Oncologia i radiologia Kazakhstana最新文献

筛选
英文 中文
THE ROLE OF MICROSATELLITE INSTABILITY IN COLORECTAL CANCER: LITERATURE REVIEW 微卫星不稳定性在结直肠癌中的作用:文献综述
Oncologia i radiologia Kazakhstana Pub Date : 2022-09-30 DOI: 10.52532/2521-6414-2022-3-65-47-51
K. Smagulova, I. Turkpenova, D. Shayakhmetova, A. Dzhumanov, S. Yessenkulova
{"title":"THE ROLE OF MICROSATELLITE INSTABILITY IN COLORECTAL CANCER: \u0000LITERATURE REVIEW","authors":"K. Smagulova, I. Turkpenova, D. Shayakhmetova, A. Dzhumanov, S. Yessenkulova","doi":"10.52532/2521-6414-2022-3-65-47-51","DOIUrl":"https://doi.org/10.52532/2521-6414-2022-3-65-47-51","url":null,"abstract":"Relevance: According to Globocan 2020, colorectal cancer (CRC) incidence in Kazakhstan is lower than in all OECD countries except \u0000Mexico. However, the CRC incidence in Kazakhstan is steadily growing. In the structure of cancer incidence, CRC went up from 5th place in 2006 \u0000to 3rd place in 2021. More than 80% of tumors associated with Lynch syndrome were found to have microsatellite instability (MSI). Thus, MSI is \u0000detected in 12% of sporadic colon tumors. At that, MSI in the tumor is caused by a decreased activity of DNA repair genes that can be due to both \u0000hereditary and somatic causes. \u0000The study aimed to systematize the current literature data to consider the need and adequacy of pre-scribing preventive chemotherapy, personalizing the treatment of patients, and predicting the course of the disease in CRC. \u0000Methods: A review was made of the published results of scientific and clinical studies for 2006-2021 from the PubMed, MedLine, and Cancer \u0000Observe database for the keywords “colon cancer,” “microsatellite resistance,” “adjuvant chemotherapy,” “PCR study,” “IGH-study.” \u0000Results: The value and adequacy of determining the IHC characteristics of the MSI status. The prognostic and predictive value of MSI in CRC \u0000has been proven. The optimal treatment options were determined depending on the status of MSI. \u0000Conclusion: Tumors with certain MSI status should be classified as a separate group of malignancies. Instability status determination is \u0000preferred in case of suspected Lynch syndrome, in patients with stage II CRC, as well as in clinical and histological features characteristic of MSI \u0000(proximal localization of the primary tumor, mucinous histotype, poorly differentiated tumors, lymphocytic infiltration of the tumor). Further determination of these tumors’ molecular characteristics will help stratify patients who may respond differently to chemotherapy. Also, the MSI status \u0000determination can be an importnant prognostic marker in patients whose tumors have a somatic mutation in the BRAF gene","PeriodicalId":19480,"journal":{"name":"Oncologia i radiologia Kazakhstana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90898528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ABSTRACT METABOLIC DISORDERS IN PATIENTS WITH ONCOLOGIC PATHOLOGY 摘要代谢紊乱在肿瘤病理患者中的应用
Oncologia i radiologia Kazakhstana Pub Date : 2022-09-30 DOI: 10.52532/2521-6414-2022-3-65-19-23
R. Aringazina, N. Zholdassova, Zh. Nurgaliyeva, B. Kurmanalin, I. Kaibagarova
{"title":"ABSTRACT METABOLIC DISORDERS IN PATIENTS WITH ONCOLOGIC PATHOLOGY","authors":"R. Aringazina, N. Zholdassova, Zh. Nurgaliyeva, B. Kurmanalin, I. Kaibagarova","doi":"10.52532/2521-6414-2022-3-65-19-23","DOIUrl":"https://doi.org/10.52532/2521-6414-2022-3-65-19-23","url":null,"abstract":"Relevance: Metabolic disorders often take on a systemic character. It affects carbohydrate, lipid, and hormonal metabolism. Moreover, these \u0000changes promote the development and aggravation of several pathologies. The prevalence of metabolic disorders, including obesity, is increasing \u0000world-wide and in Kazakhstan. \u0000The study focused on the clinical characteristics of metabolic syndrome (MS) components in pa-tients with cancer comorbidities. \u0000Methods: The materials included medical records of cancer patients with MS – 35 people (main group) and non-cancerous patients with \u0000MS – 35 people (control group). MS was diagnosed with a combination of three symptoms: