Chronic lymphocytic leukemia prediction using data mining methods

M. V. Markovtseva, E. N. Zguralskaya
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引用次数: 1

Abstract

Relevance. Chronic lymphocytic leukemia (CLL) is one of the most common lymphoproliferative diseases of the European population with an increase in the elderly and senile age frequency. In this category of patients standard approaches to predicting overall survival do not take into account the presence of comorbid pathology and have low accuracy. In view of this, the search for parameters that affect the overall survival rate of patients with CLL is of particular relevance.The aim of the study is to identify factors affecting the CLL patients overall survival at the stage of CLL diagnosis.Materials and methods. The data of 132 CLL patients with stage A-C according to Binet with known overall survival were retrospectively analyzed. The problem was solved by data mining methods, namely using logical classification algorithms.Results. The glomerular filtration rate is defined as a parameter that objectively justifies the real terms deviation of the patients overall survival from the calculated ones according to the standard Binet staging system. For this parameter, an if…then rule is formed, which makes it possible to predict the patient’s survival. If the GFR value at the time of diagnosis of CLL is more than 76 ml/min /1.73 m2, we can say that the patient will overcome the calculated median survival data for the corresponding stage of CLL according to Binet. Otherwise, the overall survival of the CLL patient will be less than the estimated median survival according to Binet.Conclusion. The analysis of the study allows us to conclude that it is advisable to use data mining methods in predicting the patients overall survival with CLL. The clinical examples given in the article show their effectiveness. According to the study results, an application for invention No. 2022104419 was issued.
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使用数据挖掘方法预测慢性淋巴细胞白血病
的相关性。慢性淋巴细胞白血病(CLL)是欧洲人群中最常见的淋巴细胞增生性疾病之一,在老年人和老年人中发病率增加。在这类患者中,预测总生存期的标准方法没有考虑到共病病理的存在,准确性较低。鉴于此,寻找影响CLL患者总体生存率的参数具有特殊的意义。本研究的目的是在CLL诊断阶段确定影响CLL患者总生存的因素。材料和方法。回顾性分析了132例根据Binet确定总生存期的A-C期CLL患者的资料。采用数据挖掘方法,即使用逻辑分类算法来解决该问题。肾小球滤过率被定义为一个参数,它客观地证明了根据标准Binet分期系统计算出的患者总生存期与实际生存期的偏差。对于该参数,形成if…then规则,从而可以预测患者的生存。如果诊断CLL时的GFR值大于76 ml/min /1.73 m2,则可以认为患者克服了Binet计算的CLL相应阶段的中位生存数据。否则,根据binet的估计,CLL患者的总生存期将小于中位生存期。本研究的分析使我们得出结论,使用数据挖掘方法预测慢性淋巴细胞白血病患者的总生存期是可取的。文中给出的临床实例表明了其有效性。根据研究结果,签发发明号2022104419的申请。
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