Evidence map›Paper›PMID 40786516›Full record

ArticleFrontiers in oncology2025

Predicting the prognosis of epithelial ovarian cancer patients based on deep learning models.

Zihan Li, Jiao Wang, Yixin Zhang, Zhen Yang, Fanchen Zhou, Xueting Bai, Qian Zhang, Wenchong Zhen, Rongxuan Xu, Wei Wu and 3 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. A prognostic model based on ScissorTranslational cancer research · 2026
    Article
  2. Article
  3. 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

13 authors.

Zihan LiDepartment of Epidemiology and Health Statistics, Dalian Medical University, Dalian, China.
Jiao WangDalian Municipal Central Hospital, Central Hospital of Dalian University of Technology, Dalian, China.
Yixin ZhangDepartment of Epidemiology and Health Statistics, Dalian Medical University, Dalian, China.
Zhen YangDalian Municipal Central Hospital, Central Hospital of Dalian University of Technology, Dalian, China.
Fanchen ZhouDalian Municipal Central Hospital, Central Hospital of Dalian University of Technology, Dalian, China.
Xueting BaiDepartment of Epidemiology and Health Statistics, Dalian Medical University, Dalian, China.
Qian ZhangDepartment of Epidemiology and Health Statistics, Dalian Medical University, Dalian, China.
Wenchong ZhenDepartment of Epidemiology and Health Statistics, Dalian Medical University, Dalian, China.
Rongxuan XuDepartment of Epidemiology and Health Statistics, Dalian Medical University, Dalian, China.
Wei WuDepartment of Epidemiology and Health Statistics, Dalian Medical University, Dalian, China.
Zhihan YaoDepartment of Epidemiology and Health Statistics, Dalian Medical University, Dalian, China.
Xiaofeng LiDepartment of Epidemiology and Health Statistics, Dalian Medical University, Dalian, China.
Yiming YangDalian Municipal Central Hospital, Central Hospital of Dalian University of Technology, Dalian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Epithelial ovarian cancer(EOC) has a higher mortality and morbidity rate than other types, and it has a dramatic impact on the survival of ovarian cancer(OC) patients. Therefore, investigating, developing and validating prognostic models to predict overall survival(OS) in patients with epithelial ovarian cancer represents an area of research with significant clinical implications. Methods: Patients with a confirmed diagnosis of epithelial ovarian cancer from 2010 to 2017 in The Surveillance, Epidemiology, and End Results(SEER) database were identified for enrollment based on inclusion and exclusion criteria(N=10902). Patients with epithelial ovarian cancer diagnosed from 2010 to 2022 were selected from Dalian Municipal Central Hospital as an external validation cohort based on the same criteria (N=116). COX proportional risk regression for screening independent prognostic factors. Survival outcomes were compared between different risk subgroups based on Kaplan-Meier analysis. Three predictive models were developed using machine learning(ML) techniques, and another was a nomogram based on COX proportional risk regression for estimating 3-year and 5-year overall survival in patients with epithelial ovarian cancer. Evaluation of several models based on multiple metrics including C-index, ROC curve, calibration curve and decision curve analysis (DCA). Results: Through univariate and multivariate COX proportional risk regression analyses, we selected 12 significantly independent prognostic factors affecting overall survival (P<0.05). In conclusion, comparing several models cited, it was found that DeepSurv (Deep Survival) model had the best performance in both internal validation set and external validation set. The C-index for internal validation was 0.715, and the 3-year and 5-year ROC curves were 0.746 and 0.766; the C-index for external validation was 0.672, and the 3-year and 5-year ROC curves were 0.731 and 0.756. Conclusion: This study successfully developed a nomogram and three machine learning models, which collectively served as important predictive instruments to support clinical decision making.

Indexed as

deep learningepithelial ovarian cancermachine learningprognosissurvival

Identifiers

PMID40786516
PMCPMC12331489

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