Anemia Risk Prediction Model for Osteosarcoma Patients Post‐Chemotherapy Using Artificial Intelligence

ABSTRACT Objective This study aimed to develop a machine learning model for predicting anemia post‐chemotherapy in osteosarcoma patients. Methods Clinical data from 631 osteosarcoma patients were collected, and after data filtering, a training set and validation set were created. Various statistical...

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Main Authors: Zhiping Su, Zhiwei Nong, Feihong Huang, Chengxing Zhou, Chaojie Yu
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Cancer Medicine
Subjects:
Online Access:https://doi.org/10.1002/cam4.70427
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author Zhiping Su
Zhiwei Nong
Feihong Huang
Chengxing Zhou
Chaojie Yu
author_facet Zhiping Su
Zhiwei Nong
Feihong Huang
Chengxing Zhou
Chaojie Yu
author_sort Zhiping Su
collection DOAJ
description ABSTRACT Objective This study aimed to develop a machine learning model for predicting anemia post‐chemotherapy in osteosarcoma patients. Methods Clinical data from 631 osteosarcoma patients were collected, and after data filtering, a training set and validation set were created. Various statistical tests were conducted on the data, and single‐factor and multiple‐factor logistic regression analysis, random forest (RF), support vector machine (SVM), and least absolute shrinkage and selection operator (LASSO) were used to construct risk prediction models. A new model was created by intersecting the above models to identify common risk factors, and a nomogram was developed to display the new model. The model's performance was validated using the validation set. Results Twenty‐five risk factors were identified in the anemia group compared to the non‐anemia group (p < 0.05). Single‐factor logistic regression analysis identified 22 risk factors (AUC 0.895), whereas multiple‐factor logistic regression analysis identified 8 risk factors (AUC 0.872), RF identified 7 risk factors (AUC 0.851), SVM identified 16 risk factors (AUC 0.851), and LASSO identified 19 risk factors (AUC 0.902). Five common risk factors (ALB, Ca, CREA, D‐dimer, and ESR) were identified through model intersection, yielding a new model with an AUC of 0.85. Internal validation of the new model showed an AUC of 0.802, indicating high predictive ability. A web model application was created (https://anemic‐prediction‐of‐osteosarcoma.shinyapps.io/DynNomapp/). Conclusion The developed risk prediction model based on clinical and laboratory data can aid in individualized diagnosis and treatment of anemia in osteosarcoma patients post‐chemotherapy.
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spelling doaj-art-cea7f99e2cd04ca6b7244d955ea7964d2025-08-20T02:34:19ZengWileyCancer Medicine2045-76342024-12-011323n/an/a10.1002/cam4.70427Anemia Risk Prediction Model for Osteosarcoma Patients Post‐Chemotherapy Using Artificial IntelligenceZhiping Su0Zhiwei Nong1Feihong Huang2Chengxing Zhou3Chaojie Yu4Department of Bone and Soft Tissue Surgery Guangxi Medical University Cancer Hospital Nanning Guangxi Zhuang Autonomous Region ChinaDepartment of Ultrasound The People's Hospital of Guangxi Zhuang Nanning ChinaGuangxi Medical University Nanning Guangxi Zhuang Autonomous Region ChinaGuangxi Medical University Nanning Guangxi Zhuang Autonomous Region ChinaDepartment of Bone and Soft Tissue Surgery Guangxi Medical University Cancer Hospital Nanning Guangxi Zhuang Autonomous Region ChinaABSTRACT Objective This study aimed to develop a machine learning model for predicting anemia post‐chemotherapy in osteosarcoma patients. Methods Clinical data from 631 osteosarcoma patients were collected, and after data filtering, a training set and validation set were created. Various statistical tests were conducted on the data, and single‐factor and multiple‐factor logistic regression analysis, random forest (RF), support vector machine (SVM), and least absolute shrinkage and selection operator (LASSO) were used to construct risk prediction models. A new model was created by intersecting the above models to identify common risk factors, and a nomogram was developed to display the new model. The model's performance was validated using the validation set. Results Twenty‐five risk factors were identified in the anemia group compared to the non‐anemia group (p < 0.05). Single‐factor logistic regression analysis identified 22 risk factors (AUC 0.895), whereas multiple‐factor logistic regression analysis identified 8 risk factors (AUC 0.872), RF identified 7 risk factors (AUC 0.851), SVM identified 16 risk factors (AUC 0.851), and LASSO identified 19 risk factors (AUC 0.902). Five common risk factors (ALB, Ca, CREA, D‐dimer, and ESR) were identified through model intersection, yielding a new model with an AUC of 0.85. Internal validation of the new model showed an AUC of 0.802, indicating high predictive ability. A web model application was created (https://anemic‐prediction‐of‐osteosarcoma.shinyapps.io/DynNomapp/). Conclusion The developed risk prediction model based on clinical and laboratory data can aid in individualized diagnosis and treatment of anemia in osteosarcoma patients post‐chemotherapy.https://doi.org/10.1002/cam4.70427anemiaartificial intelligencechemotherapydiagnostic modelosteosarcoma
spellingShingle Zhiping Su
Zhiwei Nong
Feihong Huang
Chengxing Zhou
Chaojie Yu
Anemia Risk Prediction Model for Osteosarcoma Patients Post‐Chemotherapy Using Artificial Intelligence
Cancer Medicine
anemia
artificial intelligence
chemotherapy
diagnostic model
osteosarcoma
title Anemia Risk Prediction Model for Osteosarcoma Patients Post‐Chemotherapy Using Artificial Intelligence
title_full Anemia Risk Prediction Model for Osteosarcoma Patients Post‐Chemotherapy Using Artificial Intelligence
title_fullStr Anemia Risk Prediction Model for Osteosarcoma Patients Post‐Chemotherapy Using Artificial Intelligence
title_full_unstemmed Anemia Risk Prediction Model for Osteosarcoma Patients Post‐Chemotherapy Using Artificial Intelligence
title_short Anemia Risk Prediction Model for Osteosarcoma Patients Post‐Chemotherapy Using Artificial Intelligence
title_sort anemia risk prediction model for osteosarcoma patients post chemotherapy using artificial intelligence
topic anemia
artificial intelligence
chemotherapy
diagnostic model
osteosarcoma
url https://doi.org/10.1002/cam4.70427
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