Development of a nomogram for predicting the risk of carcinoma in chronic atrophic gastritis

Abstract Objective To construct a machine learning (ML) model to predict the progression of chronic atrophic gastritis (CAG) to gastric cancer (GC), given its precancerous significance. Methods Using medical records from the Affiliated Hospital of Qingdao University, common laboratory indicators wer...

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Main Authors: Jia-Yi Zhang, Ding Li, Guo-Jie Hu
Format: Article
Language:English
Published: Springer 2025-05-01
Series:Discover Oncology
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Online Access:https://doi.org/10.1007/s12672-025-02453-y
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author Jia-Yi Zhang
Ding Li
Guo-Jie Hu
author_facet Jia-Yi Zhang
Ding Li
Guo-Jie Hu
author_sort Jia-Yi Zhang
collection DOAJ
description Abstract Objective To construct a machine learning (ML) model to predict the progression of chronic atrophic gastritis (CAG) to gastric cancer (GC), given its precancerous significance. Methods Using medical records from the Affiliated Hospital of Qingdao University, common laboratory indicators were extracted. LASSO regression identified 10 core risk factors, which were further analyzed using binary logistic regression to develop a nomogram model in R. The model’s performance was evaluated using receiver operating characteristic (ROC) curves, the concordance index (C-index), calibration curves, and decision curve analysis (DCA). Results The model showed excellent performance, with a C-index of 0.887. The key factors included sex, coagulation, blood cell indexes, and blood lipid levels. The ROC areas were 0.892 (quantitative) and 0.853 (qualitative), confirming model reliability. Conclusion A new nomogram model for assessing GC risk in CAG patients was successfully developed. However, due to data collection and time limitations, future studies should expand the sample size, perfect the validation process, and optimize the model to achieve more accurate risk prediction.
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spelling doaj-art-cb9e61da35fd4f6fbf9d3af357a35b772025-08-20T03:53:13ZengSpringerDiscover Oncology2730-60112025-05-0116111110.1007/s12672-025-02453-yDevelopment of a nomogram for predicting the risk of carcinoma in chronic atrophic gastritisJia-Yi Zhang0Ding Li1Guo-Jie Hu2Institute of Integrated Medicine, Qingdao Medical College of Qingdao University, Qingdao UniversityDepartment of Traditional Chinese Medicine, The Affiliated Hospital of Qingdao UniversityDepartment of Traditional Chinese Medicine, The Affiliated Hospital of Qingdao UniversityAbstract Objective To construct a machine learning (ML) model to predict the progression of chronic atrophic gastritis (CAG) to gastric cancer (GC), given its precancerous significance. Methods Using medical records from the Affiliated Hospital of Qingdao University, common laboratory indicators were extracted. LASSO regression identified 10 core risk factors, which were further analyzed using binary logistic regression to develop a nomogram model in R. The model’s performance was evaluated using receiver operating characteristic (ROC) curves, the concordance index (C-index), calibration curves, and decision curve analysis (DCA). Results The model showed excellent performance, with a C-index of 0.887. The key factors included sex, coagulation, blood cell indexes, and blood lipid levels. The ROC areas were 0.892 (quantitative) and 0.853 (qualitative), confirming model reliability. Conclusion A new nomogram model for assessing GC risk in CAG patients was successfully developed. However, due to data collection and time limitations, future studies should expand the sample size, perfect the validation process, and optimize the model to achieve more accurate risk prediction.https://doi.org/10.1007/s12672-025-02453-yChronic atrophic gastritisGastric cancerMachine learningPredictive modelNomogram
spellingShingle Jia-Yi Zhang
Ding Li
Guo-Jie Hu
Development of a nomogram for predicting the risk of carcinoma in chronic atrophic gastritis
Discover Oncology
Chronic atrophic gastritis
Gastric cancer
Machine learning
Predictive model
Nomogram
title Development of a nomogram for predicting the risk of carcinoma in chronic atrophic gastritis
title_full Development of a nomogram for predicting the risk of carcinoma in chronic atrophic gastritis
title_fullStr Development of a nomogram for predicting the risk of carcinoma in chronic atrophic gastritis
title_full_unstemmed Development of a nomogram for predicting the risk of carcinoma in chronic atrophic gastritis
title_short Development of a nomogram for predicting the risk of carcinoma in chronic atrophic gastritis
title_sort development of a nomogram for predicting the risk of carcinoma in chronic atrophic gastritis
topic Chronic atrophic gastritis
Gastric cancer
Machine learning
Predictive model
Nomogram
url https://doi.org/10.1007/s12672-025-02453-y
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AT dingli developmentofanomogramforpredictingtheriskofcarcinomainchronicatrophicgastritis
AT guojiehu developmentofanomogramforpredictingtheriskofcarcinomainchronicatrophicgastritis