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author:

Wang, Hongyu (Wang, Hongyu.) [1] | He, Zhiqiang (He, Zhiqiang.) [2] | Xu, Jiayang (Xu, Jiayang.) [3] | Chen, Ting (Chen, Ting.) [4] | Huang, Jingtian (Huang, Jingtian.) [5] | Chen, Lihong (Chen, Lihong.) [6] | Yue, Xin (Yue, Xin.) [7]

Indexed by:

SCIE

Abstract:

Background Cervical lymph node metastasis (LNM) is a significant factor that leads to a poor prognosis in laryngeal cancer. Early-stage supraglottic laryngeal cancer (SGLC) is prone to LNM. However, research on risk factors for predicting cervical LNM in early-stage SGLC is limited. This study seeks to create and validate a predictive model through the application of machine learning (ML) algorithms.Methods The training set and internal validation set data were extracted from the Surveillance, Epidemiology, and End Results (SEER) database. Data from 78 early-stage SGLC patients were collected from Fujian Provincial Hospital for independent external validation. We identified four variables associated with cervical LNM and developed six ML models based on these variables to predict LNM in early-stage SGLC patients.Results In the two cohorts, 167 (47.44%) and 26 (33.33%) patients experienced LNM, respectively. Age, T stage, grade, and tumor size were identified as independent predictors of LNM. All six ML models performed well, and in both internal and independent external validations, the eXtreme Gradient Boosting (XGB) model outperformed the other models, with AUC values of 0.87 and 0.80, respectively. The decision curve analysis demonstrated that the ML models have excellent clinical applicability.Conclusions Our study indicates that combining ML algorithms with clinical data can effectively predict LNM in patients diagnosed with early-stage SGLC. This is the first study to apply ML models in predicting LNM in early-stage SGLC patients.

Keyword:

big data early-stage supraglottic laryngeal cancer lymph node metastasis machine learning precision medicine

Community:

  • [ 1 ] [Wang, Hongyu]Fujian Med Univ, Shengli Clin Med Coll, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 2 ] [He, Zhiqiang]Fujian Med Univ, Shengli Clin Med Coll, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 3 ] [Chen, Ting]Fujian Med Univ, Shengli Clin Med Coll, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 4 ] [Huang, Jingtian]Fujian Med Univ, Shengli Clin Med Coll, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 5 ] [Chen, Lihong]Fujian Med Univ, Shengli Clin Med Coll, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 6 ] [Yue, Xin]Fujian Med Univ, Shengli Clin Med Coll, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 7 ] [Wang, Hongyu]Fujian Prov Hosp, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 8 ] [He, Zhiqiang]Fujian Prov Hosp, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 9 ] [Xu, Jiayang]Fujian Prov Hosp, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 10 ] [Chen, Ting]Fujian Prov Hosp, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 11 ] [Huang, Jingtian]Fujian Prov Hosp, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 12 ] [Chen, Lihong]Fujian Prov Hosp, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 13 ] [Yue, Xin]Fujian Prov Hosp, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 14 ] [Wang, Hongyu]Fuzhou Univ, Affiliated Prov Hosp, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 15 ] [He, Zhiqiang]Fuzhou Univ, Affiliated Prov Hosp, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 16 ] [Xu, Jiayang]Fuzhou Univ, Affiliated Prov Hosp, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 17 ] [Chen, Ting]Fuzhou Univ, Affiliated Prov Hosp, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 18 ] [Huang, Jingtian]Fuzhou Univ, Affiliated Prov Hosp, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 19 ] [Chen, Lihong]Fuzhou Univ, Affiliated Prov Hosp, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China
  • [ 20 ] [Yue, Xin]Fuzhou Univ, Affiliated Prov Hosp, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China

Reprint 's Address:

  • [Chen, Ting]Fujian Med Univ, Shengli Clin Med Coll, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China;;[Chen, Ting]Fujian Prov Hosp, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China;;[Chen, Ting]Fuzhou Univ, Affiliated Prov Hosp, Otolaryngol Head & Neck Surg Dept, Fuzhou, Peoples R China

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Source :

FRONTIERS IN ONCOLOGY

ISSN: 2234-943X

Year: 2025

Volume: 15

3 . 5 0 0

JCR@2023

CAS Journal Grade:4

Cited Count:

WoS CC Cited Count:

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 2

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