abdominal obesity, high blood pressure, and increased high-density lipoprotein cholesterol (HDL-C) levels. The data were analyzed and processed using the STATIS-TICA 10 software package. \u0000 The significance criterion was p<0.05. \u0000Results: All studied patients were diagnosed with abdominal obesity. Indicators analysis showed a significant difference in HDL-C concentration in the main and control groups: 3.8 mmol/l in cancer patients and 5.7 mmol/l in the controls. No significant difference in blood pressure was \u0000found. \u0000Conclusion: The age of patients with MS evidences a threatening tendency to develop metabolic disorders in young and middle ages. A significantly lower concentration of LDL-C in cancer patients compared with the controls allows using this parameter to predict cancer ]development in \u0000patients diagnosed with MS. Thus, HDL-C concentration could be used as a metabolic marker for pre-symptomatic diagnostics.","PeriodicalId":19480,"journal":{"name":"Oncologia i radiologia Kazakhstana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84664056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MODERN VIEW ON THE EPIDEMIOLOGY OF BREAST CANCER: A LITERATURE REVIEW 乳腺癌流行病学的现代观点:文献综述
Oncologia i radiologia Kazakhstana Pub Date : 2022-09-30 DOI: 10.52532/2521-6414-2022-3-65-37-41
R. Kumisbekova, N. Shanazarov, B. Bimbetov, M. Tuleutaev, D. Nigmetulla, E. Zhapparov
{"title":"MODERN VIEW ON THE EPIDEMIOLOGY OF BREAST CANCER: \u0000A LITERATURE REVIEW","authors":"R. Kumisbekova, N. Shanazarov, B. Bimbetov, M. Tuleutaev, D. Nigmetulla, E. Zhapparov","doi":"10.52532/2521-6414-2022-3-65-37-41","DOIUrl":"https://doi.org/10.52532/2521-6414-2022-3-65-37-41","url":null,"abstract":"Relevance: Breast cancer (BC) is the leading cause of female cancer mortality worldwide. The constant development of treatment strategies \u0000and diagnostic tools has increased the survival rate for BC. Next-generation genome sequencing (NGS) identifies the genetic changes responsible \u0000for tumor emergence, development, and metastasis. NGS has expanded the capacities of BC diagnostics, treatment, and early prevention in women. \u0000The study aimed to identify breast cancer risk factors in women. \u0000Methods: Publications were obtained from the following databases: PubMed, Google Scholar, and eLibrary. The depth of the search was 5 to \u000010 years. As a result, 100 literary sources were identified, of which 26 publications formed the scientific material for this review. \u0000Results: Breast cancer is a heterogeneous disease driven by genetic abnormalities and epigenetic alterations. \u0000Conclusion: Gene mutations do not change. Genetic testing shall be introduced and used as a preventive measure to reduce BC incidence. \u0000Lifestyle-related BC risk factors can be modified to reduce BC risk.","PeriodicalId":19480,"journal":{"name":"Oncologia i radiologia Kazakhstana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78507874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HEMATOLOGY CENTER LLP PROJECT OFFICE ORGANIZATION EXPERIENCE 有血液学中心LLP项目办公室组织经验
Oncologia i radiologia Kazakhstana Pub Date : 2022-09-30 DOI: 10.52532/2521-6414-2022-3-65-12-18
I. Pivovarova, L. Turgunova, A. Klodzinsky, M. Butyugina, M. Kakhanova, N. Antonova
{"title":"HEMATOLOGY CENTER LLP PROJECT OFFICE ORGANIZATION EXPERIENCE","authors":"I. Pivovarova, L. Turgunova, A. Klodzinsky, M. Butyugina, M. Kakhanova, N. Antonova","doi":"10.52532/2521-6414-2022-3-65-12-18","DOIUrl":"https://doi.org/10.52532/2521-6414-2022-3-65-12-18","url":null,"abstract":"Relevance: The achievement of complex goals facing medical organizations is largely determined by the ability to solve problems considering \u0000the available and expected resources. Project Management Office (PMO) is a business tool that effectively supports achieving goals. Availability of \u0000reliable information on incidence, therapeutic solutions, treatment outcomes, and survival of patients with oncohematological diseases is a prerequisite for introducing modern diagnostics, high-tech treatment methods, and providing quality medical care. The article