Interpretable multitemporal liver function indicator model for prediction and risk factor analysis of drug induced liver injury.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
12 Sep 2024
Historique:
received: 03 12 2023
accepted: 05 07 2024
medline: 12 9 2024
pubmed: 12 9 2024
entrez: 11 9 2024
Statut: epublish

Résumé

The occurrence of liver injury during cancer treatment is extremely harmful. The risk factors for drug.induced liver injury (DILI) in the pancreatic cancer population have not been investigated. This study aims to develop and validate an interpretable decision tree (DT) model for the early prediction of DILI in pancreatic cancer patients using multitemporal clinical data and screening for related risk factors. A retrospective collection of data was conducted on 307 patients, the training set (n = 215) was used to develop the model, and the test set (n = 92) was used to evaluate the model. The classification and regression trees algorithm was employed to establish the DT model. The Shapley Additive explanations (SHAP) method was used to facilitate clinical interpretation. Model performance was assessed using AUC and the Hosmer‒Lemeshow test. The DT model exhibited superior diagnostic efficacy, the AUC values were 0.995 and 0.994 in the training and test sets, respectively. Four risk factors associated with DILI occurrence were identified: delta.albumin, delta.ALT, and post (AST: ALT), and post.GGT. The multiperiod liver function indicator.based interpretable DT model predicted DILI occurrence in the pancreatic cancer population and contributes to personalized clinical management of pancreatic cancer patients.

Identifiants

pubmed: 39261535
doi: 10.1038/s41598-024-66952-8
pii: 10.1038/s41598-024-66952-8
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

21285

Subventions

Organisme : Education Department of Hangzhou City, Zhejiang Province Program
ID : Y202249209
Organisme : Education Department of Hangzhou City, Zhejiang Province Program
ID : Y202249209
Organisme : Education Department of Hangzhou City, Zhejiang Province Program
ID : Y202249209
Organisme : Education Department of Hangzhou City, Zhejiang Province Program
ID : Y202249209
Organisme : Education Department of Hangzhou City, Zhejiang Province Program
ID : Y202249209

Informations de copyright

© 2024. The Author(s).

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Auteurs

Zhongyu Yuan (Z)

Department of Radiology, the Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, China, 322000, Yiwu, Zhejiang, China.

Jiaxuan Peng (J)

Cancer Center, Department of Radiology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.

Zhenyu Shu (Z)

Cancer Center, Department of Radiology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.

Xue Qin (X)

Cancer Center, Department of Radiology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.

Jianguo Zhong (J)

Cancer Center, Department of Radiology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China. zhongjianguo@hmc.edu.cn.

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