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Table 2 Characteristics of ML-based predictive model of HCC patients after hepatectomy

From: Current updates in machine learning in the prediction of therapeutic outcome of hepatocellular carcinoma: what should we know?

Author

Study type

No. of patients

Model

Outcomes

AUC/C-index

Conclusion

Hamamoto [43], 1995

Retrospective Single center

65

ANN

Death

–

In the study for predicting the died of hepatic dysfunction, ANN predicted the outcome of 11 patients in the validation group and achieved the accuracy of 100%

Ho [44], 2012

Retrospective Multicenter

427

ANN and DT

1,3,5-year DFS

D: 0.977 and 0.734 (1-year)

0.989 and 0.825 (3-year)

0.963 and 0.675 (5-year)

V: 0.777 and 0.718 (1-year)

0.774 and 0.561 (3-year)

0.864 and 0.627 (5-year)

The ANN outperforms DT in predicting DFS in post-surgical HCC patients

Xu [48], 2012

Retrospective Multicenter

336

SVM

RR

–

The SVM based on IHC features could identify HCC patients who are easily recurrence after surgery, and the predictive accuracy of SVM was 66.5%

Chiu [45], 2013

Retrospective Multicenter

434

ANN

1,3,5-year survival

D: 0.980 (1-year)

0.989 (3-year)

0.993 (5-year)

V: 0.875 (1-year)

0.798 (3-year)

0.810 (5-year)

The ANN model can process a greater number of predictors and had better accuracy than the traditional LR model

Qiao [46], 2014

Prospective Multicenter

725

ANN

5-year survival

D: 0.855

V: 0.829

The ANN model outperforms both Cox and other staging systems in predicting survival in HCC patients who have received surgical resection

Cai [36], 2015

Retrospective Single center

299

BN

10-month survival

–

The BN model had 67.2% of accuracy to classify the survival time of post-surgical HCC patients

Akai [49], 2018

Retrospective Single center

127

RSF

DFS, OS

0.611

0.701

RSF can predict the individual risk for each patient on DFS and OS

Wang [23], 2019

Retrospective Single center

167

DCNN

RR

0.825

Combined clinical information and radiomics features can effectively predict early recurrence of HCC patients

Kim [50], 2019

Retrospective Single center

167

RSF1*

RSF2**

RSF3***

Early recurrence

Lately recurrence

Early recurrence: 0.671(RSF1)

0.679(RSF2)

0.707(RSF3)

Early recurrence: 0.737(RSF1)

0.622(RSF2)

0.716(RSF3)

Compared to another two RSF models, combined clinicopathologic-radiomic RSF model achieved the highest predictive power for the recurrence within 2 years after surgery of HCC, and has fair predictive performance for lately recurrence

Xu [19], 2019

Retrospective Multicenter

1139

SVM

RF

BN

RR

–

The accuracy of SVM, RF and BN model was 0.46, 0.48 and 0.56, respectively, in validation group form another independent institution. The BN model could contribute to HCC recurrence research

Mai [47], 2020

Retrospective Single center

353

ANN

PHLF

0.880(D)

0.876(V)

The risk of severe PHIF in HCC patients after surgery based on ANN model, can be accurately divided into 3 groups

Saillard [55], 2020

Retrospective Multicenter

522

CNN1#

CNN2##

OS

D: 0.75(CNN1)

0.78(CNN2)

V: 0.68(CNN1)

0.70(CNN2)

Two CNN models based on histological features form WSIs performed well for predicting OS of HCC patients after surgery, and both CNN models outperformed the CS that the score included the relevant clinical, biological and pathological features

Schoenberg [51], 2020

Retrospective Single center

180

RF

DFS

D: 0.766(0.627–0.904)

V: 0.788(0.658–0.919)

RF model based on clinical and laboratory variables, can accurately predict DFS after surgery of HCC

Wang [52], 2020

Retrospective Multicenter

201

RF

5-year survival

D: 0.980

V: 0.758

RAD model integrated with RF in a valid method to predict 5-year survival of post-operative HCC patients

Liao [53], 2020

Retrospective Multicenter

645

RF

1,3,5-Y survival

V1: 0.626(1-year)

0.658(3-year)

0.581(5-year)

V2: 0.600(1-year)

0.595(3-year)

0.566(5-year)

RF model based on 46 histopathplogical features, was able to stratify post-surgical patients of HCC into long and short-term groups. And the RF model showed similar accuracy with TNM staging systems

Saito [54], 2020

Retrospective Multicenter

158

SVM

RR

–

The SVM model based on digital pathological images has the accuracy of 89.9% for prediction of HCC recurrence after surgery

  1. *RSF1: clinicopathologic model using RSF; **RSF2: radiomic model using RSF; ***RSF3: combined clinicopathologic-radiomic model using RSF
  2. #CNN1: convolutional neural network model with automatically method to processing WSI imaging; ##CNN2: convolutional neural network model with an attention mechanism for WSI annotation by pathologist
  3. ML machine learning, HCC hepatocellular carcinoma, AUC area under the curve, ANN artificial neural network, DT decision tree, DFSdisease free survival, D development cohort, V validation cohort, SVM support vector machine, RR recurrence rate, IHC immunohistochemistry, LR logistic regression, BN bayesian network, RSF recurrence-free survival, OS overall survival, DCNN deep convolutional neural network, RF random forest, PHIF posthepatectomy liver failure, WSI whole-slide imaging, RAD radiomic, TNM tumor node metastasis