describes the experience \u0000of the Center for Hematology LLP Project Management Office as a tool to create a database of patients with hemoblastosis. \u0000The research aimed to evaluate the results of the effectiveness of the Project Management Office at the Hematology Center LLP in studying the \u0000approaches to treatment and their effectiveness in patients with oncohematological diseases. \u0000Methods: We analyzed the operation of the PMO, established in November 2020 at the Hematology Center LLP. The project office was tasked \u0000to analyze the data of patients with oncohematological diseases who were treated at the Hematology Center LLP branch in Ust-Kamenogorsk \u0000ОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯ \u000018 Онкология и радиология Казахстана, №3 (65) 2022 \u0000from 2015 to 2021 and at the Karaganda branch from 2018 to 2021. Data obtained from the Hematology Center LLP information system was used \u0000to create a database of patients with oncohematological diseases, capable of calculating nosological structure based on the line of therapy and \u0000making a patient’s profile to select a treatment regimen. \u0000Results: The conditions for the PMO operation were described: a plan, a specific result, a specially organized team, and a time interval; the \u0000PMO operating effectiveness was analyzed. The resulting data made it possible to assess the volume, level, and effectiveness of medical and diagnostic care for the mentioned nosologies to justify improving the existing patient examination and routing system. \u0000Conclusion: The activities of the Center for Hematology LLP Project Management Office to study the structure and effectiveness of treating \u0000patients with oncohematological diseases proved the viability of using the project management approach in medical organizations.","PeriodicalId":19480,"journal":{"name":"Oncologia i radiologia Kazakhstana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79210360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
METABOLIC DISORDERS IN PATIENTS WITH ONCOLOGIC PATHOLOGY 肿瘤病理患者的代谢紊乱
Oncologia i radiologia Kazakhstana Pub Date : 2022-09-30 DOI: 10.52532/2663-4864-2022-3-65-19-23
R. Aringazina, N. Zholdassova, Zh. Nurgaliyeva, B. Kurmanalin, I. Kaibagarova
{"title":"METABOLIC DISORDERS IN PATIENTS WITH ONCOLOGIC PATHOLOGY","authors":"R. Aringazina, N. Zholdassova, Zh. Nurgaliyeva, B. Kurmanalin, I. Kaibagarova","doi":"10.52532/2663-4864-2022-3-65-19-23","DOIUrl":"https://doi.org/10.52532/2663-4864-2022-3-65-19-23","url":null,"abstract":"Relevance: Metabolic disorders often take on a systemic character. It affects carbohydrate, lipid, and hormonal metabolism. Moreover, \u0000these changes promote the development and aggravation of several pathologies. The prevalence of metabolic disorders, including obesity, \u0000is increasing worldwide and in Kazakhstan. \u0000The study focused on the clinical characteristics of metabolic syndrome (MS) components in patients with cancer comorbidities. \u0000Methods: The materials included medical records of cancer patients with MS – 35 people (main group) and non-cancerous patients \u0000with MS – 35 people (control group). MS was diagnosed with a combination of three symptoms: abdominal obesity, high blood pressure, \u0000and increased high-density lipoprotein cholesterol (HDL-C) levels. The data were analyzed and processed using the STATIS-TICA 10 \u0000software package. The significance criterion was p<0.05. \u0000Results: All studied patients were diagnosed with abdominal obesity. Indicators analysis showed a significant difference in HDL-C \u0000concentration in the main and control groups: 3.8 mmol/L in cancer patients and 5.7 mmol/L in the controls. No significant difference in \u0000blood pressure was found. \u0000Conclusion: The age of patients with MS evidences a threatening tendency to develop metabolic disorders in young and middle ages. \u0000A significantly lower concentration of LDL-C in cancer patients compared with the controls allows using this parameter to predict cancer \u0000]development in patients diagnosed with MS. Thus, HDL-C concentration could be used as a metabolic marker for pre-symptomatic \u0000diagnostics.","PeriodicalId":19480,"journal":{"name":"Oncologia i radiologia Kazakhstana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84844703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ACUTE RENAL DISORDER IN PATIENTS WITH ACUTE LEUKEMIA AFTER HEMATOPOIETIC STEM CELL TRANSPLANTATION: A SERIES OF CLINICAL CASES 急性白血病患者造血干细胞移植后的急性肾病:一系列临床病例
