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Applying Data Mining to Investigate Cancer Risk in Patients with Pyogenic Liver Abscess. | LitMetric

Applying Data Mining to Investigate Cancer Risk in Patients with Pyogenic Liver Abscess.

Healthcare (Basel)

Department of Industrial Engineering & Enterprise Information, Tunghai University, Taichung 407, Taiwan.

Published: May 2020

AI Article Synopsis

  • - Pyogenic liver abscess (PLA) is often linked to biliary tract disease, and there's ongoing research into its connection with higher rates of colorectal cancer (CRC) and hepatocellular carcinoma (HCC) in Taiwan, where these cancers are particularly common.
  • - Studies showed that patients with PLA have significantly increased odds of developing both CRC and HCC, highlighting the need for early diagnosis and better clinical assessments for these cancers.
  • - A decision tree model was developed to predict cancer risk among PLA patients, confirming that identifying the PLA variable greatly enhances diagnostic accuracy, using fewer risk factors.

Article Abstract

Pyogenic liver abscess is usually a complication of biliary tract disease. Taiwan features among the countries with the highest incidence of colorectal cancer (CRC) and hepatocellular carcinoma (HCC). Few studies have investigated whether patients with pyogenic liver abscess (PLA) have higher incidence rates of CRC and HCC. However, these findings have been inconclusive. The risks of CRC and HCC in patients with PLA and the factors contributing to cancer development were assessed in these patients. The clinical tests significantly associated with cancers in these patients with PLA were determined to assist in the early diagnosis of these cancers. Odds ratios (ORs) and 95% confidence intervals (CIs) were determined using binary logistic regression Cancer classification models were constructed using the decision tree algorithm C5.0 to compare the accuracy among different models with those risk factors of cancers and then determine the optimal model. Thereafter, the rules were summarized using the decisi8on tree model to assist in the diagnosis. The results indicated that CRC and HCC (OR, 3.751; 95% CI, 1.149-12.253) and CRC (OR, 6.838; 95% CI, 2.679-17.455) risks were higher in patients with PLA than those without PLA. The decision tree analysis demonstrated that the model with the PLA variable had the highest accuracy, and that classification could be conducted using fewer factors, indicating that PLA is critical in HCC and CRC. Two rules were determined for assisting in the diagnosis of CRC and HCC using the decision tree model.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7349549PMC
http://dx.doi.org/10.3390/healthcare8020141DOI Listing

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