Academic Journal

Machine learning models in evaluating the malignancy risk of ovarian tumors: a comparative study

التفاصيل البيبلوغرافية
العنوان: Machine learning models in evaluating the malignancy risk of ovarian tumors: a comparative study
المؤلفون: Xin He, Xiang-Hui Bai, Hui Chen, Wei-Wei Feng
المصدر: Journal of Ovarian Research, Vol 17, Iss 1, Pp 1-12 (2024)
بيانات النشر: BMC, 2024.
سنة النشر: 2024
المجموعة: LCC:Gynecology and obstetrics
مصطلحات موضوعية: Ovarian cancer, Ultrasound, Machine learning, Diagnostic models, Gynecology and obstetrics, RG1-991
الوصف: Abstract Objectives The study aimed to compare the diagnostic efficacy of the machine learning models with expert subjective assessment (SA) in assessing the malignancy risk of ovarian tumors using transvaginal ultrasound (TVUS). Methods The retrospective single-center diagnostic study included 1555 consecutive patients from January 2019 to May 2021. Using this dataset, Residual Network(ResNet), Densely Connected Convolutional Network(DenseNet), Vision Transformer(ViT), and Swin Transformer models were established and evaluated separately or combined with Cancer antigen 125 (CA 125). The diagnostic performance was then compared with SA. Results Of the 1555 patients, 76.9% were benign, while 23.1% were malignant (including borderline). When differentiating the malignant from ovarian tumors, the SA had an AUC of 0.97 (95% CI, 0.93–0.99), sensitivity of 87.2%, and specificity of 98.4%. Except for Vision Transformer, other machine learning models had diagnostic performance comparable to that of the expert. The DenseNet model had an AUC of 0.91 (95% CI, 0.86–0.95), sensitivity of 84.6%, and specificity of 95.1%. The ResNet50 model had an AUC of 0.91 (0.85–0.95). The Swin Transformer model had an AUC of 0.92 (0.87–0.96), sensitivity of 87.2%, and specificity of 94.3%. There was a statistically significant difference between the Vision Transformer and SA, and between the Vision Transformer and Swin Transformer models (AUC: 0.87 vs. 0.97, P = 0.01; AUC: 0.87 vs. 0.92, P = 0.04). Adding CA125 did not improve the diagnostic performance of the models in distinguishing benign and malignant ovarian tumors. Conclusion The deep learning model of TVUS can be used in ovarian cancer evaluation, and its diagnostic performance is comparable to that of expert assessment.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1757-2215
Relation: https://doaj.org/toc/1757-2215
DOI: 10.1186/s13048-024-01544-8
URL الوصول: https://doaj.org/article/3fb817d6d8cb4569be726eb6a00f516c
رقم الانضمام: edsdoj.3fb817d6d8cb4569be726eb6a00f516c
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:17572215
DOI:10.1186/s13048-024-01544-8