Evidence map›Paper›PMID 38597129›Full record

ArticleCancer medicine2024

Bayesian and deep-learning models applied to the early detection of ovarian cancer using multiple longitudinal biomarkers.

Luis Abrego, Alexey Zaikin, Ines P Marino, Mikhail I Krivonosov, Ian Jacobs, Usha Menon, Aleksandra Gentry-Maharaj, Oleg Blyuss

Open access · goldAbstract read
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Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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

8 authors at 5 institutions in 3 countries.

Luis AbregoDepartment of Women's Cancer, EGA Institute for Women's Health, University College London, London, UK.
Alexey ZaikinDepartment of Women's Cancer, EGA Institute for Women's Health, University College London, London, UK.
Ines P MarinoDepartment of Biology and Geology, Physics and Inorganic Chemistry, Universidad Rey Juan Carlos, Madrid, Spain.
Mikhail I KrivonosovResearch Center for Trusted Artificial Intelligence, Ivannikov Institute for System Programming of the Russian Academy of Sciences, Moscow, Russia.
Ian JacobsDepartment of Women's Cancer, EGA Institute for Women's Health, University College London, London, UK.
Usha MenonMRC Clinical Trials Unit, University College London, London, UK.
Aleksandra Gentry-MaharajDepartment of Women's Cancer, EGA Institute for Women's Health, University College London, London, UK.
Oleg BlyussDepartment of Women's Cancer, EGA Institute for Women's Health, University College London, London, UK.ORCID 0000-0002-0194-6389
London Women's Clinic · GBMRC Clinical Trials Unit at UCL · GBInstitute for System Programming · RUQueen Mary University of London · GBUniversidad Rey Juan Carlos · ES

Funding

Cancer Research UK and EPSRC EDDCPJT/100022Medical Research Council G0801228Medical Research Council G9901012
6 · The paper itself

Abstract

backgroundOvarian cancer is the most lethal of all gynecological cancers. Cancer Antigen 125 (CA125) is the best-performing ovarian cancer biomarker which however is still not effective as a screening test in the general population. Recent literature reports additional biomarkers with the potential to improve on CA125 for early detection when using longitudinal multimarker models.

methodsOur data comprised 180 controls and 44 cases with serum samples sourced from the multimodal arm of UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS). Our models were based on Bayesian change-point detection and recurrent neural networks.

resultsWe obtained a significantly higher performance for CA125-HE4 model using both methodologies (AUC 0.971, sensitivity 96.7% and AUC 0.987, sensitivity 96.7%) with respect to CA125 (AUC 0.949, sensitivity 90.8% and AUC 0.953, sensitivity 92.1%) for Bayesian change-point model (BCP) and recurrent neural networks (RNN) approaches, respectively. One year before diagnosis, the CA125-HE4 model also ranked as the best, whereas at 2 years before diagnosis no multimarker model outperformed CA125.

conclusionsOur study identified and tested different combination of biomarkers using longitudinal multivariable models that outperformed CA125 alone. We showed the potential of multivariable models and candidate biomarkers to increase the detection rate of ovarian cancer.

Indexed as

Deep LearningOvarian NeoplasmsBayes TheoremBiomarkers, TumorCase-Control StudiesEarly Detection of CancerFemaleHumansROC CurveBiomarkers, TumorCA125change‐point detectionlongitudinal biomarkersovarian cancerrecurrent neural networks

Identifiers

PMID38597129
PMCPMC11004913
OpenAlexW4394686244

What OpenQuestion holds

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LicenceCC BY
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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.