Evidence map›Paper›PMID 35106419›Full record

ArticleAnnals of gastroenterological surgery2022

The Effectiveness of Machine Learning in Predicting Lateral Lymph Node Metastasis From Lower Rectal Cancer: A Single Center Development and Validation Study.

Shunsuke Kasai, Akio Shiomi, Hiroyasu Kagawa, Hitoshi Hino, Shoichi Manabe, Yusuke Yamaoka, Kai Chen, Kenji Nanishi, Yusuke Kinugasa

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 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, 1 synthesis or guideline pooled it.

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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

9 authors.

Shunsuke KasaiDivision of Colon and Rectal Surgery Shizuoka Cancer Center Shizuoka Japan.
Akio ShiomiDivision of Colon and Rectal Surgery Shizuoka Cancer Center Shizuoka Japan.ORCID https://orcid.org/0000-0001-5657-8686
Hiroyasu KagawaDivision of Colon and Rectal Surgery Shizuoka Cancer Center Shizuoka Japan.ORCID https://orcid.org/0000-0001-8741-8992
Hitoshi HinoDivision of Colon and Rectal Surgery Shizuoka Cancer Center Shizuoka Japan.ORCID https://orcid.org/0000-0001-7273-612X
Shoichi ManabeDivision of Colon and Rectal Surgery Shizuoka Cancer Center Shizuoka Japan.
Yusuke YamaokaDivision of Colon and Rectal Surgery Shizuoka Cancer Center Shizuoka Japan.
Kai ChenDivision of Colon and Rectal Surgery Shizuoka Cancer Center Shizuoka Japan.
Kenji NanishiDivision of Colon and Rectal Surgery Shizuoka Cancer Center Shizuoka Japan.
Yusuke KinugasaDepartment of Gastrointestinal Surgery Tokyo Medical and Dental University Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimAccurate preoperative diagnosis of lateral lymph node metastasis (LLNM) from lower rectal cancer is important to identify patients who require lateral lymph node dissection (LLND). We aimed to create an effective prediction model for LLNM using machine learning by combining preoperative information.

methodsWe retrospectively examined patients who underwent primary rectal cancer surgery with unilateral or bilateral LLND between April 2010 and March 2020 at a single institution. Using the machine learning software "Prediction One" (Sony Network Communications), we developed a prediction model in the training cohort that included 267 consecutive patients (500 sides) from April 2010. Clinicopathological data obtained from the preoperative examinations were used as the learning items. In the validation cohort that included subsequent patients until March 2020, we compared the discriminating powers of the prediction model and the conventional method using the short-axis diameter of the largest lateral lymph node, as detected on magnetic resonance imaging.

resultsThe area under the receiver operating characteristic curve (AUC) of the prediction model was 0.903 in the validation cohort comprising 56 patients (107 sides). This indicated significantly higher predictive power than that of the conventional method (AUC = 0.754;

conclusionMachine learning contributed to the creation of an effective prediction model for LLNM.

Indexed as

lateral lymph node dissectionlateral lymph node metastasismachine learningpreoperative diagnosisrectal cancer

Identifiers

PMID35106419
PMCPMC8786681

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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.