Evidence map›Paper›PMID 39682259›Full record

ArticleCancers2024

Utility of Machine Learning Models to Predict Lymph Node Metastasis of Japanese Localized Prostate Cancer.

Hideto Ueki, Tomoaki Terakawa, Takuto Hara, Munenori Uemura, Yasuyoshi Okamura, Kotaro Suzuki, Yukari Bando, Jun Teishima, Yuzo Nakano, Raizo Yamaguchi and 1 more

Abstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Hideto UekiDepartment of Urology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Tomoaki TerakawaDepartment of Urology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Takuto HaraDepartment of Urology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Munenori UemuraDepartment of International Clinical Cancer Research and Promotion, Kobe University Graduate School of Medicine, Kobe 650-0047, Japan.ORCID 0000-0002-1550-2623
Yasuyoshi OkamuraDepartment of Urology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Kotaro SuzukiDepartment of Urology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.ORCID 0000-0003-4589-9251
Yukari BandoDepartment of Urology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Jun TeishimaDepartment of Urology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Yuzo NakanoDepartment of Urology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Raizo YamaguchiDepartment of Urology, Kobe University Hospital International Clinical Cancer Research Center, Kobe 650-0047, Japan.
Hideaki MiyakeDepartment of Urology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.ORCID 0000-0003-0563-4160

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesExtended pelvic lymph node dissection is a crucial surgical technique for managing intermediate to high-risk prostate cancer. Accurately predicting lymph node metastasis before surgery can minimize unnecessary lymph node dissections and their associated complications. This study assessed the efficacy of various machine learning models for predicting lymph node metastasis in a cohort of Japanese patients who underwent robot-assisted laparoscopic radical prostatectomy.

methodsData from 625 patients who underwent extended pelvic lymph node dissection or standard dissection with lymph node metastasis between October 2010 and February 2023 were analyzed. Four machine learning models-Random Forest, Light Gradient-Boosting Machine, Logistic Regression, and Support Vector Machine-were used to predict lymph node metastasis. Their performance was assessed using receiver operating characteristic curves, a decision curve analysis, and predictive values at different thresholds.

resultsLymph node metastasis was observed in 34 patients (5.4%). The Light Gradient-Boosting Machine had the highest AUC of 0.924, followed by the Random Forest model with an AUC of 0.894. The decision curve analysis indicated substantial net benefits for both models, particularly at low threshold probabilities. The Light Gradient-Boosting Machine demonstrated superior accuracy, achieving 95.6% at the 0.05 threshold and 96.7% at the 0.10 threshold, outperforming other models and conventional nomograms in the validation dataset.

conclusionMachine learning models, especially Light Gradient-Boosting Machine and Random Forest, show significant potential for predicting lymph node metastasis in prostate cancer, thereby aiding in reducing unnecessary surgical interventions.

Indexed as

lymph node metastasismachine learningprostate cancer

Identifiers

PMID39682259
PMCPMC11640458

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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.