Evidence map›Paper›PMID 39237940›Full record

ArticleBMC women's health2024

Application of machine learning techniques in the diagnosis of endometriosis.

Ningning Zhao, Ting Hao, Fengge Zhang, Qin Ni, Dan Zhu, Yanan Wang, Yali Shi, Xin Mi

Abstract read
In one paragraph

Article in BMC women's health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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.

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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.

Ningning Zhao *Department of Obstetrics and Gynecology, Shunyi Women's and Children's Hospital of Beijing Children's Hospital, No. 1 of shun Hong Road, Shunyi District, Beijing, 101300, China.
Ting Hao *Department of Obstetrics and Gynecology, Shunyi Women's and Children's Hospital of Beijing Children's Hospital, No. 1 of shun Hong Road, Shunyi District, Beijing, 101300, China.
Fengge Zhang *Department of Obstetrics and Gynecology, Shunyi Women's and Children's Hospital of Beijing Children's Hospital, No. 1 of shun Hong Road, Shunyi District, Beijing, 101300, China.
Qin NiDepartment of Obstetrics and Gynecology, Shunyi Women's and Children's Hospital of Beijing Children's Hospital, No. 1 of shun Hong Road, Shunyi District, Beijing, 101300, China.
Dan ZhuDepartment of Obstetrics and Gynecology, Shunyi Women's and Children's Hospital of Beijing Children's Hospital, No. 1 of shun Hong Road, Shunyi District, Beijing, 101300, China.
Yanan WangDepartment of Obstetrics and Gynecology, Shunyi Women's and Children's Hospital of Beijing Children's Hospital, No. 1 of shun Hong Road, Shunyi District, Beijing, 101300, China.
Yali ShiDepartment of Obstetrics and Gynecology, Shunyi Women's and Children's Hospital of Beijing Children's Hospital, No. 1 of shun Hong Road, Shunyi District, Beijing, 101300, China.
Xin MiDepartment of Obstetrics and Gynecology, Shunyi Women's and Children's Hospital of Beijing Children's Hospital, No. 1 of shun Hong Road, Shunyi District, Beijing, 101300, China. mixin1964@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study is to assess the use of machine learning methodologies in the diagnosis of endometriosis (EM).

methodsThis study included a total of 106 patients with EM and 203 patients with non-EM conditions (like simple cysts and simple uterine fibroids), all admitted to the Shunyi Women's and Children's Hospital of Beijing Children's Hospital between January 2017 and September 2022. All participants were free of comorbidities and their diagnoses were confirmed via postoperative pathology. Comparative analysis was conducted between the EM and non-EM groups. Baseline data were assessed, including white blood cell count, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio, lymphocyte-to-monocyte ratio, mean platelet volume, hemoglobin, carbohydrate antigen 125 (CA125), carbohydrate antigen 199, coagulation parameters, and other serologic indicators. An optimal predictive model was developed using an artificial intelligence algorithm to determine the presence of EM. The objective is to provide new insights for the clinical diagnosis and treatment of EM.

resultsThe random forest algorithm demonstrated superior performance when compared to decision trees, LogitBoost, artificial neural networks, naïve Bayes, support vector machines, and linear regression in machine learning methods. Combining CA125 with the NLR yielded a better prediction of EM than using CA125 alone when applying the random forest algorithm. The accuracy of predicting EM with CA125 combined with NLR was 78.16%, with a sensitivity of 86.21% and an area under the curve (AUC) of 0.85 (P < 0.05). In contrast, using CA125 alone resulted in an EM prediction accuracy of 75.8%, with a sensitivity of 79.3% and an AUC of 0.82 (P < 0.05).

conclusionThe diagnostic value of serum CA125 combined with the NLR for EM is higher than that of serum CA125 alone. This finding indicates that NLR could serve as a new supplementary biomarker along with serum CA125 in the diagnosis of EM.

Indexed as

CA-125 AntigenEndometriosisMachine LearningAdultAlgorithmsFemaleHumansNeutrophilsCA-125 AntigenEndometriosisMachine learning techniquesRandom forestsSerum markers

Identifiers

PMID39237940
PMCPMC11375848

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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.