Evidence map›Paper›PMID 31305031›Full record

ArticleCancer medicine2019

Patient-based prediction algorithm of relapse after allo-HSCT for acute Leukemia and its usefulness in the decision-making process using a machine learning approach.

Kyoko Fuse, Shun Uemura, Suguru Tamura, Tatsuya Suwabe, Takayuki Katagiri, Tomoyuki Tanaka, Takashi Ushiki, Yasuhiko Shibasaki, Naoko Sato, Toshio Yano and 6 more

Abstract read
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  4. Machine Learning in Stem Cell Research: From Biological Data to Clinical Translation.Computational and structural biotechnology journal · 2026
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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

16 authors.

Kyoko FuseFaculty of Medicine, Department of Hematology, Endocrinology and Metabolism, Niigata University, Niigata, Japan.ORCID https://orcid.org/0000-0002-8273-9436
Shun UemuraFaculty of Medicine, Department of Hematology, Endocrinology and Metabolism, Niigata University, Niigata, Japan.
Suguru TamuraFaculty of Medicine, Department of Hematology, Endocrinology and Metabolism, Niigata University, Niigata, Japan.
Tatsuya SuwabeFaculty of Medicine, Department of Hematology, Endocrinology and Metabolism, Niigata University, Niigata, Japan.
Takayuki KatagiriFaculty of Medicine, Department of Hematology, Endocrinology and Metabolism, Niigata University, Niigata, Japan.
Tomoyuki TanakaFaculty of Medicine, Department of Hematology, Endocrinology and Metabolism, Niigata University, Niigata, Japan.
Takashi UshikiFaculty of Medicine, Department of Hematology, Endocrinology and Metabolism, Niigata University, Niigata, Japan.
Yasuhiko ShibasakiDepartment of Hematopoietic Cell Transplantation, Niigata University Medical and Dental Hospital, Niigata, Japan.
Naoko SatoDepartment of Hematology, Nagaoka Red Cross Hospital, Nagaoka, Japan.
Toshio YanoDepartment of Hematology, Nagaoka Red Cross Hospital, Nagaoka, Japan.
Takashi KurohaDepartment of Hematology, Nagaoka Red Cross Hospital, Nagaoka, Japan.
Shigeo HashimotoDepartment of Hematology, Nagaoka Red Cross Hospital, Nagaoka, Japan.
Tatsuo FurukawaDepartment of Hematology, Nagaoka Red Cross Hospital, Nagaoka, Japan.
Miwako NaritaLaboratory of Hematology and Oncology, Graduate School of Health Sciences, Niigata University, Niigata, Japan.
Hirohito SoneFaculty of Medicine, Department of Hematology, Endocrinology and Metabolism, Niigata University, Niigata, Japan.
Masayoshi MasukoDepartment of Hematopoietic Cell Transplantation, Niigata University Medical and Dental Hospital, Niigata, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although allogeneic hematopoietic stem cell transplantation (allo-HSCT) is a curative therapy for high-risk acute leukemia (AL), some patients still relapse. Since patients simultaneously have many prognostic factors, difficulties are associated with the construction of a patient-based prediction algorithm of relapse. The alternating decision tree (ADTree) is a successful classification method that combines decision trees with the predictive accuracy of boosting. It is a component of machine learning (ML) and has the capacity to simultaneously analyze multiple factors. Using ADTree, we attempted to construct a prediction model of leukemia relapse within 1 year of transplantation. With the model of training data (n = 148), prediction accuracy, the AUC of ROC, and the κ-statistic value were 78.4%, 0.746, and 0.508, respectively. The false positive rate (FPR) of the relapse prediction was as low as 0.134. In an evaluation of the model with validation data (n = 69), prediction accuracy, AUC, and FPR of the relapse prediction were similar at 71.0%, 0.667, and 0.216, respectively. These results suggest that the model is generalized and highly accurate. Furthermore, the output of ADTree may visualize the branch point of treatment. For example, the selection of donor types resulted in different relapse predictions. Therefore, clinicians may change treatment options by referring to the model, thereby improving outcomes. The present results indicate that ML, such as ADTree, will contribute to the decision-making process in the diversified allo-HSCT field and be useful for preventing the relapse of leukemia.

Indexed as

AlgorithmsHematopoietic Stem Cell TransplantationMachine LearningPatient ParticipationAdultClinical Decision-MakingDecision TreesDisease ManagementFemaleHumansLeukemia, Myeloid, AcuteMaleMiddle AgedModels, TheoreticalPrognosisSurvival Analysisacute leukemiaallogeneic hematopoietic stem cell transplantationmachine learningpatient-based predictionrelapse posttransplantation

Identifiers

PMID31305031
PMCPMC6718546

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Registered trials

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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.