浏览全部资源
扫码关注微信
基于超声征象的决策树模型在预测胃肠道间质瘤危险度中的应用价值
Application value of decision tree model based on ultrasonic signs in predicting the risk grade of gastrointestinal stromal tumors
- 中国癌症杂志 2022年32卷第1期 页码：41-46
- 作者机构：
福建医科大学附属协和医院超声科,福建 福州 350001
- 作者简介：
陈志奎 E-mail: jimchen2003@163.com
- 基金信息：福建省卫生教育联合攻关计划项目(2019-WJ-06)
DOI：10.19401/j.cnki.1007-3639.2022.01.005
中图分类号： R735.2;R735.3收稿：2021-09-29，
修回：2021-11-19，
纸质出版：2022-01-30
- 稿件说明：
移动端阅览
郭晶晶, 唐秀斌, 陈蕾, 等. 基于超声征象的决策树模型在预测胃肠道间质瘤危险度中的应用价值[J]. 中国癌症杂志, 2022,32(1):41-46.
Jingjing GUO, Xiubin TANG, Lei CHEN, et al. Application value of decision tree model based on ultrasonic signs in predicting the risk grade of gastrointestinal stromal tumors[J]. China Oncology, 2022, 32(1): 41-46.
郭晶晶, 唐秀斌, 陈蕾, 等. 基于超声征象的决策树模型在预测胃肠道间质瘤危险度中的应用价值[J]. 中国癌症杂志, 2022,32(1):41-46. DOI： 10.19401/j.cnki.1007-3639.2022.01.005.
Jingjing GUO, Xiubin TANG, Lei CHEN, et al. Application value of decision tree model based on ultrasonic signs in predicting the risk grade of gastrointestinal stromal tumors[J]. China Oncology, 2022, 32(1): 41-46. DOI： 10.19401/j.cnki.1007-3639.2022.01.005.
摘要
背景与目的：
胃肠道间质瘤（gastrointestinal stromal tumor
GIST）的生物危险度可分为极低危、低危、中危和高危
术前就危险度进行准确预判对临床制订诊疗方案至关重要。探讨基于超声征象的决策树模型在预测GIST危险度中的应用价值。
方法：
收集福建医科大学附属协和医院2016年12月
&
#x02014;2020年12月收治的206例GIST患者
建立决策树模型
并判断模型预测的准确度。
结果：
低危、中危和高危3组间病灶长径、短径/长径（short diameter/long diameter
S/L）、肿瘤部位、回声高低、回声均匀性、边界、形态、是否坏死囊变和血流信号的差异均有统计学意义（
P
均
<
0.05）。以病灶长径、肿瘤部位、回声均匀性及形态为节点建立的决策树模型预测的准确度为72.33%
其中低危组和高危组预测的准确度可高达80.90%和93.90%。
结论：
以超声特征为主要指标构建的决策树模型在预测GIST危险度中具有较高的应用价值。
Abstract
Background and purpose:
The biological risk of gastrointestinal stromal tumor (GIST) can be divided into very low-risk
low-risk
moderate-risk and high-risk. Accurate preoperative prediction of risk is very important for clinical diagnosis and treatment. This study explored the application value of decision tree model based on ultrasonic signs in predicting the risk grade of GIST.
Methods:
A total of 206 GIST patients treated in Union Hospital Affiliated to Fujian Medical University from December 2016 to December 2020 were collected. The decision tree model was established
and the prediction accuracy of the model was calculated.
Results:
There were statistically significant differences in long diameter
short diameter/long diameter (S/L)
location
internal echo
echo uniformity
boundary
shape
cystic necrosis and blood flow signals among low-risk
moderate-risk and high-risk groups (all
P
<
0.05). The prediction accuracy of the decision tree model based on the long diameter
location
echo uniformity and shape was 72.33%
and the prediction accuracies of the low-risk group and high-risk group were 80.90% and 93.90%
respectively.
Conclusion:
The decision tree model based on ultrasonic signs has high application value in predicting the risk grade of GIST.
