Could machine learning improve the prediction of pelvic nodal status of prostate cancer patients? Preliminary results of a pilot study

  • B. De Bari
  • , M. Vallati
  • , R. Gatta
  • , C. Simeone
  • , G. Girelli
  • , U. Ricardi
  • , I. Meattini
  • , P. Gabriele
  • , R. Bellavita
  • , M. Krengli
  • , I. Cafaro
  • , E. Cagna
  • , F. Bunkheila
  • , S. Borghesi
  • , M. Signor
  • , A. Di Marco
  • , F. Bertoni
  • , M. Stefanacci
  • , N. Pasinetti
  • , M. Buglione
  • S. M. Magrini

Research output: Contribution to journalArticlepeer-review

Abstract

We tested and compared performances of Roach formula, Partin tables and of three Machine Learning (ML) based algorithms based on decision trees in identifying N+ prostate cancer (PC). 1,555 cN0 and 50 cN+ PC were analyzed. Results were also verified on an independent population of 204 operated cN0 patients, with a known pN status (187 pN0, 17 pN1 patients). ML performed better, also when tested on the surgical population, with accuracy, specificity, and sensitivity ranging between 48-86%, 35-91%, and 17-79%, respectively. ML potentially allows better prediction of the nodal status of PC, potentially allowing a better tailoring of pelvic irradiation.

Original languageEnglish
Pages (from-to)232-240
Number of pages9
JournalCancer Investigation
Volume33
Issue number6
DOIs
Publication statusPublished - 3 Jul 2015

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Machine Learning
  • Nodal metastases
  • Pelvic irradiation
  • Prostate cancer
  • Radiotherapy

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