Mancari and 7 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2025. 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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. Article
  2. Article
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

17 authors.

Vera Loizzi *S.S.D. Ginecologia Oncologica Clinicizzata, IRCCS Istituto Tumori Giovanni Paolo II, Bari, Italy.
Maria Colomba Comes *Laboratorio di Biostatistica e Bioinformatica, IRCCS Istituto Tumori Giovanni Paolo II, Bari, Italy.
Francesca ArezzoS.S.D. Ginecologia Oncologica Clinicizzata, IRCCS Istituto Tumori Giovanni Paolo II, Bari, Italy.
Adriana Ionelia ApostolDipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy.
Samantha BoveLaboratorio di Biostatistica e Bioinformatica, IRCCS Istituto Tumori Giovanni Paolo II, Bari, Italy.
Annarita FanizziLaboratorio di Biostatistica e Bioinformatica, IRCCS Istituto Tumori Giovanni Paolo II, Bari, Italy.
Robert FruscioDepartment of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy.
Vanesa GregorcCandiolo Cancer Institute, FPO-IRCCS, Turin, Italy.
Francesco LeggeUnità di Ginecologia Oncologica, "F. Miulli" Ospedale Generale Regionale, Bari, Italy.
Rosanna MancariGynecologic Oncology Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Claudia MarchettiDipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy.
Serena NegriDepartment of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy.
Giorgia RussoDipartimento Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy.
Laura VertechyDipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy.
Giovanni ScambiaDipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy.
Raffaella Massafra *Laboratorio di Biostatistica e Bioinformatica, IRCCS Istituto Tumori Giovanni Paolo II, Bari, Italy.
Gennaro Cormio *S.S.D. Ginecologia Oncologica Clinicizzata, IRCCS Istituto Tumori Giovanni Paolo II, Bari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Methods: In this work, we addressed this task by developing explainable ML models using clinical data referred to a multicentric cohort of 694 Results: The best ML model achieved an AUC value of 79.3% (95% CI: 75.3% - 83.0%), an accuracy value of 73.8% (95% CI: 69.6% - 78.2%), a sensitivity value of 66.7% (95% CI: 58.1% - 75.3%), a specificity value of 74.3% (95% CI: 68.7% - 80.0%), and a G-mean value of 70.4% (95% CI: 63.0% - 76.0%) on EVC. Although the model demonstrated good overall performance, its limited sensitivity reduces its effectiveness in this high-risk population. The variables CA125, age and MatoRRSO were found to be the most significant risk factors, in agreement with the clinical perspective. Conversely, variables such as Estroprogestinuse and PregnancyNfdt played a protective factor role. Conclusion: Our ML proposal explores the intricate relationships between multiple clinical variables, with a particular emphasis on understanding their non-linear associations. However, while our approach provides valuable insights into risk assessment for BRCA-mutated patients, its current predictive capacity does not significantly improve upon existing clinical models.

Indexed as

artificial intelligenceBRCA-mutated patientsmachine learningovarian cancer riskrisk-reducing salpingo-oophorectomy

Identifiers

PMID40303993
PMCPMC12037974

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.