利用机器学习技术改善浸润性乳腺癌护理。

C. Yedjou, Solange S Tchounwou, Jameka Grigsby, Kearra Johnson, P. Tchounwou
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摘要

乳腺癌(BC)是世界范围内女性最常见的恶性肿瘤。在美国,女性一生中患浸润性乳腺癌的风险为12.5%。乳腺癌起源于乳腺腺组织的导管或小叶的内衬细胞(上皮)。本研究的目的是使用机器学习(ML)作为一种新技术来评估和比较浸润性BC,包括浸润性导管癌、浸润性小叶癌和粘液癌。为了实现这一目标,我们使用ML算法收集了334例BC患者的数据集,并根据BC的形式、年龄、性别、肿瘤分期、手术类型和生存率对该数据集进行了解释。334例患者中,70%诊断为浸润性导管癌,27%诊断为浸润性小叶癌,3%诊断为黏液性癌。总体而言,在334例BC患者中:64例(19.16%)处于I期,189例(56.59%)处于II期,81例(24.25%)处于III期。分别有66例、67例、96例和105例患者接受了乳房肿瘤切除术、单纯性乳房切除术、改良根治性乳房切除术和其他类型的手术。I期生存率为83.4%,II期为79.1%,III期为77%。本研究的结果表明,机器学习为整理大量BC数据提供了重要工具,也是改善BC结果的科学手段。
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Improving Invasive Breast Cancer Care Using Machine Learning Technology.
Breast cancer (BC) is the most common malignancy in women worldwide. In the United States, the lifetime risk of developing an invasive form of breast cancer is 12.5% among women. BC arises in the lining cells (epithelium) of the ducts or lobules in the glandular tissue of the breast. The goal of the present study was to use machine learning (ML) as a novel technology to assess and compare the invasive forms of BC including, infiltrating ductal carcinoma, infiltrating lobular carcinoma, and mucinous carcinoma. To achieve this goal, we used ML algorithms and collected a dataset of 334 BC patients available at https://www.kaggle.com/amandam1/breastcancerdataset and interpreted this dataset based on the form of BC, age, sex, tumor stages, surgery type, and survival rate. Among the 334 patients, 70% were diagnosed with infiltrating ductal carcinoma, 27% with infiltrating lobular carcinoma, and 3% with mucinous carcinoma. Overall, out of 334 BC patients: 64 (19.16%) were in stage I, 189 (56.59%) in stage II, and 81 (24.25%) in stage III. Sixty-six, 67, 96, and 105 patients underwent lumpectomy, simple mastectomy, modified radical mastectomy, and other types of surgery, respectively. The survival rates were 83.4% for stage I, 79.1% for stage II, and 77% for stage III. Findings from the present study demonstrated that ML provides an important tool to curate large amount of BC data, as well as a scientific means to improve BC outcomes.
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