Evidence map›Paper›PMID 22695278›Full record

ArticleBMC medical informatics and decision making2012

Prediction of axillary lymph node metastasis in primary breast cancer patients using a decision tree-based model.

Masahiro Takada, Masahiro Sugimoto, Yasuhiro Naito, Hyeong-Gon Moon, Wonshik Han, Dong-Young Noh, Masahide Kondo, Katsumasa Kuroi, Hironobu Sasano, Takashi Inamoto and 2 more

Abstract readValidation Study
In one paragraph

Article in BMC medical informatics and decision making, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

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16citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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  10. Accurate and rapid screening model for potential diabetes mellitus.BMC medical informatics and decision making · 2019
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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Masahiro TakadaDepartment of Breast Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Masahiro Sugimoto
Yasuhiro Naito
Hyeong-Gon Moon
Wonshik Han
Dong-Young Noh
Masahide Kondo
Katsumasa Kuroi
Hironobu Sasano
Takashi Inamoto
Masaru Tomita
Masakazu Toi

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to develop a new data-mining model to predict axillary lymph node (AxLN) metastasis in primary breast cancer. To achieve this, we used a decision tree-based prediction method-the alternating decision tree (ADTree).

methodsClinical datasets for primary breast cancer patients who underwent sentinel lymph node biopsy or AxLN dissection without prior treatment were collected from three institutes (institute A, n = 148; institute B, n = 143; institute C, n = 174) and were used for variable selection, model training and external validation, respectively. The models were evaluated using area under the receiver operating characteristics (ROC) curve analysis to discriminate node-positive patients from node-negative patients.

resultsThe ADTree model selected 15 of 24 clinicopathological variables in the variable selection dataset. The resulting area under the ROC curve values were 0.770 [95% confidence interval (CI), 0.689-0.850] for the model training dataset and 0.772 (95% CI: 0.689-0.856) for the validation dataset, demonstrating high accuracy and generalization ability of the model. The bootstrap value of the validation dataset was 0.768 (95% CI: 0.763-0.774).

conclusionsOur prediction model showed high accuracy for predicting nodal metastasis in patients with breast cancer using commonly recorded clinical variables. Therefore, our model might help oncologists in the decision-making process for primary breast cancer patients before starting treatment.

Indexed as

Decision TreesBreast NeoplasmsData MiningFemaleHumansLymphatic MetastasisLymph NodesModels, BiologicalROC CurveSentinel Lymph Node Biopsy

Identifiers

PMID22695278
PMCPMC3407483

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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 OpenQuestion graph.