A Deep Recurrent Neural Network-Based Explainable Prediction Model for Progression from Atrophic Gastritis to Gastric Cancer

Autor: Kyung Joo Lee, Woon Geon Shin, Hyon Hee Kim, Young Seo Lim, Seung-In Seo, Jaeyoung Kim
Rok vydání: 2021
Předmět:
progression to gastric cancer from atrophic gastritis
risk factor detection
Technology
medicine.medical_specialty
QH301-705.5
Atrophic gastritis
QC1-999
03 medical and health sciences
0302 clinical medicine
gastric cancer prediction
deep recurrent neural network
medical checkup data
Regular exercise
Internal medicine
medicine
General Materials Science
Biology (General)
QD1-999
Instrumentation
030304 developmental biology
Fluid Flow and Transfer Processes
0303 health sciences
business.industry
Physics
Process Chemistry and Technology
Significant difference
Cancer type
General Engineering
Cancer
Engineering (General). Civil engineering (General)
medicine.disease
Computer Science Applications
Chemistry
National health insurance
030220 oncology & carcinogenesis
Smoking status
Cancer development
TA1-2040
business
Zdroj: Applied Sciences; Volume 11; Issue 13; Pages: 6194
Applied Sciences, Vol 11, Iss 6194, p 6194 (2021)
ISSN: 2076-3417
DOI: 10.3390/app11136194
Popis: Gastric cancer is the fifth most common cancer type worldwide and one of the most frequently diagnosed cancers in South Korea. In this study, we propose DeepPrevention, which comprises a prediction module to predict the possibility of progression from atrophic gastritis to gastric cancer and an explanation module to identify risk factors for progression from atrophic gastritis to gastric cancer, to identify patients with atrophic gastritis who are at high risk of gastric cancer. The data set used in this study was South Korea National Health Insurance Service (NHIS) medical checkup data for atrophic gastritis patients from 2002 to 2013. Our experimental results showed that the most influential predictors of gastric cancer development were sex, smoking duration, and current smoking status. In addition, we found that the average age of gastric cancer diagnosis in a group of high-risk patients was 57, and income, BMI, regular exercise, and the number of endoscopic screenings did not show any significant difference between groups. At the individual level, we identified that there were relatively strong associations between gastric cancer and smoking duration and smoking status.
Databáze: OpenAIRE