Frontiers in oncology · 2025
Development and validation of machine learning model to predict early death of melanoma brain metastasis patients.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Maihemuti Maierdanjiang, Kamaierjiang Maiheliya, Maimaiti Aierpati, Wu Junshen, Dai Zhibing, Jiang Renbing
Аннотация
BACKGROUND: Melanoma has the third highest rate of brain metastases among all cancers and is associated with poor long-term survival. This study aimed to develop machine learning models to predict early death in melanoma brain metastasis (MBM) patients to guide clinical decision-making.
METHODS: We analyzed MBM patients from the SEER database and Xinjiang Medical University. Patients were randomly divided into training and testing cohorts (7:3 ratio). Seven machine learning models were developed and validated using cross-validation, ROC analysis, decision curve analysis, and calibration curves to predict cancer-specific early death (CSED) and all-cause early death (ACED) within 3 months of diagnosis.
RESULTS: Among 1,547 MBM patients, 531 (34.3%) experienced CSED, and 554 (35.8%) experienced ACED. Key predictive factors included age, treatment modalities (radiation, chemotherapy, surgery), tumor characteristics (ulceration), and extracranial metastases (bone, liver). XGBoost achieved the best performance for ACED prediction (AUC=0.776), while logistic regression performed best for CSED prediction (AUC=0.694). External validation confirmed model reliability with comparable performance.
CONCLUSION: These machine learning models demonstrate strong predictive performance and may assist clinicians in early risk stratification and treatment planning for MBM patients. The models provide objective risk assessment tools that could improve patient counseling and guide aggressive versus palliative care decisions.
METHODS: We analyzed MBM patients from the SEER database and Xinjiang Medical University. Patients were randomly divided into training and testing cohorts (7:3 ratio). Seven machine learning models were developed and validated using cross-validation, ROC analysis, decision curve analysis, and calibration curves to predict cancer-specific early death (CSED) and all-cause early death (ACED) within 3 months of diagnosis.
RESULTS: Among 1,547 MBM patients, 531 (34.3%) experienced CSED, and 554 (35.8%) experienced ACED. Key predictive factors included age, treatment modalities (radiation, chemotherapy, surgery), tumor characteristics (ulceration), and extracranial metastases (bone, liver). XGBoost achieved the best performance for ACED prediction (AUC=0.776), while logistic regression performed best for CSED prediction (AUC=0.694). External validation confirmed model reliability with comparable performance.
CONCLUSION: These machine learning models demonstrate strong predictive performance and may assist clinicians in early risk stratification and treatment planning for MBM patients. The models provide objective risk assessment tools that could improve patient counseling and guide aggressive versus palliative care decisions.