Diagnostic Accuracy of Machine-Learning Models on Predicting Chemo-Brain in Breast Cancer Survivors Previously Treated with Chemotherapy: A Meta-Analysis
Turcu-Stiolica, Adina
Bogdan, Maria
Dumitrescu, Elena Adriana
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Zob, Daniela Luminita
Gheorman, Victor
Aldea, Madalina
Dinescu, Venera Cristina
Subtirelu, Mihaela-Simona
Stanculeanu, Dana-Lucia
Sur, Daniel
Lungulescu, Cristian Virgil
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Subtirelu, MS (通讯作者),Univ Med & Pharm Craiova, Dept Pharmacoecon, Craiova 200349, Romania.;Zob, DL (通讯作者),Inst Oncol, Soseaua Fundeni, Bucharest 022328, Romania.
We performed a meta-analysis of chemo-brain diagnostic, pooling sensitivities, and specificities in order to assess the accuracy of a machine-learning (ML) algorithm in breast cancer survivors previously treated with chemotherapy. We searched PubMed, Web of Science, and Scopus for eligible articles before 30 September 2022. We identified three eligible studies from which we extracted seven ML algorithms. For our data, the chi(2) tests demonstrated the homogeneity of the sensitivity's models (chi(2) = 7.6987, df = 6, p-value = 0.261) and the specificities of the ML models (chi(2) = 3.0151, df = 6, p-value = 0.807). The pooled area under the curve (AUC) for the overall ML models in this study was 0.914 (95%CI: 0.891-0.939) and partial AUC (restricted to observed false positive rates and normalized) was 0.844 (95%CI: 0.80-0.889). Additionally, the pooled sensitivity and pooled specificity values were 0.81 (95% CI: 0.75-0.86) and 0.82 (95% CI: 0.76-0.86), respectively. From all included ML models, support vector machine demonstrated the best test performance. ML models represent a promising, reliable modality for chemo-brain prediction in breast cancer survivors previously treated with chemotherapy, demonstrating high accuracy.