Evidence map›Paper›PMID 35626043›Full record

ArticleCancers2022

Machine Learning Algorithm for Distinguishing Ductal Carcinoma In Situ from Invasive Breast Cancer.

Vu Pham Thao Vy, Melissa Min-Szu Yao, Nguyen Quoc Khanh Le, Wing P Chan

Abstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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

4 authors.

Vu Pham Thao VyInternational Master Program of Medicine, Taipei Medical University, Taipei 110, Taiwan.ORCID 0000-0002-1832-7998
Melissa Min-Szu YaoDepartment of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei 110, Taiwan.ORCID 0000-0002-1295-4771
Nguyen Quoc Khanh LeProfessional Master Program in Artificial Intelligence in Medicine, College of Medicine, Taipei Medical University, Taipei 106, Taiwan.ORCID 0000-0003-4896-7926
Wing P ChanDepartment of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei 110, Taiwan.

Funding

Higher Education Sprout Project by the Ministry of Education (MOE) in Taiwan DP2-109-21121-01-A-03Higher Education Sprout Project by the Ministry of Education (MOE) in Taiwan DP2-110-21121-01-A-03Higher Education Sprout Project by the Ministry of Education (MOE) in Taiwan DP2-111-21121-01-A-11.
6 · The paper itself

Abstract

purposeGiven that early identification of breast cancer type allows for less-invasive therapies, we aimed to develop a machine learning model to discriminate between ductal carcinoma in situ (DCIS) and minimally invasive breast cancer (MIBC).

methodsIn this retrospective study, the health records of 420 women who underwent biopsies between 2010 and 2020 to confirm breast cancer were collected. A trained XGBoost algorithm was used to classify cancers as either DCIS or MIBC using clinical characteristics, mammographic findings, ultrasonographic findings, and histopathological features. Its performance was measured against other methods using area under the receiver operating characteristic curve (AUC), sensitivity, specificity, accuracy, precision, and F1 score.

resultsThe model was trained using 357 women and tested using 63 women with an overall 420 patients (mean [standard deviation] age, 57.1 [12.0] years). The model performed well when feature importance was determined, reaching an accuracy of 0.84 (95% confidence interval [CI], 0.76-0.91), an AUC of 0.93 (95% CI, 0.87-0.95), a specificity of 0.75 (95% CI, 0.67-0.83), and a sensitivity of 0.91 (95% CI, 0.76-0.94).

conclusionThe XGBoost model, combining clinical, mammographic, ultrasonographic, and histopathologic findings, can be used to discriminate DCIS from MIBC with an accuracy equivalent to that of experienced radiologists, thereby giving patients the widest range of therapeutic options.

Indexed as

breast cancerductal carcinoma in situmammographicminimally invasive breast cancerultrasonographicXGBoost

Identifiers

PMID35626043
PMCPMC9139618

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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.