Evidence map›Paper›PMID 31418423›Full record

ArticleJMIR medical informatics2019

A Machine Learning Method for Identifying Lung Cancer Based on Routine Blood Indices: Qualitative Feasibility Study.

Jiangpeng Wu, Xiangyi Zan, Liping Gao, Jianhong Zhao, Jing Fan, Hengxue Shi, Yixin Wan, E Yu, Shuyan Li, Xiaodong Xie

Open access · goldAbstract read
In one paragraph

Article in JMIR medical informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
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

24 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

10 authors at 2 institutions in 1 country.

Jiangpeng Wu *State Key Laboratory of Applied Organic Chemistry, Lanzhou University, Lanzhou, China.ORCID http://orcid.org/0000-0003-1578-7937
Xiangyi Zan *Department of Pneumology, Lanzhou University Second Hospital, Lanzhou, China.ORCID http://orcid.org/0000-0002-8070-1944
Liping GaoDepartment of Pneumology, Lanzhou University Second Hospital, Lanzhou, China.ORCID http://orcid.org/0000-0002-7864-6675
Jianhong ZhaoDepartment of Radiology, Lanzhou University Second Hospital, Lanzhou, China.ORCID http://orcid.org/0000-0003-4939-8104
Jing FanCollege of Chemistry and Chemical Engineering, Lanzhou University, Lanzhou, China.ORCID http://orcid.org/0000-0001-8297-6522
Hengxue ShiCollege of Chemistry and Chemical Engineering, Lanzhou University, Lanzhou, China.ORCID http://orcid.org/0000-0002-0748-9553
Yixin WanDepartment of Pneumology, Lanzhou University Second Hospital, Lanzhou, China.ORCID http://orcid.org/0000-0003-3858-0971
E YuNational Demonstration Centre for Experimental Chemistry Education, Lanzhou University, Lanzhou, China.ORCID http://orcid.org/0000-0002-2401-0364
Shuyan LiState Key Laboratory of Applied Organic Chemistry, Lanzhou University, Lanzhou, China.ORCID http://orcid.org/0000-0001-7028-4166
Xiaodong XieSchool of Basic Medical Science, Lanzhou University, Lanzhou, China.ORCID http://orcid.org/0000-0002-1221-4650
Lanzhou University · CNLanzhou University Second Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiquid biopsies based on blood samples have been widely accepted as a diagnostic and monitoring tool for cancers, but extremely high sensitivity is frequently needed due to the very low levels of the specially selected DNA, RNA, or protein biomarkers that are released into blood. However, routine blood indices tests are frequently ordered by physicians, as they are easy to perform and are cost effective. In addition, machine learning is broadly accepted for its ability to decipher complicated connections between multiple sets of test data and diseases.

objectiveThe aim of this study is to discover the potential association between lung cancer and routine blood indices and thereby help clinicians and patients to identify lung cancer based on these routine tests.

methodsThe machine learning method known as Random Forest was adopted to build an identification model between routine blood indices and lung cancer that would determine if they were potentially linked. Ten-fold cross-validation and further tests were utilized to evaluate the reliability of the identification model.

resultsIn total, 277 patients with 49 types of routine blood indices were included in this study, including 183 patients with lung cancer and 94 patients without lung cancer. Throughout the course of the study, there was correlation found between the combination of 19 types of routine blood indices and lung cancer. Lung cancer patients could be identified from other patients, especially those with tuberculosis (which usually has similar clinical symptoms to lung cancer), with a sensitivity, specificity and total accuracy of 96.3%, 94.97% and 95.7% for the cross-validation results, respectively. This identification method is called the routine blood indices model for lung cancer, and it promises to be of help as a tool for both clinicians and patients for the identification of lung cancer based on routine blood indices.

conclusionsLung cancer can be identified based on the combination of 19 types of routine blood indices, which implies that artificial intelligence can find the connections between a disease and the fundamental indices of blood, which could reduce the necessity of costly, elaborate blood test techniques for this purpose. It may also be possible that the combination of multiple indices obtained from routine blood tests may be connected to other diseases as well.

Indexed as

lung cancer identificationRandom Forestroutine blood indices

Identifiers

PMID31418423
PMCPMC6714502
OpenAlexW2968081492

What OpenQuestion 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 OpenQuestion graph.