关键词
Keywords
references
NISHIDA T , GOTO O , RAUT C P , et al. Diagnostic and treatment strategy for small gastrointestinal stromal tumors [J ] . Cancer , 2016 , 122 ( 20 ): 3110 - 3118 . DOI: 10.1002/cncr.30239 http://doi.org/10.1002/cncr.30239 https://onlinelibrary.wiley.com/doi/10.1002/cncr.30239 https://onlinelibrary.wiley.com/doi/10.1002/cncr.30239
管建明 , 茹翱 . 有回声型胃超声显像剂对诊断胃间质瘤的价值探讨 [J ] . 中华超声影像学杂志 , 2017 , 26 ( 4 ): 360 - 361 .
GUAN J M , RU A . The value of echogenic gastric ultrasonography agent in diagnosis of gastric stromal tumors [J ] . Chin J Ultrasonogr , 2017 , 26 ( 4 ): 360 - 361 .
ZHENG T , DU J , YANG L , et al. Evaluation of risk classifications for gastrointestinal stromal tumor using multi-parameter magnetic resonance analysis [J ] . Abdom Radiol (NY) , 2021 , 46 ( 4 ): 1506 - 1518 .
LEE M W , KIM G H , KIM K B , et al. Digital image analysis-based scoring system for endoscopic ultrasonography is useful in predicting gastrointestinal stromal tumors [J ] . Gastric Cancer , 2019 , 22 ( 5 ): 980 - 987 . DOI: 10.1007/s10120-019-00928-w http://doi.org/10.1007/s10120-019-00928-w https://doi.org/10.1007/s10120-019-00928-w https://doi.org/10.1007/s10120-019-00928-w
LEE H S , CHO C M , KWON Y H , et al. Predicting malignancy risk in gastrointestinal subepithelial tumors with contrast-enhanced harmonic endoscopic ultrasonography using perfusion analysis software [J ] . Gut Liver , 2019 , 13 ( 2 ): 161 - 168 . DOI: 10.5009/gnl18185 http://doi.org/10.5009/gnl18185 http://www.gutnliver.org/journal/view.html?doi=10.5009/gnl18185 http://www.gutnliver.org/journal/view.html?doi=10.5009/gnl18185
SMAYRA T , CHARARA Z , SLEILATY G , et al. Classification and regression tree (CART) model of sonographic signs in predicting thyroid nodules malignancy [J ] . Eur J Radiol Open , 2019 , 6 : 343 - 349 . DOI: 10.1016/j.ejro.2019.11.003 http://doi.org/10.1016/j.ejro.2019.11.003 https://linkinghub.elsevier.com/retrieve/pii/S2352047719300474 https://linkinghub.elsevier.com/retrieve/pii/S2352047719300474
PERRIER L , RASCLE P , MORELLE M , et al. The cost-saving effect of centralized histological reviews with soft tissue and visceral sarcomas, GIST, and desmoid tumors: the experiences of the pathologists of the French Sarcoma Group [J ] . PLoS One , 2018 , 13 ( 4 ): e0193330 . DOI: 10.1371/journal.pone.0193330 http://doi.org/10.1371/journal.pone.0193330 https://dx.plos.org/10.1371/journal.pone.0193330 https://dx.plos.org/10.1371/journal.pone.0193330
VAICEKAUSKAS R , URBONIENĖ J , STANAITIS J , et al. Evaluation of upper endoscopic and endoscopic ultrasound features in the differential diagnosis of gastrointestinal stromal tumors and leiomyomas in the upper gastrointestinal tract [J ] . Visc Med , 2020 , 36 ( 4 ): 318 - 324 . DOI: 10.1159/000504327 http://doi.org/10.1159/000504327 https://www.karger.com/Article/FullText/504327 https://www.karger.com/Article/FullText/504327
TAKAHASHI K , NIHEI T , AOKI Y , et al. Gastric gastrointestinal stromal tumor with predominant cystic formation diagnosed by endoscopic ultrasound-fine needle aspiration [J ] . Clin J Gastroenterol , 2020 , 13 ( 3 ): 359 - 364 . DOI: 10.1007/s12328-019-01058-7 http://doi.org/10.1007/s12328-019-01058-7 https://doi.org/10.1007/s12328-019-01058-7 https://doi.org/10.1007/s12328-019-01058-7
BAZAGA PÉREZ DE ROZAS S , GALLARDO RAMÍREZ M A , GARCÍA-ALONSO F J , et al. Endoscopic ultrasound-guided radiofrequency ablation for management of gastric gastrointestinal stromal tumor [J ] . Endoscopy , 2019 , 51 ( 8 ): E223-E224 .
