Cancer screening in hospitalized ischemic stroke patients: a multicenter study focused on multiparametric analysis to improve management of occult cancers

Fang, Jie; Wu, Jielong; Hong, Ganji; Zheng, Liangcheng; Yu, Lu; Liu, Xiuping; Lin, Pan; Yu, Zhenzhen; Chen, Dan; Lin, Qing; Jing, Chuya; Zhang, Qiuhong; Wang, Chen; Zhao, Jiedong; Yuan, Xiaodong; Wu, Chunfang; Zhang, Zhaojie; Guo, Mingwei; Zhang, Junde; Zheng, Jingjing; Lei, Aidi; Zhang, Tengkun; Lan, Quan; Kong, Lingsheng; Wang, Xinrui; Wang, Zhanxiang; Ma, Qilin

doi:10.1007/s13167-024-00354-8

Cited by 4 publications

(1 citation statement)

References 38 publications

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“…Low-risk preterm infants should receive fewer examinations to alleviate scarce medical resources, while high-risk infants (premature infants with ROP who require treatment) should be treated with medication or laser surgical interventions to reduce the risk of blindness, which effectively promotes the paradigm shift from reactive medicine to the advanced approach by utilizing the 3 PM framework. The active promotion of the PPPM framework has been applied in many fields, making great contributions to the health quality improvement including fundus diseases [ 32 ], diabetes [ 33 ], cancers [ 34 ], etc. In this study, we retrospectively evaluated an AI system for ROP risk and TP-ROP risk prediction developed for preterm infants in Chinese population based on the i-ROP cohort study dataset from SZEH.…”

Section: Discussionmentioning

confidence: 99%

Multi-risk factors joint prediction model for risk prediction of retinopathy of prematurity

Chen,

Zhao,

et al. 2024

EPMA Journal

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Purpose Retinopathy of prematurity (ROP) is a retinal vascular proliferative disease common in low birth weight and premature infants and is one of the main causes of blindness in children. In the context of predictive, preventive and personalized medicine (PPPM/3PM), early screening, identification and treatment of ROP will directly contribute to improve patients’ long-term visual prognosis and reduce the risk of blindness. Thus, our objective is to establish an artificial intelligence (AI) algorithm combined with clinical demographics to create a risk model for ROP including treatment-requiring retinopathy of prematurity (TR-ROP) infants. Methods A total of 22,569 infants who underwent routine ROP screening in Shenzhen Eye Hospital from March 2003 to September 2023 were collected, including 3335 infants with ROP and 1234 infants with TR-ROP among ROP infants. Two machine learning methods of logistic regression and decision tree and a deep learning method of multi-layer perceptron were trained by using the relevant combination of risk factors such as birth weight (BW), gestational age (GA), gender, whether multiple births (MB) and mode of delivery (MD) to achieve the risk prediction of ROP and TR-ROP. We used five evaluation metrics to evaluate the performance of the risk prediction model. The area under the receiver operating characteristic curve (AUC) and the area under the precision-recall curve (AUCPR) were the main measurement metrics. Results In the risk prediction for ROP, the BW + GA demonstrated the optimal performance (mean ± SD, AUCPR: 0.4849 ± 0.0175, AUC: 0.8124 ± 0.0033). In the risk prediction of TR-ROP, reasonable performance can be achieved by using GA + BW + Gender + MD + MB (AUCPR: 0.2713 ± 0.0214, AUC: 0.8328 ± 0.0088). Conclusions Combining risk factors with AI in screening programs for ROP could achieve risk prediction of ROP and TR-ROP, detect TR-ROP earlier and reduce the number of ROP examinations and unnecessary physiological stress in low-risk infants. Therefore, combining ROP-related biometric information with AI is a cost-effective strategy for predictive diagnostic, targeted prevention, and personalization of medical services in early screening and treatment of ROP.

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Section: Discussionmentioning

confidence: 99%