Method for establishing liver cancer diagnosis model based on liver cancer triple detection
A diagnostic model and method establishment technology, which is applied in the field of clinical examination and diagnosis, can solve problems such as differences in test report issuance time, deviation of the final calculation result of the model, maintenance difficulty and result variation, etc., so as to improve clinical application effect, clinical applicability and Feasible and easy to obtain effects
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Embodiment 1
[0057] Example 1 Establishment of Liver Cancer Diagnosis Model C-GALAD
[0058] The model parameters selected in this example are the patient’s basic information gender (G), age (A), liver cancer serological markers alpha-fetoprotein heterogeneity (L), alpha-fetoprotein (A), abnormal prothrombin (D) , and then use binary Logistic regression to conduct multivariate binary Logistic regression analysis on all the included indicators, and on this basis, establish a multivariate Logistic regression model based on gender, age and liver cancer triple detection (AFP, AFP-L3, DCP) C -GALAD, the results are shown in Table 2.
[0059] Table 2 Multivariate Logistic regression model C-GALAD
[0060] Variable beta (95%CI) OR (95%CI) P value Gender(G) 1.329(1.142-1.516) 3.778(3.134-4.554) <0.001
Age(A) 0.044(0.037-0.052) 1.045(1.038-1.053) <0.001
log 10 AFP,ng / mL(A)
0.885(0.750-1.020) 2.423(2.117-2.773) <0.001
log 10 DCP,mAU / mL(D)
...
Embodiment 2
[0065] Example 2 Establishment of Liver Cancer Diagnosis Model LAD
[0066] The model parameters selected in this embodiment are liver cancer serological markers alpha-fetoprotein heterogeneity (L), alpha-fetoprotein (A) and abnormal prothrombin (D). Factor binary Logistic regression analysis, and on this basis, a multi-factor Logistic regression model LAD based on liver cancer triple detection (AFP, AFP-L3, DCP) was established. The results are shown in Table 3.
[0067] Table 3 Multivariate Logistic regression model LAD
[0068] Variable beta (95%CI) OR (95%CI) P value log 10 AFP,ng / mL(A)
0.892(0.759-1.025) 2.439(2.136-2.786) <0.001
log 10 DCP,mAU / mL(D)
3.524(3.277-3.772) 33.931(26.488-43.464) <0.001
AFP-L3, %(L) 0.057(0.039-0.075) 1.059(1.040-1.078) <0.001
Constant -5.930
[0069] Among them, the Chinese names and abbreviations corresponding to English in Table 3 are as follows:
[0070] (1) AFP-L3, alpha...
Embodiment 3
[0073] Example 3 Diagnostic Efficiency Verification
[0074] (1) Verification of the diagnostic efficiency of liver cancer diagnostic model C-GALAD in patients with primary hepatocellular carcinoma
[0075] According to the maximum principle of Youden index (Sensitivity+Specificity-1), the cut-off value is 0.9382. In the training set, the C-GALAD model had a sensitivity of 86.9%, a specificity of 90.0%, an accuracy of 87.6%, and an area under the curve of 0.952 [95% CI (0.947-0.957 )]; in the verification group, the sensitivity of the C-GALAD model to the diagnosis of patients with primary hepatocellular carcinoma was 86.9%, the specificity was 80.2%, the accuracy was 85.2%, and the area under the curve was 0.908 [95% CI ( 0.889-0.926)] (see Table 4 and figure 1 , figure 2 ), and the model cut-off value is between 0.5268 and 1.1734, the Youden index is almost the same, which conforms to the principle of the maximum Youden index, and the sensitivity and specificity of the m...
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