2020
DOI: 10.3390/cancers12061442
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Improving Multi-Tumor Biomarker Health Check-Up Tests with Machine Learning Algorithms

Abstract: Background: Tumor markers are used to screen tens of millions of individuals worldwide at annual health check-ups, especially in East Asia. Machine learning (ML)-based algorithms that improve the diagnostic accuracy and clinical utility of these tests can have substantial impact leading to the early diagnosis of cancer. Methods: ML-based algorithms, including a cancer screening algorithm and a secondary organ of origin algorithm, were developed and validated using a large real world dataset (RWD) from asymptom… Show more

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Cited by 21 publications
(21 citation statements)
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“…It is not accurate to use individual gene to judge the prognosis of cancer patients owing to the differences in race, region and organ specificity [33,34]. In recent years, with the development of computer technology, researchers have begun to use regression models, artificial intelligence and other computational methods to screen and analyze gene expression data in cancer databases on a large scale to explore prognostic biomarkers associated with specific cancers, such as this study [35]. LRFN4, ADAMTS12, MCEMP1, HP and MUC15 are all cancerrelated biomarkers, and all of them can also be used in judgment of cancer incidence in an independent manner.…”
Section: Discussionmentioning
confidence: 99%
“…It is not accurate to use individual gene to judge the prognosis of cancer patients owing to the differences in race, region and organ specificity [33,34]. In recent years, with the development of computer technology, researchers have begun to use regression models, artificial intelligence and other computational methods to screen and analyze gene expression data in cancer databases on a large scale to explore prognostic biomarkers associated with specific cancers, such as this study [35]. LRFN4, ADAMTS12, MCEMP1, HP and MUC15 are all cancerrelated biomarkers, and all of them can also be used in judgment of cancer incidence in an independent manner.…”
Section: Discussionmentioning
confidence: 99%
“…Many studies have aimed at improving the diagnostic accuracy in bladder cancer. Wang et al utilized machine learning algorithms to improve the tumor marker-based screening for multiple cancers and yielded a sensitivity of 0.81 and a specificity of 0.64 [ 82 ]. Shao et al applied ultra-performance liquid chromatography coupled with time-of-flight mass spectrometry to acquire metabolites profiles in 152 samples from patients with bladder cancer and hernia; furthermore, the decision tree model embedded in this study obtained an accuracy of 76.6%, a sensitivity of 71.88%, and a specificity of 86.67% [ 83 ].…”
Section: Discussionmentioning
confidence: 99%
“…This application of liquid biopsy to cancer screening in the general population raises concerns about the frequency of false-positive results, which can lead to unnecessary further testing or invasive procedures [24] . The clinical utility of liquid biopsy for cancer screening could be improved through the application of machine learning-based approaches to optimize the interpretation of multi-analyte screening results [25,26] . The current literature lacks objective published data supporting the effectiveness or potential economic impact of including multi-analyte cancer biomarker panels in wellness checks; more studies are needed to determine the best way to integrate liquid biopsy into general health screening programs.…”
Section: Application Of Liquid Biopsy To Population Cancer Screeningmentioning
confidence: 99%