Oncologia i radiologia Kazakhstana Pub Date : 2022-09-30 DOI: 10.52532/2521-6414-2022-3-65-32-36
A. Murzakhmetova, V. Kemaikin, A. Ainabay, A. Meiramova, B. Ainabekova
{"title":"ACUTE RENAL DISORDER IN PATIENTS WITH ACUTE LEUKEMIA \u0000AFTER HEMATOPOIETIC STEM CELL TRANSPLANTATION: \u0000A SERIES OF CLINICAL CASES","authors":"A. Murzakhmetova, V. Kemaikin, A. Ainabay, A. Meiramova, B. Ainabekova","doi":"10.52532/2521-6414-2022-3-65-32-36","DOIUrl":"https://doi.org/10.52532/2521-6414-2022-3-65-32-36","url":null,"abstract":"Relevance: Acute renal kidney disorder is a serious complication in patients with acute leukemia who underwent hematopoietic stem cell \u0000transplantation (HSCT). According to statistics, acute renal dysfunction often occurs in the first 100 days after HSCT. \u0000This study aimed to evaluate kidney function in patients with acute leukemia after hematopoietic stem cell transplantation. \u0000Methods: The article presents clinical cases of patients with acute lymphoblastic leukemia who developed acute renal failure after HSCT. The \u0000dynamics of the functional state of kidneys in patients with acute lymphoblastic leukemia after HSCT are described. \u0000Results: The acute kidney disorder in the studied patients was mainly caused by HSCT complications. We have identified renal kidney damage \u0000in the form of acute tumor lysis and thrombotic microangiopathy. \u0000Conclusion: Patients with acute lymphoblastic leukemia risk developing acute kidney disorder during HSCT, which requires careful monitoring of kidney function, especially in the early post-transplant period.","PeriodicalId":19480,"journal":{"name":"Oncologia i radiologia Kazakhstana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75992890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CURRENT VIEW ON THE EPIDEMIOLOGY OF BREAST CANCER: A LITERATURE REVIEW 乳腺癌流行病学研究现状:文献综述
Oncologia i radiologia Kazakhstana Pub Date : 2022-09-30 DOI: 10.52532/2663-4864-2022-3-65-37-41
R. Kumisbekova, N. Shanazarov, B. Bimbetov, M. Tuleutaev, D. Nigmetulla, E. Zhapparov
{"title":"CURRENT VIEW ON THE EPIDEMIOLOGY OF BREAST CANCER: A LITERATURE REVIEW","authors":"R. Kumisbekova, N. Shanazarov, B. Bimbetov, M. Tuleutaev, D. Nigmetulla, E. Zhapparov","doi":"10.52532/2663-4864-2022-3-65-37-41","DOIUrl":"https://doi.org/10.52532/2663-4864-2022-3-65-37-41","url":null,"abstract":"Relevance: Breast cancer (BC) is the leading cause of worldwide female cancer mortality. The constant development of treatment \u0000strategies and diagnostic tools has increased the survival rate for BC. Next-generation genome sequencing (NGS) identifies the genetic \u0000changes responsible for tumor emergence, development, and metastasis. NGS has expanded the capacities of BC diagnostics, treatment, \u0000and early prevention in women. \u0000The study aimed to identify breast cancer risk factors in women. \u0000Methods: Publications were obtained from the following databases: PubMed, Google Scholar, and eLibrary. The depth of the search \u0000was 5 to 10 years. As a result, 100 literary sources were identified, of which 26 publications formed the scientific material for this review. \u0000Results: Breast cancer is a heterogeneous disease driven by genetic abnormalities and epigenetic alterations. \u0000Conclusion: Gene mutations do not change. Genetic testing shall be introduced as a preventive measure to reduce BC incidence. \u0000Lifestyle-related BC risk factors can be addressed to minimize BC risk.","PeriodicalId":19480,"journal":{"name":"Oncologia i radiologia Kazakhstana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88720840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
