Investigation on clinical risk factors of bladder lesion by machine learning based interpretable model

Abstract Bladder lesion commonly occurs in patients with benign prostatic hyperplasia (BPH), and the routine screening of bladder lesion is vital for its timely detection and treatment, in which the risk of bladder lesion progression can be effectively alleviated. However, current clinical methods a...

Full description

Saved in:
Bibliographic Details
Main Authors: Yunxin Wang, Jiachuang Li, Yunfeng Song, Hongguo Wei, Zejun Yan, Shuo Chen, Zhe Zhang
Format: Article
Language:English
Published: Nature Portfolio 2024-10-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-024-75104-x
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850181911268294656
author Yunxin Wang
Jiachuang Li
Yunfeng Song
Hongguo Wei
Zejun Yan
Shuo Chen
Zhe Zhang
author_facet Yunxin Wang
Jiachuang Li
Yunfeng Song
Hongguo Wei
Zejun Yan
Shuo Chen
Zhe Zhang
author_sort Yunxin Wang
collection DOAJ
description Abstract Bladder lesion commonly occurs in patients with benign prostatic hyperplasia (BPH), and the routine screening of bladder lesion is vital for its timely detection and treatment, in which the risk of bladder lesion progression can be effectively alleviated. However, current clinical methods are inconvenient for routine screening. In this study, we proposed a convenient routine screening method to diagnose bladder lesions based on several clinical risk factors, which can be obtained through non-invasive, easy-to-operate, and low-cost examinations. The contribution of each clinical risk factor was further quantitatively analyzed to understand their impact on diagnostic decision-making. Based on a cohort study of 253 BPH patients with or without bladder lesions, the proposed diagnostic model achieved high accuracy using these clinical risk factors. Bladder compliance, maximum flow rate (Qmax), prostate specific antigen (PSA), and postvoid residual (PVR) were identified as the four most important clinical risk factors. To the best of our knowledge, this is the innovative research to predict bladder lesions based on the risk factors and quantitatively reveal their contributions to diagnostic decision-making. The proposed model has the potential to serve as an effective routine screening tool for bladder lesions in BPH patients, enabling early intervention to prevent lesion progression and improve the quality of life.
format Article
id doaj-art-aed116a199ea414992ae4a8a398bf1be
institution OA Journals
issn 2045-2322
language English
publishDate 2024-10-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-aed116a199ea414992ae4a8a398bf1be2025-08-20T02:17:47ZengNature PortfolioScientific Reports2045-23222024-10-0114111310.1038/s41598-024-75104-xInvestigation on clinical risk factors of bladder lesion by machine learning based interpretable modelYunxin Wang0Jiachuang Li1Yunfeng Song2Hongguo Wei3Zejun Yan4Shuo Chen5Zhe Zhang6College of Medicine and Biological Information Engineering, Northeastern UniversityDepartment of Urology, The First Affiliated Hospital of China Medical UniversityCollege of Medicine and Biological Information Engineering, Northeastern UniversityCollege of Medicine and Biological Information Engineering, Northeastern UniversityDepartment of Urology, The First Affiliated Hospital of Ningbo UniversityCollege of Medicine and Biological Information Engineering, Northeastern UniversityDepartment of Urology, The First Affiliated Hospital of China Medical UniversityAbstract Bladder lesion commonly occurs in patients with benign prostatic hyperplasia (BPH), and the routine screening of bladder lesion is vital for its timely detection and treatment, in which the risk of bladder lesion progression can be effectively alleviated. However, current clinical methods are inconvenient for routine screening. In this study, we proposed a convenient routine screening method to diagnose bladder lesions based on several clinical risk factors, which can be obtained through non-invasive, easy-to-operate, and low-cost examinations. The contribution of each clinical risk factor was further quantitatively analyzed to understand their impact on diagnostic decision-making. Based on a cohort study of 253 BPH patients with or without bladder lesions, the proposed diagnostic model achieved high accuracy using these clinical risk factors. Bladder compliance, maximum flow rate (Qmax), prostate specific antigen (PSA), and postvoid residual (PVR) were identified as the four most important clinical risk factors. To the best of our knowledge, this is the innovative research to predict bladder lesions based on the risk factors and quantitatively reveal their contributions to diagnostic decision-making. The proposed model has the potential to serve as an effective routine screening tool for bladder lesions in BPH patients, enabling early intervention to prevent lesion progression and improve the quality of life.https://doi.org/10.1038/s41598-024-75104-xBladder lesionClinical risk factorsRoutine screeningMachine learningInterpretable model
spellingShingle Yunxin Wang
Jiachuang Li
Yunfeng Song
Hongguo Wei
Zejun Yan
Shuo Chen
Zhe Zhang
Investigation on clinical risk factors of bladder lesion by machine learning based interpretable model
Scientific Reports
Bladder lesion
Clinical risk factors
Routine screening
Machine learning
Interpretable model
title Investigation on clinical risk factors of bladder lesion by machine learning based interpretable model
title_full Investigation on clinical risk factors of bladder lesion by machine learning based interpretable model
title_fullStr Investigation on clinical risk factors of bladder lesion by machine learning based interpretable model
title_full_unstemmed Investigation on clinical risk factors of bladder lesion by machine learning based interpretable model
title_short Investigation on clinical risk factors of bladder lesion by machine learning based interpretable model
title_sort investigation on clinical risk factors of bladder lesion by machine learning based interpretable model
topic Bladder lesion
Clinical risk factors
Routine screening
Machine learning
Interpretable model
url https://doi.org/10.1038/s41598-024-75104-x
work_keys_str_mv AT yunxinwang investigationonclinicalriskfactorsofbladderlesionbymachinelearningbasedinterpretablemodel
AT jiachuangli investigationonclinicalriskfactorsofbladderlesionbymachinelearningbasedinterpretablemodel
AT yunfengsong investigationonclinicalriskfactorsofbladderlesionbymachinelearningbasedinterpretablemodel
AT hongguowei investigationonclinicalriskfactorsofbladderlesionbymachinelearningbasedinterpretablemodel
AT zejunyan investigationonclinicalriskfactorsofbladderlesionbymachinelearningbasedinterpretablemodel
AT shuochen investigationonclinicalriskfactorsofbladderlesionbymachinelearningbasedinterpretablemodel
AT zhezhang investigationonclinicalriskfactorsofbladderlesionbymachinelearningbasedinterpretablemodel