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Pre-operative prediction of advanced prostatic cancer using clinical decision support systems: accuracy comparison between support vector machine and artificial neural network.

Abstract：

OBJECTIVE:The purpose of the current study was to develop support vector machine (SVM) and artificial neural network (ANN) models for the pre-operative prediction of advanced prostate cancer by using the parameters acquired from transrectal ultrasound (TRUS)-guided prostate biopsies, and to compare the accuracies between the two models. MATERIALS AND METHODS:Five hundred thirty-two consecutive patients who underwent prostate biopsies and prostatectomies for prostate cancer were divided into the training and test groups (n = 300 versus n = 232). From the data in the training group, two clinical decision support systems (CDSSs-[SVM and ANN]) were constructed with input (age, prostate specific antigen level, digital rectal examination, and five biopsy parameters) and output data (the probability for advanced prostate cancer [> pT3a]). From the data of the test group, the accuracy of output data was evaluated. The areas under the receiver operating characteristic (ROC) curve (AUC) were calculated to summarize the overall performances, and a comparison of the ROC curves was performed (p < 0.05). RESULTS:The AUC of SVM and ANN is 0.805 and 0.719, respectively (p = 0.020), in the pre-operative prediction of advanced prostate cancer. CONCLUSION:The performance of SVM is superior to ANN in the pre-operative prediction of advanced prostate cancer.

journal_name

Korean J Radiol

journal_title

Korean journal of radiology

authors

Kim SY,Moon SK,Jung DC,Hwang SI,Sung CK,Cho JY,Kim SH,Lee J,Lee HJ

doi

10.3348/kjr.2011.12.5.588

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

588-94

issue

5

eissn

1229-6929

issn

2005-8330

journal_volume

12

pub_type

杂志文章

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