GENDER DIFFERENCES IN PATIENTS WITH ATRIAL FIBRILLATION SHOWN BY TRANSTHORACIC ECHOCARDIOGRAPHY AND COMPUTED TOMOGRAPHY 经胸超声心动图和计算机断层扫描显示房颤患者的性别差异
Oncologia i radiologia Kazakhstana Pub Date : 2022-09-30 DOI: 10.52532/2521-6414-2022-3-65-24-31
B. Kaliyev, R. Rakhimzhanova, T. Dautov, L. Bastarbekova, Zh. Moldakhanova, A. Kabdullina, A. Bimakhan
{"title":"GENDER DIFFERENCES IN PATIENTS WITH ATRIAL FIBRILLATION SHOWN BY TRANSTHORACIC ECHOCARDIOGRAPHY AND COMPUTED TOMOGRAPHY","authors":"B. Kaliyev, R. Rakhimzhanova, T. Dautov, L. Bastarbekova, Zh. Moldakhanova, A. Kabdullina, A. Bimakhan","doi":"10.52532/2521-6414-2022-3-65-24-31","DOIUrl":"https://doi.org/10.52532/2521-6414-2022-3-65-24-31","url":null,"abstract":"Relevance: Cardioembolism is one of the major causes of ischemic strokes and accounts for 15-30% of all cerebral infarctions. Atrial \u0000fibrillation (AF) accounts for up to 60% of cardioembolic strokes. Assessing thromboembolic risk is important for patients with AF; however, these concerns do not apply equally to men and women. \u0000The study aimed to determine gender differences in echocardiographic and computed tomography characteristics of patients with \u0000atrial fibrillation. \u0000Methods: The included 202 patients underwent both transthoracic echocardiography and computed tomography. We excluded patients \u0000with allergies to iodide, increased creatinine levels, hyperthyroidism, pregnancy, and age <18 years. \u0000Results: An increase in BMI by 1 kg/m2 \u0000 in female patients increased the risk of left-atrium appendage (LAA) thrombus by 10% (OR=1,1, \u0000p=0.019). The yearly increase in the age of women lowers the risk of LAA thrombosis by 6% (OR=0,94, р=0,01). Each increase of EDD in \u0000women to 1 cm raises the risk of LAA thrombosis by 151% (OR=2,51, p=0.031). Each increase of ESV and EDV in women to 1 ml raises the \u0000risk of LAA thrombosis by 4% and 3%, respectively (p<0.05). Each increase of LVESVI and LVEDVI in female patients to 1 ml/m2 raises the \u0000risk of LAA thrombosis by 6% and 5%, respectively (p<0.05). \u0000Older age, higher CHA2 \u0000-DS2 \u0000-VASc, HAS-BLED scores, and enlarger LA in male patients were significantly associated with LAA \u0000thrombosis. \u0000The yearly increase in the age of men increases the risk of LAA thrombosis by 5% (OR=1.05, p=0.012). Men with coronary atherosclerosis at risk of thrombosis by 224% (OR=3,24, p=0.002). \u0000Conclusion: Understanding gender differences may help clinicians provide better care to individuals with AF","PeriodicalId":19480,"journal":{"name":"Oncologia i radiologia Kazakhstana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91123004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
USING MACHINE LEARNING ALGORITHMS TO DEVELOP A MODEL FOR PREDICTING THE SURVIVAL OF LUNG CANCER PATIENTS IN THE REPUBLIC OF KAZAKHSTAN 使用机器学习算法开发预测哈萨克斯坦共和国肺癌患者生存的模型
Oncologia i radiologia Kazakhstana Pub Date : 2022-09-30 DOI: 10.52532/2663-4864-2022-3-65-4-11
V. Makarov, D. Kaidarova, S. Yessentayeva, J. Kalmatayeva, М. Мansurova, N. Каdyrbek, R. Kadyrbayeva, S. Оlzhayev, I. Novikov
{"title":"USING MACHINE LEARNING ALGORITHMS TO DEVELOP A MODEL FOR PREDICTING THE SURVIVAL OF LUNG CANCER PATIENTS IN THE REPUBLIC OF KAZAKHSTAN","authors":"V. Makarov, D. Kaidarova, S. Yessentayeva, J. Kalmatayeva, М. Мansurova, N. Каdyrbek, R. Kadyrbayeva, S. Оlzhayev, I. Novikov","doi":"10.52532/2663-4864-2022-3-65-4-11","DOIUrl":"https://doi.org/10.52532/2663-4864-2022-3-65-4-11","url":null,"abstract":"Relevance: The 5-year overall survival rate(s) in NSCLC p-stage IA is 73%, and the recurrence rate in radically treated patients is \u0000almost 10%. \u0000The study aimed to evaluate the prognostic significance of several clinical and morphological factors and apply machine learning \u0000algorithms to predict the results of the overall survival of patients with lung cancer. \u0000Methods: The forms 030-6/y C34 – lung cancer (n=19,379) from the EROB database for 2014-2018 were analyzed, and the impact of \u0000risk factors on overall survival was assessed using the Kaplan-Meier method. Accordingly, the training data set for constructing forecasting \u0000models