韩小宏, 毛巧霞, 陆国峰, 余捷凯①. 血清肿瘤标记物的人工神经网络模型在肺癌诊断中的应用[J]. 中国肿瘤临床, 2010, 37(10): 573-575. DOI: 10.3969/j.issn.1000-8179.2010.10.009
引用本文: 韩小宏, 毛巧霞, 陆国峰, 余捷凯①. 血清肿瘤标记物的人工神经网络模型在肺癌诊断中的应用[J]. 中国肿瘤临床, 2010, 37(10): 573-575. DOI: 10.3969/j.issn.1000-8179.2010.10.009
HAN Xiaohong, MAO Qiaoxia, LU Guofeng, YU Jiekai. Application of Bioinformatics and Serum Tumor Markers in the Diagnosis of Lung Carcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2010, 37(10): 573-575. DOI: 10.3969/j.issn.1000-8179.2010.10.009
Citation: HAN Xiaohong, MAO Qiaoxia, LU Guofeng, YU Jiekai. Application of Bioinformatics and Serum Tumor Markers in the Diagnosis of Lung Carcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2010, 37(10): 573-575. DOI: 10.3969/j.issn.1000-8179.2010.10.009

血清肿瘤标记物的人工神经网络模型在肺癌诊断中的应用

Application of Bioinformatics and Serum Tumor Markers in the Diagnosis of Lung Carcinoma

  • 摘要: 目的:联合检测多种血清肿瘤相关标记物,建立基于人工神经网络的肺癌血清标记物诊断模型。方法:应用酶联免疫吸附法分别测定100 例肺癌患者和113 例健康人对照的血清标本中癌胚抗原(CEA )、甲胎蛋白(AFP)、癌抗原19-9(CA19-9)、癌抗原72-4(CA72-4)、癌抗原242(CA242)、癌抗原21-1(CA21-1)、神经元特异性烯醇化酶(NSE)和组织多肽抗原(TPA )等8 种肿瘤相关标记物含量,结合生物信息学方法进行数据的分析。筛选出最优标记物组合,用150 例样本(肺癌70例,健康对照80例)建立诊断模型,并用63例样本(肺癌30例,健康对照33例)盲法测试集评估此模型。结果:应用曲线下面积方法结合神经网络筛选出CA211、CEA 两个最优组合的肿瘤标志物,建立的神经网络的肺癌血清标记物诊断模型经盲法验证预测的特异性为92.9% ,敏感度为86.0% ,阳性预测值85.5%。结论:本研究建立了基于人工神经网络的肺癌多种血清标记物诊断模型,其敏感性和特异性较高,对肺癌的临床诊断具有一定意义,对早期诊断也具有一定价值。

     

    Abstract: Objective: To find the best combination of serum tumor markers to establish a pattern for the diagnosis of lung carcinoma. Methods:The CEA, AFP, CA19-9, CA 72-4, CA 242 , CYFRA 21-1, NSE and TPA levels were detected in 100 lung carcinoma serum samples and 113 healthy serum samples. The samples were divided into two groups. The training group contained 150 samples (70patients and 80healthy people) and the test group contained 63samples (30patients and 33healthy people). We evaluated the serum tumor markers with the area under curves, selected the optimum serum tumor marker combination and built the diagnostic pattern with an artificial neural network. Results: CA211 and CEA were selected to be the optimum serum tumor marker combination and the artificial neural network was built based on these markers. This diagnostic lung carcinoma pattern has a specificity of 92.9% , sensitivity of 86.0% and positive value of 85.5%.Conclusion:This combination of optimum serum tumor markers has established a pattern with high sensitivity and specificity for the detection of lung carcinoma. It has the potential to become a valuable clinical tool for early diagnosis.

     

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