JOENSUU H . Risk stratification of patients diagnosed with gastrointestinal stromal tumor [J ] . Hum Pathol , 2008 , 39 ( 10 ): 1411 - 1419 . DOI: 10.1016/j.humpath.2008.06.025 http://doi.org/10.1016/j.humpath.2008.06.025 https://linkinghub.elsevier.com/retrieve/pii/S0046817708003377 https://linkinghub.elsevier.com/retrieve/pii/S0046817708003377
ZHAO L F , ZHAO Z G , WANG W D , et al. Current characteristics on small intestinal stromal tumor-a case control study [J ] . Ann Palliat Med , 2020 , 9 ( 1 ): 98 - 107 . DOI: 10.21037/apm http://doi.org/10.21037/apm http://apm.amegroups.com http://apm.amegroups.com
李清清 , 蔡胜 . 伴有肠瘘的小肠间质瘤超声表现1例 [J ] . 中华超声影像学杂志 , 2015 , 24 ( 2 ): 158 , 163.
LI Q Q , CAI S . Ultrasonography of small intestinal stromal tumor with intestinal fistula: a case report [J ] . Chin J Ultrasonogr , 2015 , 24 ( 2 ): 158 , 163.
LI H , REN G , CAI R , et al. A correlation research of Ki-67 index, CT features, and risk stratification in gastrointestinal stromal tumor [J ] . Cancer Med , 2018 , 7 ( 9 ): 4467 - 4474 . DOI: 10.1002/cam4.2018.7.issue-9 http://doi.org/10.1002/cam4.2018.7.issue-9 https://onlinelibrary.wiley.com/toc/20457634/7/9 https://onlinelibrary.wiley.com/toc/20457634/7/9
ROŞULESCU A , PECHIANU N , HORTOPAN M , et al. Gastrointestinal stromal tumors of the colon and rectum [J ] . Pol J Pathol , 2020 , 71 ( 3 ): 200 - 206 .
王子千 , 丁晓玲 , 曹颖 , 等 . 小肠高危间质瘤坏死囊性变并窦道形成超声表现3例 [J ] . 中华超声影像学杂志 , 2013 , 22 ( 4 ): 324 , 328.
WANG Z Q , DING X L , CAO Y , et al. Ultrasonographic findings of high-risk small intestinal stromal tumor with necrotic cystic and sinus tract: 3 cases report [J ] . Chin J Ultrasonogr , 2013 , 22 ( 4 ): 324 , 328.
NISHIDA T , SAKAI Y , TAKAGI M , et al. Adherence to the guidelines and the pathological diagnosis of high-risk gastrointestinal stromal tumors in the real world [J ] . Gastric Cancer , 2020 , 23 ( 1 ): 118 - 125 . DOI: 10.1007/s10120-019-00966-4 http://doi.org/10.1007/s10120-019-00966-4 https://doi.org/10.1007/s10120-019-00966-4 https://doi.org/10.1007/s10120-019-00966-4
SASMAL P K , SHARMA R , PATRA S , et al. Malignant extra-gastrointestinal stromal tumor of the mesentery [J ] . Surg J (N Y) , 2019 , 5 ( 3 ): e65-e68 .
PESENTI C , BORIES E , CAILLOL F , et al. Characterization of subepithelial lesions of the stomach and esophagus by contrast-enhanced EUS: a retrospective study [J ] . Endosc Ultrasound , 2019 , 8 ( 1 ): 43 - 49 . DOI: 10.4103/eus.eus_89_17 http://doi.org/10.4103/eus.eus_89_17 http://www.eusjournal.com/text.asp?2019/8/1/43/242293 http://www.eusjournal.com/text.asp?2019/8/1/43/242293
0
浏览量
1082
下载量
0
CSCD
- 网络PDF下载
- Meta-XML下载
- BibTeX下载
- Endnote下载
- RefMan 下载
- NoteExpress下载
- NoteFirst下载
关联资源
相关文章
相关作者
相关机构
AI问答- 技术支持由北京北大方正电子有限公司提供 京ICP备09064830号-19
京公网安备11010802024621 - 本系统建议在Chrome、 IE9+ 以上版本浏览器阅读本站内容，360浏览器请切换至极速模式
- Cookies帮助我们提供服务并提供个性化体验。使用本网站，即表示您同意我们使用Cookies