included 19,379 observations and 15 factors. The machine learning algorithms such as Random Forest Classifier, Gradient \u0000Boosting Classifier, Logistic Regression Model, Decision Tree Classifier, and K Nearest Neighbors (KNN) Classifier were implemented \u0000in the Python programming language. The results were evaluated by constructing an error matrix and calculating classification metrics: \u0000the proportion of correctly classified objects (accuracy) during training and validation (validation), accuracy (precision), completeness \u0000(recall), Kappa-Cohen. \u0000Results: In our study, 19,379 patients were analyzed, including 15,494 men (79.95%) and 3,885 women (20.04%). At the time of the \u0000study, 6,171 men (39.8%) and 1,962 women (49.5%) were alive. Median survival was 8.3 months (SE – 0.154 months, 95% CI – 7.96-8.56) \u0000in men and 15.43 months (SE – 1.0 months, 95% CI – 13.497-17.363) in women. At diagnosis, 1,037 patients (5.35%) had stage I disease, \u0000and 4,145 (21.38%) had stage II. Most patients (61.4%) had advanced stage NSCLC: 9,189 people (47.4%) were diagnosed with stage III, \u0000and 4,655 (24%) – with stage IV. The reliability of differences in median survival (χ2=3991.6, p=0.00) indicated the prognostic significance \u0000of the tumor process stage and its influence on the patient’s survival. Also, the revealed significant difference in the median survival of \u0000patients with various morphological forms of lung cancer suggests the prognostic significance of the morphological factor (the difference \u0000between those indicators was statistically significant, χ2=623.4 p=0.000). \u0000Conclusion: Machine learning models can predict the risk of fatal outcomes for patients after surgical treatment and registration in \u0000the EROB database. The creation of patient-oriented systems to support medical decision-making makes it possible to choose the optimal \u0000strategies for adjuvant therapy, dispensary observation, and frequency of diagnostic studies.","PeriodicalId":19480,"journal":{"name":"Oncologia i radiologia Kazakhstana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90352719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ACUTE KIDNEY INJURY IN PATIENTS WITH ACUTE LEUKEMIA AFTER HEMATOPOIETIC STEM CELL TRANSPLANTATION: A SERIES OF CLINICAL CASES 急性白血病患者造血干细胞移植后急性肾损伤:一系列临床病例
Oncologia i radiologia Kazakhstana Pub Date : 2022-09-30 DOI: 10.52532/2663-4864-2022-3-65-32-36
A. Murzakhmetova, V. Kemaikin, A. Ainabay, A. Meiramova, B. Ainabekova
{"title":"ACUTE KIDNEY INJURY IN PATIENTS WITH ACUTE LEUKEMIA AFTER HEMATOPOIETIC STEM CELL TRANSPLANTATION: A SERIES OF CLINICAL CASES","authors":"A. Murzakhmetova, V. Kemaikin, A. Ainabay, A. Meiramova, B. Ainabekova","doi":"10.52532/2663-4864-2022-3-65-32-36","DOIUrl":"https://doi.org/10.52532/2663-4864-2022-3-65-32-36","url":null,"abstract":"Relevance: Acute renal kidney injury is a severe complication in patients with acute leukemia who underwent hematopoietic stem cell \u0000transplantation (HSCT). According to statistics, acute renal dysfunction often occurs in the first 100 days after HSCT. \u0000This study aimed to evaluate kidney function in patients with acute leukemia after hematopoietic stem cell transplantation. \u0000Methods: The article presents clinical cases of patients with acute lymphoblastic leukemia who developed acute renal failure after \u0000HSCT. The dynamics of the functional state of kidneys in patients with acute lymphoblastic leukemia after HSCT are described. \u0000Results: The acute kidney disorder in the studied patients was mainly caused by HSCT complications. We have identified renal kidney \u0000damage in the form of acute tumor lysis and thrombotic microangiopathy. \u0000Conclusion: Patients with acute lymphoblastic leukemia risk developing acute kidney disorder during HSCT, which requires careful \u0000monitoring of kidney function, especially in the early post-transplant period","PeriodicalId":19480,"journal":{"name":"Oncologia i radiologia Kazakhstana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85463331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信