Evidence map›Paper›PMID 34923833›Full record

ArticleCancer control : journal of the Moffitt Cancer Center

Evaluation of Combined Cancer Markers With Lactate Dehydrogenase and Application of Machine Learning Algorithms for Differentiating Benign Disease From Malignant Ovarian Cancer.

Seri Jeong, Dae-Soon Son, Minseob Cho, Nuri Lee, Wonkeun Song, Saeam Shin, Sung-Ho Park, Dong Jin Lee, Min-Jeong Park

Open access · goldAbstract read
In one paragraph

Article in Cancer control : journal of the Moffitt Cancer Center. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 25% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  7. 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

9 authors at 3 institutions in 1 country.

Seri JeongDepartment of Laboratory Medicine, 65521Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea.ORCID https://orcid.org/0000-0002-4199-7033
Dae-Soon SonSchool of Big Data Science, Data Science Convergence Research Center, 26727Hallym University, Chuncheon-si, Gangwon-do, South Korea.
Minseob ChoSchool of Big Data Science, Data Science Convergence Research Center, 26727Hallym University, Chuncheon-si, Gangwon-do, South Korea.
Nuri LeeDepartment of Laboratory Medicine, 65521Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea.
Wonkeun SongDepartment of Laboratory Medicine, 65521Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea.
Saeam ShinDepartment of Laboratory Medicine, 37991Yonsei University College of Medicine, Seoul, South Korea.
Sung-Ho ParkDepartment of Obstetrics and Gynecology, 65521Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea.
Dong Jin LeeDepartment of Otolaryngology-Head and Neck Surgery, Research Center of Artificial Intelligence, 65521Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea.
Min-Jeong ParkDepartment of Laboratory Medicine, 65521Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea.ORCID https://orcid.org/0000-0002-2775-2128
Hallym University Kangnam Sacred Heart Hospital · KRHallym University · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe differential diagnosis of ovarian cancer is important, and there has been ongoing research to identify biomarkers with higher performance. This study aimed to evaluate the diagnostic utility of combinations of cancer markers classified by machine learning algorithms in patients with early stage ovarian cancer, which has rarely been reported.

methodsIn total, 730 serum samples were assayed for lactate dehydrogenase (LD), neutrophil-to-lymphocyte ratio (NLR), human epididymis protein 4 (HE4), cancer antigen 125 (CA125), and risk of ovarian malignancy algorithm (ROMA). Among them, 53 were diagnosed with early stage ovarian cancer, and the remaining 677 were diagnosed with benign disease.

resultsThe areas under the receiver operating characteristic curves (ROC-AUCs) of the ROMA, HE4, CA125, LD, and NLR for discriminating ovarian cancer from non-cancerous disease were .707, .680, .643, .657, and .624, respectively. ROC-AUC of the combination of ROMA and LD (.709) was similar to that of single ROMA in the total population. In the postmenopausal group, ROC-AUCs of HE4 and CA125 combined with LD presented the highest value (.718). When machine learning algorithms were applied to ROMA combined with LD, the ROC-AUC of random forest was higher than that of other applied algorithms in the total population (.757), showing acceptable performance.

conclusionOur data suggest that the combinations of ovarian cancer-specific markers with LD classified by random forest may be a useful tool for predicting ovarian cancer, particularly in clinical settings, due to easy accessibility and cost-effectiveness. Application of an optimal combination of cancer markers and algorithms would facilitate appropriate management of ovarian cancer patients.

Indexed as

Machine LearningAdultBiomarkers, TumorCA-125 AntigenDiagnosis, DifferentialEarly Detection of CancerFemaleHumansLeukocyte CountL-Lactate DehydrogenaseLymphocytesMembrane ProteinsMiddle AgedNeutrophilsOvarian NeoplasmsROC CurveBiomarkers, TumorCA-125 AntigenL-Lactate DehydrogenaseMembrane ProteinsMUC16 protein, humanWAP Four-Disulfide Core Domain Protein 2WFDC2 protein, humancancer antigen 125human epididymis protein 4lactate dehydrogenasemachine learningneutrophil-to-lymphocyte ratioovarian cancer

Identifiers

PMID34923833
PMCPMC8704186
OpenAlexW4200237251

What OpenQuestion holds

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LicenceCC BY-NC
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.